Free and Public

User fees kill

This blog is made of short scenes because the woman’ story at the end is worth a thousand studies, statements, national or international policies.

Scene one 1986 DC
Economists do a lot of studies and extensive thinking on the critical issue of how to finance health care. They tell the world that governments cannot afford to pay for health care and that free care encourages overuse and therefore people must pay fee for services.

Scene two: October 2012 DC
Over the years mounting evidence demonstrates how user fees excludes poor people especially women from access to essential healthcare. Hundreds of NGOs send a letter to Jim Kim the president of the World Bank requesting the bank to support countries removing user fees.

https://www.oxfam.org/sites/www.oxfam.org/files/worldbank-cso-platform-on-health-open-letter.pdf

Scene 3: Dec 2013 Tokyo
Jim Kim the president of the World bank says: “Even tiny out-of-pocket charges can drastically reduce [poor people’s] use of needed services. This is both unjust and un-necessary “

Scene 4: March 2016 Cameroon
Newspaper published a horrific story of a pregnant women dying at the hospital door in Cameron simply because she could not afford user fees. Her niece tried to deliver the twins but both died.

https://www.naij.com/763152-doctors-refused-help-pregnant-lady-babies-cut-knife.html?utm_source=facebook&utm_medium=social&utm_group=free

Scene 5: still to come
Governments abolish user fees. Donors including the World Bank work with the governments to fully finance essential health care for all that are free at the point of use. In Cameroon women deliver attended by trained health workers without paying for the service.

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Global Health Check was created by Anna Marriott and is currently edited by Mohga Kamal-Yanni