The human side of austerity: health spending and outcomes during the Greek crisis

IF 4.5 3区 经济学 Q1 ECONOMICS
Roberto Perotti
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引用次数: 0

Abstract

SUMMARY The Greek crisis was the deepest in post-war Europe. Public spending on health, that had grown extremely fast in the first decade of the 2000s, was cut by almost 40% between 2010 and 2016, also an unparalleled figure in post-war Europe. Although some of the cuts were mitigated by a system of clawback on the private pharmaceutical industry and by increased household out of pocket expenditure, the provision of health services was also greatly impacted by the spread of long-term unemployment, which in the employment-based Greek system left possibly millions of individuals without access to health services, until universal coverage was effectively restored in 2016. In this paper I aim at establishing the basic facts about the health crisis. Although care must be exercised in not presenting a simplistic, uniformly bleak picture, I show that several indicators point to a substantial deterioration in the health outcomes of the Greek population during the critical years of loss of universal coverage until 2016, in particular for the more vulnerable sectors of the population.
紧缩对人的影响:希腊危机期间的医疗支出和结果
希腊危机是战后欧洲最严重的危机。在21世纪头十年增长极其迅速的公共卫生支出,在2010年至2016年期间削减了近40%,这在战后的欧洲也是无与伦比的。尽管私营制药行业的回收制度和家庭自付支出的增加减轻了一些削减,但长期失业的蔓延也极大地影响了卫生服务的提供,在以就业为基础的希腊体系中,长期失业可能导致数百万人无法获得卫生服务,直到2016年有效恢复全民覆盖。在本文中,我旨在建立关于健康危机的基本事实。尽管必须小心谨慎,不要把情况简单化、千篇一律地暗淡下去,但我指出,有几个指标表明,在2016年之前失去全民保险的关键年份,希腊人口的健康状况大幅恶化,人口中较脆弱的群体尤其如此。
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来源期刊
Economic Policy
Economic Policy ECONOMICS-
CiteScore
4.80
自引率
0.00%
发文量
41
期刊介绍: Economic Policy provides timely and authoritative analyses of the choices confronting policymakers. The subject matter ranges from the study of how individual markets can and should work to the broadest interactions in the world economy. Economic Policy features: Analysis of key issues as they emerge Views of top international economists Frontier thinking without technical jargon Wide-reaching coverage of worldwide policy debate
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