Dear All,

The access will be granted as soon as you provide your gmail account.
This is requirement of Google for sharing PDF files, not mine.

 Jordan

----- Original Message ----- 
From: "Ramona F Stone" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, August 10, 2008 5:10 AM
Subject: Re: [SDOH] Average Health Status - Health Inequalities Matrix


> Jordan:
> I could not access your document. Would you mind sending it to me as an 
> attachment?
> Thank you, Ramona
>
> Ramona F. Stone, PhD
> Assistant Professor of Research
> University of Louisville
> Kent School of Social Work
> Oppenheimer Hall  #211
> Tel. (502) 852-2312
> Fax (502) 852-0422
>
> CONFIDENTIALITY NOTICE
> This e-mail message, including any attachments, is for the sole use of the 
> intended recipient(s) and may contain confidential and privileged 
> information.  Any unauthorized review, use, disclosure or distribution is 
> prohibited.  If you are not the intended recipient, please contact the 
> sender immediately by reply e-mail and destroy all copies of the original 
> message
>
>
>>>> Jordan Panayotov <[log in to unmask]> 8/9/2008 9:47 AM >>>
> Dear All,
>
>
> Persistent and growing health inequalities are a clear evidence for 
> serious
> problems in public health. After all, this situation is exactly the 
> opposite
> of declared goal for improving health and quality of life among whole
> populations and achieving highest attainable health for all.
>
>
>
> Passionate appeals for more equity in the distribution are easily 
> dismissed
> from neoliberals on efficiency ground. This happens, because they have
> theoretical platform - Kaldor-Hicks criterion for efficiency. Based on it,
> they say: "We can have either equity or efficiency, but not both. Since
> resources are limited, efficiency is paramount. Therefore, although
> regrettable, we have to sacrifice equity."
>
>
>
> Risking to infuriate all of you, I have to say: Yes, they are right, BUT 
> for
> a society, where: 1) people are of different value, i.e. some individuals
> are valued much more than others; 2) people have different rights, i.e. 
> some
> individuals have more rights than others; and 3) there is no public
> financing for health, i.e. everyone pays everything only with his/her own
> money (no subsidies at all).
>
>
>
> Since all tree points of the above mentioned conditions are not valid in 
> the
> civilized, contemporary world, Kaldor-Hicks criterion for efficiency 
> simply
> is not applicable in relation to health.
>
>
>
> Unfortunately, so far no one from "the good guys" was able to back up the
> claims for more equity in relation to health on a normative (in 
> economics) -
> what ought to be - ground.
>
>
>
> Here I offer you a model, i.e. a theoretical foundation, explaining why in 
> a
> society, where: 1) all people are of equal value; 2) every individual has
> the right to highest attainable health; and 3) most (60%-90%) of the funds
> for health are public, EQUITY IS A PREMISE FOR EFFICIENCY.
>
>
>
> I realize that for many of you this paper might be a little bit too
> challenging, or "too technical", as one of your colleagues from a Nordic
> country mentioned to me. I have tried not to use too specialized language
> from economics and to present the information in a simple and logical way,
> thus make it understandable for anyone. Those, who comprehend it, will
> discover a mighty power to get you out of the "Phantom Zone".
>
>
> Here it is: Panayotov Matrix.pdf
>
> http://docs.google.com/fileview?id=F.aa4921a2-e7a3-43dc-a781-66979dabf4a4
>
> Should you decide to ask how it applies in a specific case, please contact
> us at  http://www.icare.biz/contact_us.html
>
> Or, if you think you can handle it on your own, ask for the appropriate
> permission at  [log in to unmask]
>
> All the best,
>
> Jordan
>
> ---
> Jordan Panayotov MEc MPH (Health Economics)
> Director
> Independent Centre for Analysis & Research of Economies
> Melbourne, Australia
> www.icare.biz
> [log in to unmask]
>
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