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Justin Berk TTUHSC SOM Global Health Elective 1/28/12

Global Health Economics: Concepts and Applications or “Cool Things Justin Likes about Global Health Economics”. Justin Berk TTUHSC SOM Global Health Elective 1/28/12. What is economics?. An example. or. My Kingdom for a Horse?. Supply and Demand Activity.

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Justin Berk TTUHSC SOM Global Health Elective 1/28/12

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  1. Global Health Economics: Concepts and Applicationsor “Cool Things Justin Likes about Global Health Economics” Justin Berk TTUHSC SOM Global Health Elective 1/28/12

  2. What is economics?

  3. An example or

  4. My Kingdom for a Horse?

  5. Supply and Demand Activity Supplier: You just created a new medical invention: a talking stethoscope. You can set one price for it. Consumers: 5 of you would be interested in this invention. 1 is willing to spend $50 1 is willing to spend $40 1 is willing to spend $30 1 is willing to spend $20 1 is willing to spend $10 What price will the supplier set?

  6. Supply and Demand Law of Demand – the higher the price of the good, the less people demand the good Law of Supply – the higher the price of the good, the more items you want to sell.

  7. Red Shoes • http://vimeo.com/27046074

  8. Global Pharmaceutical R&D • 1 country is willing to spend $5B for chronic care lifestyle technologies • 50 countries are willing to spend $500M for chronic care lifestyle technologies • 100 countries are willing to spend $10M for life-saving medicines that cure disease. You’re the CEO of Pfizer. It costs over $1B to develop a drug.Where do you allocate your R&D funds?

  9. Why Health Care Economics is Different

  10. Moral Hazard People insulated from risk behave differently than people exposed to risk. • RAND Health Insurance Experiment • 4 fee-for service plans: • Free care • 25% co-pay • 50% co-pay • 95% co-pay

  11. Wealth is Health

  12. UK Whitehall Study

  13. Health and Wealth: A Bi-Directional Relationship Economics to Health Health to Economics

  14. Top 10 Causes of Death in Low-Income Countries • Lower respiratory infections • Diarrheal Disease • HIV/AIDS • Ischemic heart disease • Malaria • Stroke / Cerebrovascular disease • TB • Low birth weight / Prematurity • Birth asphyxia / trauma • Neonatal infections We have cures!

  15. Why are people still dying?

  16. Economic Development is Health

  17. Top 5 Public Health Jobs(that have nothing to do with public health) • Teachers • Education improves economy, decreases risky behavior • Most studies suggest more important than race and income • Engineers • Drill for water, build roads, develop energy infrastructure • Politicians (kinda) • Good governance serves enormous factor for health development • (It’s usually negative.) • City Planners • Create walking cities with access to healthy foods etc. • Journalists / Writers • Inspire world leaders, increase awareness, mobilize social groups • Martin Luther King, Thomas Paine, Nicholas Kristof, Oprah

  18. Discussion:Issues in Global Health Economics

  19. Structural Adjustment Plans Measures to promote market fundamentalism • Privatization of state-owned industry • Deregulation • Austerity (cutting expenditures)

  20. Tobacco Tobacco and smoking have a number of negative effects: • Tobacco smoking kills • Tobacco exacerbates poverty • Tobacco contributes to world hunger by diverting prime land away from food production • Tobacco production damages the environment • Tobacco reduces economic productivity Developing world has 80% of tobacco related deaths. How do you address this?

  21. Emergency Aid The village of Williamsville has been hit by a major typhoon. Farm land has been devastated. People are starving. There are two ways to get food to those in need: • A private farming company operates in the neighboring town of Simón. They know people are desperate and will pay huge amounts for food and water. They see this as a business opportunity and are willing to cross risky terrain to deliver the goods for high profit. • A coalition of NGOs and foreign aid can deliver food and water for free.

  22. Economic Development for Dummies

  23. Cool Global Health Business Solutions

  24. Charity:water • http://vimeo.com/22566556 • Marketing • Recruitinghuman capital • Financing

  25. Grameen Bank

  26. Riders for Health • http://vimeo.com/31962921 • Overcominginfrastructurechallenges • Avoidscoststhroughprevention • Improves supply chain logistics • Improves quality and speed of care

  27. CFWShops Approximately 20,000 children die each day because they lack access to essential drugs that often cost less than a cup of coffee. A short list of preventable and treatable diseasesaccounts for approximately 70% of childhood illness and death. • Entreprenuers provided blue-prints for a micro-franchise • like McDonald’s Three-Point Franchise Test • Standardization • Scalable • Economies of scale

  28. Advocate for Change

  29. How to Save the World • Make cool YouTube videos. • Small loans. • Ride motorcycles. • Copy McDonald’s. • Yell a lot.

  30. Cool Resources • EpiAnalysis blog • http://epianalysis.wordpress.com/ • Acumen Fund (non-profit venture capital) • http://www.acumenfund.org/ • Unite for Sight • http://www.uniteforsight.org/ • Partners in Health • http://www.pih.org/ • Global Issues Blog • http://www.globalissues.org/article/588/global-health-overview • Quora • http://www.quora.com/

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