Plano B - Plan B - In the bubble by John Thackara 5
Esse é o quinto post sobre o livro Plano B preparado pelo autor. No final dele estão os links para os detalhes do livro no site, ou então para os sites de venda das livrarias. Aproveite tudo o que o John tem a dizer, qualquer dúvida, cheque no site dele: www.thackara.com:
EXTRACT - CONVIVIALITY
Whole nations now worry about their social lives. There’s a growing awareness that social ties are fundamental to wealth creation, economic growth, and competitiveness. The worry is that although some people may be getting richer in money terms, economic progress damages the ties that hold society together. Social capital is harder to measure than industrial or natural assets; it also seems to be delicate and hard to exploit, like a rain forest most of the secrets of which remain undiscovered. But social capital interests governments because they see it as a possible solution to the care crisis. Turnover in the “third sector” or “support economy” is huge—65 percent of GDP by some estimates. Expenditures on health care, disability allowances, retirement and pensions, survivors’ pensions, family and child benefits, unemployment, and other forms of social support play a major role in the budget of modern states—and the amounts keep rising: health care spending is growing faster than GDP in most rich countries.
The financial situation is less extreme in so-called less-developed countries. The poorest nations spend two hundred times less per person on health ($11) than do high-income ones, which average $1,907. But rich countries risk impoverishing themselves by spending endlessly on health. Health care spending in the United States had reached 15.3 percent of GDP by 2003, an amount equivalent to nearly five thousand dollars for every single U.S. citizen. It all adds up to a two-trillion-dollar service industry dominated by a complex ecology of powerful interest groups: insurance companies, pharmaceutical companies, doctors, for-profit hospitals, and high-tech medical suppliers. Less powerful, but increasingly well-informed and organized, are the patients and their caregivers it’s all supposed to be for.
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