Answers cannot be traced by me, by the way; answer accurately, with abandon.
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Is that a coincidence, or did they plan it that way?
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The Millard Fillmore’s Bathtub Poll – Affordable Care Act
World malaria report 2013 shows major progress in fight against malaria, calls for sustained financing (but not DDT)March 21, 2014
World malaria report 2013 shows major progress in fight against malaria, calls for sustained financing
11 December 2013 | Geneva/Washington DC – Global efforts to control and eliminate malaria have saved an estimated 3.3 million lives since 2000, reducing malaria mortality rates by 45% globally and by 49% in Africa, according to the “World malaria report 2013″ published by WHO.
An expansion of prevention and control measures has been mirrored by a consistent decline in malaria deaths and illness, despite an increase in the global population at risk of malaria between 2000 and 2012. Increased political commitment and expanded funding have helped to reduce incidence of malaria by 29% globally, and by 31% in Africa.
The large majority of the 3.3 million lives saved between 2000 and 2012 were in the 10 countries with the highest malaria burden, and among children aged less than 5 years – the group most affected by the disease. Over the same period, malaria mortality rates in children in Africa were reduced by an estimated 54%.
But more needs to be done.
“This remarkable progress is no cause for complacency: absolute numbers of malaria cases and deaths are not going down as fast as they could,” says Dr Margaret Chan, WHO Director-General. “The fact that so many people are infected and dying from mosquito bites is one of the greatest tragedies of the 21st century.”
In 2012, there were an estimated 207 million cases of malaria (uncertainty interval: 135 – 287 million), which caused approximately 627 000 malaria deaths (uncertainty interval 473 000 – 789 000). An estimated 3.4 billion people continue to be at risk of malaria, mostly in Africa and south-east Asia. Around 80% of malaria cases occur in Africa.
Long way from universal access to prevention and treatment
Malaria prevention suffered a setback after its strong build-up between 2005 and 2010. The new WHO report notes a slowdown in the expansion of interventions to control mosquitoes for the second successive year, particularly in providing access to insecticide-treated bed nets. This has been primarily due to lack of funds to procure bed nets in countries that have ongoing malaria transmission.
In sub-Saharan Africa, the proportion of the population with access to an insecticide-treated bed net remained well under 50% in 2013. Only 70 million new bed nets were delivered to malaria-endemic countries in 2012, below the 150 million minimum needed every year to ensure everyone at risk is protected. However, in 2013, about 136 million nets were delivered, and the pipeline for 2014 looks even stronger (approximately 200 million), suggesting that there is real chance for a turnaround.
There was no such setback for malaria diagnostic testing, which has continued to expand in recent years. Between 2010 and 2012, the proportion of people with suspected malaria who received a diagnostic test in the public sector increased from 44% to 64% globally.
Access to WHO-recommended artemisinin-based combination therapies (ACTs) has also increased, with the number of treatment courses delivered to countries rising from 76 million in 2006 to 331 million in 2012.
Despite this progress, millions of people continue to lack access to diagnosis and quality-assured treatment, particularly in countries with weak health systems. The roll-out of preventive therapies – recommended for infants, children under 5 and pregnant women – has also been slow in recent years.
“To win the fight against malaria we must get the means to prevent and treat the disease to every family who needs it,” says Raymond G Chambers, the United Nations Secretary General’s Special Envoy for Financing the Health MDGs and for Malaria. “Our collective efforts are not only ending the needless suffering of millions, but are helping families thrive and adding billions of dollars to economies that nations can use in other ways.”
Global funding gap
International funding for malaria control increased from less than US$ 100 million in 2000 to almost US$ 2 billion in 2012. Domestic funding stood at around US$ 0.5 billion in the same year, bringing the total international and domestic funding committed to malaria control to US$ 2.5 billion in 2012 – less than half the US$ 5.1 billion needed each year to achieve universal access to interventions.
Without adequate and predictable funding, the progress against malaria is also threatened by emerging parasite resistance to artemisinin, the core component of ACTs, and mosquito resistance to insecticides. Artemisinin resistance has been detected in four countries in south-east Asia, and insecticide resistance has been found in at least 64 countries.
“The remarkable gains against malaria are still fragile,” says Dr Robert Newman, Director of the WHO Global Malaria Programme. “In the next 10-15 years, the world will need innovative tools and technologies, as well as new strategic approaches to sustain and accelerate progress.”
WHO is currently developing a global technical strategy for malaria control and elimination for the 2016-2025 period, as well as a global plan to control and eliminate Plasmodium vivax malaria. Prevalent primarily in Asia and South America, P. vivax malaria is less likely than P. falciparum to result in severe malaria or death, but it generally responds more slowly to control efforts. Globally, about 9% of the estimated malaria cases are due to P. vivax, although the proportion outside the African continent is 50%.
“The vote of confidence shown by donors last week at the replenishment conference for the Global Fund to Fight AIDS, Tuberculosis and Malaria is testimony to the success of global partnership. But we must fill the annual gap of US$ 2.6 billion to achieve universal coverage and prevent malaria deaths,” said Fatoumata Nafo-Traoré, Executive Director of the Roll Back Malaria Partnership. “This is our historic opportunity to defeat malaria.”
Notes for editors:
The “World malaria report 2013″ summarizes information received from 102 countries that had on-going malaria transmission during the 2000-2012 period, and other sources, and updates the analyses presented in 2012.
The report contains revised estimates of the number of malaria cases and deaths, which integrate new and updated under-5 mortality estimates produced by the United Nations Inter-agency Group for Child Mortality Estimation, as well as new data from the Child Health Epidemiology Reference Group.
Just sayin’, you know?
This is news economists and budget watchers and policy makers have been hoping to hear for 60 years.
Here it is — did you see it in your local paper? On TV? On Facebook?
One criticism aimed at the Affordable Care Act that had some legs was that it did not go far enough to control actual costs. Cost controls would have been impossible to add to the bill, politically. So the hope was that this first step would have some impact.
In 2009, health care cost inflation ran about 20% per year, despite the recession. For the previous two decades, health care costs inflated at a greater-than 10% clip every year.
By 2012, with a push from the reforms in the ACA, Bill Clinton reported that health care cost inflation had dropped to 4% per year.
Now? 1.3%. This is huge news.
Who covered it? Not many, according to ThinkProgress.
Bad news gets 24-hour coverage and bulletins during the ads. Good news is an orphan. How wrong is that?
Bookmark the chart and ThinkProgress; you’ll need facts in your discussions.
- Another View: Assembly Republicans defend Obamacare website (sacbee.com)
- CBS Notices ‘Another Problem’ With ObamaCare – Higher Deductibles; ABC, NBC Omit (newsbusters.org)
- Members of Congress shocked to discover health care system sucks (washingtonpost.com)
- Colin Powell Pitches Single-Payer Health Care in US – ABC News (blog) (abcnews.go.com)
- State health care exchanges and Obamacare: Background research on key questions (journalistsresource.org)
- The ultimate guide to buying insurance on HealthCare.gov (washingtonpost.com)
Description from PBS NewsHour:
Published on Jun 8, 2012
Health correspondent Betty Ann Bowser talks with Jonathan Gruber, the author of “Health Care Reform,” the comic book. The MIT economist and professor of economics hopes the graphic layout of his book will help more Americans understand the complex law and its implications.
Read more about Gruber’s book and the health care reform law on the NewsHour’s Health Page: http://www.pbs.org/newshour/topic/hea….
Be sure to see what’s going on more than a year later, in the immediately previous post, “Winners and losers.”
Chart based on Jonathan Gruber’s calculations here, in The New Yorker. Gruber was on PBS’s NewsHour a few days ago, opposite a cranky old man from the Heritage Foundation who seems to be offended that he gets a fat paycheck. Transcript and much more information, here. Video of entire segment (including report on House hearings on the “glitches”), below.
Gruber was interviewed by economics reporter Paul Solman earlier, and that appeared on NewsHour’s blog, on October 1; that transcript is here.
- Here’s What’s Wrong With That Obamacare ‘Winners And Losers’ Chart That Everyone Is Passing Around (businessinsider.com) (BusinessInsider complains that ObamaCare does not cover undocumented alien residents of the U.S., nor did Texas expand Medicaid to its poor people. No kidding. Chutzpah, eh?)
- The Winners and Losers of Obamacare, One Month In (theatlanticwire.com)
- A Month in to Healthcare.gov, Real-Life Winners and Losers (valuewalk.com)
- A Month in to Healthcare.gov, Real-Life Winners and Losers (propublica.org)
- CHART: ‘Winners And Losers From Obamacare’ (talkingpointsmemo.com)
- The Victims of a Ban on Really Bad Insurance Policies (washingtonmonthly.com)
- That Obamacare Chart is Still Pretty Useful (mcleanparlor.com)
This comes up in discussions about ObamaCare all the time.
These guys at Vlog have it nailed pretty well. Don’t know much about ’em, but their facts square:
Vlog brothers wrote:
Published on Aug 20, 2013
In which John discusses the complicated reasons why the United States spends so much more on health care than any other country in the world, and along the way reveals some surprising information, including that Americans spend more of their tax dollars on public health care than people in Canada, the UK, or Australia. Who’s at fault? Insurance companies? Drug companies? Malpractice lawyers? Hospitals? Or is it more complicated than a simple blame game? (Hint: It’s that one.)
For a much more thorough examination of health care expenses in America, I recommend this series at The Incidental Economist: http://theincidentaleconomist.com/wor…
The Commonwealth Fund’s Study of Health Care Prices in the US: http://www.commonwealthfund.org/~/med…
Some of the stats in this video also come from this New York Times story: http://www.nytimes.com/2013/06/02/hea…
This is the first part in what will be a periodic series on health care costs and reforms leading up to the introduction of the Affordable Care Act, aka Obamacare, in 2014.
The other videos should be similarly enlightening, we hope.
Funny. They don’t complain about ObamaCare so much.
- Why There Is No Obamacare “Replacement” Agenda (washingtonmonthly.com)