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The Millennium Development Goal of achieving near-zero malaria deaths by 2015 has led to a re-examination of wider use of DDT (dichloro-diphenyl-trichloro-ethane) in indoor residual spraying as a prevention tool in many countries. However, the use of DDT raises concerns of potential harm to the environment and human health, mainly because of the persistent and bio-accumulative nature of DDT and its potential to magnify through the food chain. This paper quantifies the adverse effects of DDT on human health based on treatment costs and indirect costs caused by illnesses and death in countries that use or are expected to re-introduce DDT in their disease vector control programs. At the global level where the total population exposed to DDT is estimated around 1.25 billion, the findings indicate that while the use of DDT can lead to a significant reduction in the estimated USD 69 billion in 2010 U.S. dollars economic loss caused by malaria, it can also add more than USD 28 billion a year in costs from the resulting adverse health effects. At the country level, the results suggest that Sub-Saharan African countries with high malaria incidence rates are likely to see relatively larger net benefits from the use of DDT in malaria control. The net health benefits of reintroducing DDT in malaria control programs could be better understood by weighing the costs and benefits of DDT use based on a country's circumstances.

Climate Change Mitigation and Green House Gases --- DALY --- DDT --- Disease Control & Prevention --- Energy --- Environment --- Health externality --- Health Monitoring & Evaluation --- Health Systems Development & Reform --- Malaria endemicity --- Population Policies --- Treatment costs

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Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish? Yet is it not also harmful to let rising costs strangle our health care system, eventually harming everyone?In Taming the Beloved Beast, esteemed medical ethicist Daniel Callahan confronts this dilemma head-on. He argues that we can't escape it by organizational changes alone. Nothing less than a fundamental transformation of our thinking about health care is needed to achieve lasting and economically sustainable reform. The technology bubble, he contends, is beginning to burst.Callahan weighs the ethical arguments for and against limiting the use of medical technologies, and he argues that reining in health care costs requires us to change entrenched values about progress and technological innovation. Taming the Beloved Beast shows that the cost crisis is as great as that of the uninsured. Only a government-regulated universal health care system can offer the hope of managing technology and making it affordable for all.

Medical care, Cost of --United States. --- Medical technology --Economic aspects --United States. --- Medical care, Cost of --- Medical technology --- Health Care Costs --- Biomedical Technology --- United States --- Economics --- Insurance --- Delivery of Health Care --- Technology --- North America --- Costs and Cost Analysis --- Financing, Organized --- Social Sciences --- Americas --- Health Care Quality, Access, and Evaluation --- Anthropology, Education, Sociology and Social Phenomena --- Technology, Industry, and Agriculture --- Geographic Locations --- Health Care Economics and Organizations --- Technology, Industry, Agriculture --- Health Care --- Geographicals --- Medical Economics --- Public Health --- Health & Biological Sciences --- Economic aspects --- Health care technology --- Health technology --- Biomedical Technologies --- Technology, Biomedical --- Technology, Health --- Technology, Health Care --- Health Care Technology --- Health Technology --- Biomedical Engineering --- Medical Informatics --- Costs, Medical Care --- Health Costs --- Healthcare Costs --- Medical Care Costs --- Treatment Costs --- Cost, Health --- Cost, Health Care --- Cost, Healthcare --- Cost, Medical Care --- Cost, Treatment --- Costs, Health --- Costs, Health Care --- Costs, Healthcare --- Costs, Treatment --- Health Care Cost --- Health Cost --- Healthcare Cost --- Medical Care Cost --- Treatment Cost --- Health Expenditures --- Indemnity --- Insurance Premiums --- Insurance Premium --- Premium, Insurance --- Premiums, Insurance --- economics --- E-books --- Cost of medical care --- Health care costs --- Health care expenditures --- Medical care --- Medical costs --- Medical expenses --- Medical service, Cost of --- Medicine --- Medical economics --- Medical savings accounts --- Assurance (Insurance) --- Coverage, Insurance --- Indemnity insurance --- Insurance coverage --- Insurance industry --- Insurance protection --- Mutual insurance --- Underwriting --- Finance --- Costs --- Ethics --- Technology Assessment, Biomedical --- W 82 Biomedical technology (General)

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More than 60 percent of non-elderly Americans receive health-insurance (HI) coverage through employers, either as policyholders or as dependents. However, rising health-care costs are leading many to question the long-term viability of the employer-based insurance system. Concerns about the economic burden of providing HI are particularly acute for small businesses, which are both less likely than larger firms to offer HI and more sensitive to price when deciding to offer insurance. Small firms may have difficulty containing costs due to their limited bargaining power and their inability to hir

Employer-sponsored health insurance. --- Health Benefit Plans, Employee. --- Health Expenditures. --- Medical care, Cost of. --- Quality of Health Care. --- Employer-sponsored health insurance --- Small business --- Social Sciences --- Costs and Cost Analysis --- Health Services Administration --- North America --- Health Care Quality, Access, and Evaluation --- Salaries and Fringe Benefits --- Delivery of Health Care --- Insurance, Health --- Insurance --- Health Care --- Income --- Americas --- Personnel Management --- Anthropology, Education, Sociology and Social Phenomena --- Organization and Administration --- Financing, Organized --- Health Care Economics and Organizations --- Geographic Locations --- Socioeconomic Factors --- Population Characteristics --- Geographicals --- Economics --- Health Benefit Plans, Employee --- Health Care Costs --- Health Expenditures --- Quality of Health Care --- United States --- Law - U.S. --- Law, Politics & Government --- Health Insurance and Medicare Legislation - U.S. --- Costs --- Medical care --- Employees --- Costs. --- Businesses, Small --- Medium-sized business --- Micro-businesses --- Microbusinesses --- Microenterprises --- Small and medium-sized business --- Small and medium-sized enterprises --- Small businesses --- SMEs (Small business) --- Employee health benefits --- Employer-provided health insurance --- Employment-based health insurance --- Health insurance, Employer-sponsored --- Business --- Business enterprises --- Industries --- Employee fringe benefits --- Size --- Employees&delete& --- Medical care&delete& --- economics --- trends --- E-books --- Pharmacy Audit --- Quality of Care --- Quality of Healthcare --- Audit, Pharmacy --- Care Quality --- Health Care Quality --- Healthcare Quality --- Pharmacy Audits --- Expenditures --- Expenditures, Direct --- Expenditures, Indirect --- Expenditures, Out-of-Pocket --- Out-of Pocket Expenditures --- Out-of-Pocket Costs --- Out-of-Pocket Expenses --- Out-of-Pocket Payments --- Out-of-Pocket Spending --- Expenditures, Health --- Cost, Out-of-Pocket --- Costs, Out-of-Pocket --- Direct Expenditure --- Direct Expenditures --- Expenditure --- Expenditure, Direct --- Expenditure, Health --- Expenditure, Indirect --- Expenditure, Out-of Pocket --- Expenditure, Out-of-Pocket --- Expenditures, Out of Pocket --- Expenditures, Out-of Pocket --- Expense, Out-of-Pocket --- Expenses, Out-of-Pocket --- Health Expenditure --- Indirect Expenditure --- Indirect Expenditures --- Out of Pocket Costs --- Out of Pocket Expenditures --- Out of Pocket Expenses --- Out of Pocket Payments --- Out of Pocket Spending --- Out-of Pocket Expenditure --- Out-of-Pocket Cost --- Out-of-Pocket Expenditure --- Out-of-Pocket Expenditures --- Out-of-Pocket Expense --- Out-of-Pocket Payment --- Payment, Out-of-Pocket --- Payments, Out-of-Pocket --- Spending, Out-of-Pocket --- Costs, Medical Care --- Health Costs --- Healthcare Costs --- Medical Care Costs --- Treatment Costs --- Cost, Health --- Cost, Health Care --- Cost, Healthcare --- Cost, Medical Care --- Cost, Treatment --- Costs, Health --- Costs, Health Care --- Costs, Healthcare --- Costs, Treatment --- Health Care Cost --- Health Cost --- Healthcare Cost --- Medical Care Cost --- Treatment Cost --- CHAMPUS --- Employee Health Benefit Plans --- Cost Sharing --- Out Of Pocket Expenditure --- Out of Pocket Cost --- Out of Pocket Expense --- Out of Pocket Payment --- Strategic aspects. --- ABŞ --- ABSh --- Ameerika Ühendriigid --- America (Republic) --- Amerika Birlăshmish Shtatlary --- Amerika Birlăşmi Ştatları --- Amerika Birlăşmiş Ştatları --- Amerika ka Kelenyalen Jamanaw --- Amerika Qūrama Shtattary --- Amerika Qŭshma Shtatlari --- Amerika Qushma Shtattary --- Amerika (Republic) --- Amerikai Egyesült Államok --- Amerikanʹ Veĭtʹsėndi︠a︡vks Shtattnė --- Amerikări Pĕrleshu̇llĕ Shtatsem --- Amerikas Forenede Stater --- Amerikayi Miatsʻyal Nahangner --- Ameriketako Estatu Batuak --- Amirika Carékat --- AQSh --- Ar. ha-B. --- Arhab --- Artsot ha-Berit --- Artzois Ha'bris --- Bí-kok --- Ē.P.A. --- EE.UU. --- Egyesült Államok --- ĒPA --- Estados Unidos --- Estados Unidos da América do Norte --- Estados Unidos de América --- Estaos Xuníos --- Estaos Xuníos d'América --- Estatos Unitos --- Estatos Unitos d'America --- Estats Units d'Amèrica --- Ètats-Unis d'Amèrica --- États-Unis d'Amérique --- Fareyniḳṭe Shṭaṭn --- Feriene Steaten --- Feriene Steaten fan Amearika --- Forente stater --- FS --- Hēnomenai Politeiai Amerikēs --- Hēnōmenes Politeies tēs Amerikēs --- Hiwsisayin Amerikayi Miatsʻeal Tērutʻiwnkʻ --- Istadus Unidus --- Jungtinės Amerikos valstybės --- Mei guo --- Mei-kuo --- Meiguo --- Mî-koet --- Miatsʻyal Nahangner --- Miguk --- Na Stàitean Aonaichte --- NSA --- S.U.A. --- SAD --- Saharat ʻAmērikā --- SASht --- Severo-Amerikanskie Shtaty --- Severo-Amerikanskie Soedinennye Shtaty --- Si︠e︡vero-Amerikanskīe Soedinennye Shtaty --- Sjedinjene Američke Države --- Soedinennye Shtaty Ameriki --- Soedinennye Shtaty Severnoĭ Ameriki --- Soedinennye Shtaty Si︠e︡vernoĭ Ameriki --- Spojené obce severoamerické --- Spojené staty americké --- SShA --- Stadoù-Unanet Amerika --- Stáit Aontaithe Mheiriceá --- Stany Zjednoczone --- Stati Uniti --- Stati Uniti d'America --- Stâts Unîts --- Stâts Unîts di Americhe --- Steatyn Unnaneysit --- Steatyn Unnaneysit America --- SUA (Stati Uniti d'America) --- Sŭedineni amerikanski shtati --- Sŭedinenite shtati --- Tetã peteĩ reko Amérikagua --- U.S. --- U.S.A. --- United States of America --- Unol Daleithiau --- Unol Daleithiau America --- Unuiĝintaj Ŝtatoj de Ameriko --- US --- USA --- Usono --- Vaeinigte Staatn --- Vaeinigte Staatn vo Amerika --- Vereinigte Staaten --- Vereinigte Staaten von Amerika --- Verenigde State van Amerika --- Verenigde Staten --- VS --- VSA --- Wááshindoon Bikéyah Ałhidadiidzooígíí --- Wilāyāt al-Muttaḥidah --- Wilāyāt al-Muttaḥidah al-Amirīkīyah --- Wilāyāt al-Muttaḥidah al-Amrīkīyah --- Yhdysvallat --- Yunaeted Stet --- Yunaeted Stet blong Amerika --- ZDA --- Združene države Amerike --- Zʹi︠e︡dnani Derz︠h︡avy Ameryky --- Zjadnośone staty Ameriki --- Zluchanyi︠a︡ Shtaty Ameryki --- Zlucheni Derz︠h︡avy --- ZSA --- Η.Π.Α. --- Ηνωμένες Πολιτείες της Αμερικής --- Америка (Republic) --- Американь Вейтьсэндявкс Штаттнэ --- Америкӑри Пӗрлешӳллӗ Штатсем --- САЩ --- Съединените щати --- Злучаныя Штаты Амерыкі --- ولايات المتحدة --- ولايات المتّحدة الأمريكيّة --- ولايات المتحدة الامريكية --- 미국 --- États-Unis --- É.-U. --- ÉU