When will the economic establishment get real? Much of this
lecture (for URL see below) seems to exist in some imagined
global technocracy. It only comes alive at the bottom of
page 19 (out of 20) when Dr Alison Frater asks a question
which situates the macroeconomics of health and development
in the real political world we all inhabit. Professor
Sachs' response suggests that he too is well aware of this
real world, but that he is disempowered from addressing it
by the hidden rules of the everyday macroeconomic discourse.

Having said that, who in the UK even attempts to enter this
macroeconomic room? The UK's obsessive pursuit of the
microeconomics of health care is arguably necessary - but
massively insufficient. What about some joined-up health
macroeconomics to take us into the 21st century 'as if
real life mattered'?

Alex S-S

PS For an honourable exception to this gloomy scenario, see:
Rhiannon Tudor Edwards. Paradigms and research programmes:
Is it time to move from health care economics to health
economics? Health Economics (in press - published online 25
May 2001)

On Fri, 1 Jun 2001 00:10:35 -0400 "Ruggiero, Mrs. Ana Lucia
(WDC)" <[log in to unmask]> wrote:

> OFFICE OF HEALTH ECONOMICS - 8 th ANNUAL LECTURE
>
> "The Links of Public Health and Economic Development"
>
> by PROFESSOR JEFFREY SACHS
> 15 May 2001 at The Royal College of Physicians, London
>
> Available online as PDF file [20p.] at:
>
www.ohe.org/sachs%20edited%20OHE%20transcript%20final%20230501doc.pdf
>

******************************************************************
Alex Scott-Samuel
EQUAL (Equity in Health Research and Development Unit)
Department of Public Health
University of Liverpool
Whelan Building
Quadrangle
Liverpool
L69 3GB
Tel  (+44)151-794-5569
Fax  (+44)151-794-5588
e-mail  [log in to unmask]
******************************************************************


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