Illario M, Zavagli V, Ferreira L Noronha, Sambati M, Teixeira A, Lanata F, Pais S, Farrell J, Tramontano D
Health Innovation Unit, General Directorate for Health, Campania Region, and Federico II Department of Public Health, Naples, Italy.
Psycho-oncology Unit, ANT Italia Foundation, Bologna, Italy.
Transl Med UniSa. 2020 Oct 31;23:1-15. doi: 10.37825/2239-9747.1000. eCollection 2020 Oct.
The COVID-19 pandemic has unveiled the frailty of our societies from too many points of view to look away. We need to understand why we were all caught unprepared. On the one hand, we have all short memories. As we forget too quickly, we were unable to recognize key factors influencing response and preparedness to public health threats. For many years, economic evaluation pushed governments all over the world to cut resources for public health systems, with COVID-19 pandemic the question arises: do we spend too much or too little on health care? What is the right amount to spend on health? Moreover, in many countries, the privatisation, or semi-privatisation, of healthcare may give rise to inequitable access to health care for everyone. Although COVID-19 is very "democratic", its consequences aren't. According to OECD, income inequality in OECD countries is at its highest level for the past half century. Three main causes have been recognized, technological revolution, globalization, and "financialisation". In this scenario, lockdown measures adopted to save lives are showing dramatic economic consequences. To address post COVID-19 reconstruction we need to go beyond GDP. As an economic measure this has many shortcomings in describing the real well-being of a country, and since what we measure affects what we do, new paradigms will have to guide the post COVID-19 reconstruction strategies, as the fate of countries and their citizens is at stake.
新冠疫情从太多角度揭示了我们社会的脆弱性,让人无法忽视。我们需要明白为何所有人都毫无防备。一方面,我们都记性不佳。由于我们忘得太快,所以无法识别影响应对公共卫生威胁及防范能力的关键因素。多年来,经济评估促使世界各国政府削减公共卫生系统的资源,新冠疫情引发了这样一个问题:我们在医疗保健上的投入是过多还是过少?医疗保健的合理支出是多少?此外,在许多国家,医疗保健的私有化或半私有化可能导致每个人获得医疗保健的机会不平等。尽管新冠病毒非常“民主”,但其后果却并非如此。经合组织称,经合组织国家的收入不平等处于过去半个世纪以来的最高水平。已确认三个主要原因,即技术革命、全球化和“金融化”。在这种情况下,为拯救生命而采取的封锁措施正显现出巨大的经济后果。为应对新冠疫情后的重建,我们需要超越国内生产总值(GDP)。作为一种经济衡量标准,它在描述一个国家的实际福祉方面有许多缺陷,而且由于我们衡量的内容会影响我们的行为,新的范式将不得不指导新冠疫情后的重建战略,因为国家及其公民的命运危在旦夕。