Health Care Delivery System in the United States: Lessons for Africa

Abstract

[ABSTRACT: This paper examines how an African country, Zambia, reproduces patterns of health care delivery system of the West characterized by U.S. The replication of pattern of health discriminates against the poor, and rural in habitants.

First, a brief theoretical analysis of underdevelopment is provided. Secondly, the structure of the present U.S health care delivery system is provided high lighting t'he role of the academic-medical component.

The analysis shows how health care resources are distributed among socio- economic, racial groups and between urban and rural areas. 'The major part of the paper examines health care delivery system in Zambia, outlining those areas that are replicated. The paper emphasizes that this should serve as lessons for Africa.

This replication is made possible by the indigenous African middle class through which Western values are transmitted. This class (elites) is in control of state machinery and makes decisions on the distribution, and consumption of health resources.

In conclusion, I recommend a radical economic and political transforma tion of these societies if resources have to be distributed equitably.]

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