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Int J Health Serv. 2022 Apr;52(2):261-268. doi: 10.1177/0020731420914820. Epub 2020 Apr 8.
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The projected costs and benefits of a supervised injection facility in Seattle, WA, USA.美国华盛顿州西雅图市监管注射设施的预计成本和收益。
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一种衡量战争成本的全新创新方法:通过减少伤害的方法实现冲突更少的未来。

A new innovative method to measure the cost of war: future with fewer conflicts via harm reduction approaches.

作者信息

Jozaghi Ehsan

机构信息

Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.

出版信息

Cost Eff Resour Alloc. 2024 Jan 30;22(1):9. doi: 10.1186/s12962-024-00517-4.

DOI:10.1186/s12962-024-00517-4
PMID:38291507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10826171/
Abstract

BACKGROUND

The destruction of World War I (WWI) and World War II (WWII) changed the world forever. In this analysis, the economic costs of WWI and WWII are considered via a harm reduction approach to highlight the cost of war via the mortality of military personnel. The harm reduction philosophy and homeostasis of a biological cell are utilized as a pragmatic approach and analogy to give a greater context to the findings, despite the omission of civilian casualties and military disabilities.

METHODS

Tangible (e.g., loss of wages, productivity, and contributions) and intangible (e.g., quality of life) costs are estimated based on the value of each military personnel derived from secondary data and a mathematical model. This is the first study to estimate the cost of war based on soldier's mortality during the first and second World War.

RESULTS

Based on the tangible value, the WWI and WWII cost for the military personnel was US$43.204 billion ($13 billion ≤ α ≤ $97 billion) and US$540.112 billion ($44 billion ≤ α ≤ $1 trillion). When the intangible cost is considered, it is estimated that the WWI cost was beyond US$124 trillion ($43 trillion ≤ β ≤ $160 trillion), and the WWII cost was above US$328 trillion ($115 trillion ≤ β ≤ $424 trillion). The sensitivity analyses conducted for WWI and WWII demonstrate different ranges based on tangible and intangible values.

CONCLUSIONS

In the current climate of increasing hostilities, inequalities, global warming, and an ever-changing world, economic prosperities are directly linked to peace, stability, and security. Therefore, any future decisions for military conflicts need to increasingly consider harm reduction approaches by considering the cost of life and potential disabilities for each nations' soldiers, sailors, and pilots.

摘要

背景

第一次世界大战(一战)和第二次世界大战(二战)的破坏永远改变了世界。在本分析中,通过减少伤害的方法来考量一战和二战的经济成本,以凸显战争通过军事人员死亡所造成的代价。尽管未考虑平民伤亡和军事残疾情况,但采用减少伤害理念和生物细胞的内稳态作为一种务实方法和类比,以便为研究结果提供更宏观的背景。

方法

基于从二手数据和数学模型得出的每名军事人员的价值,估算有形(如工资损失、生产力损失和贡献损失)和无形(如生活质量)成本。这是第一项基于一战和二战期间士兵死亡率来估算战争成本的研究。

结果

基于有形价值,一战和二战中军事人员的成本分别为432.04亿美元(130亿美元≤α≤970亿美元)和5401.12亿美元(440亿美元≤α≤1万亿美元)。当考虑无形成本时,估计一战成本超过124万亿美元(43万亿美元≤β≤160万亿美元),二战成本超过328万亿美元(115万亿美元≤β≤424万亿美元)。针对一战和二战进行的敏感性分析表明,基于有形和无形价值有不同的范围。

结论

在当前敌对状态不断加剧、不平等现象持续、全球变暖以及世界不断变化的形势下,经济繁荣与和平、稳定及安全直接相关。因此,未来任何有关军事冲突的决策都需要越来越多地考虑减少伤害的方法,即考虑每个国家的士兵、水手和飞行员的生命成本及潜在残疾情况。