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Our finding of the decrease in catastrophic health expenditures is consistent with the report of Knaul et al, 23 and it is lower than the levels found in Chile (14.4%) and Guatemala (11.6%).
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Our findings on households' health expenditures are consistent with those of Dror et al. [ 7], studying healthcare costs in five resource poor locations in rural India and finding a ratio of direct to indirect cost of illness of 67 30 (compared to our 66 34).
However, our results on total activity-related energy expenditure are consistent with those from previous studies.
Enhanced O2 consumption and higher heat expenditure are consistent with increased oxidative metabolism and is associated with protection from HFD-induced obesity and enhanced longevity [ 1, 23].
The lack of effect on NE-induced energy expenditure was consistent with comparable lipolysis rates detected in Mfn2 KD BA after NE stimulation (Fig 9F), as well as similar level of mitochondrial depolarization (data not shown).
Nevertheless, the validity of the sample is backed up by the fact that the proportion of women, the age distribution, the prevalence of chronic conditions and the behaviour of patients with regard to pharmacy expenditure are consistent with those of previous studies carried out in the Spanish primary care setting [ 3, 11].
The Congressional Budget Office (2011) estimates a marginal return on investment of only about $3 for every $1 SSA spends on CDRs above current expenditures, which is consistent with the expectation that additional CDRs will result in fewer people remaining off the program (and SSI, Medicare, or Medicaid).
Of the three diseases we focused on, we found stroke to incur the largest medical expenditures, which is consistent with a previous report by Zhai et al. [ 7].
Funds obligated for any program year may be expended by the State during that program year and the two succeeding program years and no amount shall be deobligated on account of a rate of expenditure which is consistent with the program plan.
The finding that higher income households are more likely to have larger out-of-pocket medical expenditures than lower income households is consistent with most international studies as indicated above.
We found that the degree of reliance on out-of-pocket payments to finance health is associated with higher levels of catastrophic health expenditure across all models, which is consistent with previous studies [ 10].
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