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This modified market account is not to be confused with a pure market view that allows all care to be determined by market forces, which might mean that some people do not even get a decent basic minimum of care.
Obviously, if income redistribution brings people only to the officially defined poverty level, it is inadequate to cover the costs of a decent basic minimum of care (this notion is discussed further later in this section).
A prominent competing view, especially in the United States, is a modified market view that focuses on the availability in the market of a decent basic minimum of care (cf. Enthoven 1980).
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Put succinctly, then, the market approach I am considering here comes to this: access to health care is equitable if and only if there are no information barriers, financial barriers, or supply anomalies that prevent access to a reasonable or decent basic minimum of health-care services.
A large ongoing European collaborative network (SHARE) is being developed to standardize care, and create a basic minimum standard of care across Europe for young people with JIA: the SHARE recommendations have not yet been published [ 21].
Isn't the core issue whether every citizen is entitled to some basic minimum of insurance and access to affordable care?
Malawi's health care indicators are poor [ 15- 17]: Only 10% of health facilities were able in 2002 to deliver a basic minimum standard of care, with many being in poor condition, lacking an operational water source, electricity or a working telecommunications system.
Rather, both treatment and care would probably be allowed to vary with relationship and context, provided that a basic minimum standard of concern — perhaps only non-interference, basic courtesy, and help in emergencies — were met for strangers to whom we have no special relation.
For essential drugs, despite a four-fold increase in the value of drugs distributed, less than half the money needed for the basic minimum care package is available.
A uniform, systematic approach to patient education delivered in plain language, available in multiple languages and formats, with periodic reinforcement, should be standard of care along with a basic minimum standard of MTX knowledge on the part of the provider.
Moreover the state must also guarantee both a basic minimum income and health care for all.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com