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Commentary on "Social protection and the International Monetary Fund: promise versus performance" by Alexander Kentikelenis and Thomas Stubbs.
Global Health
January 2025
Department of Global Health Hans Rosling Center, University of Washington, 3980 15th Ave NE, Seattle, Seattle, WA, 98105, USA.
Background: The Covid pandemic and its aftermath have triggered new alarm and social unrest across the Global South over the deepening international debt crisis that now threatens to derail Universal Health Coverage (UHC), other Sustainable Development Goals (SDGs), future pandemic preparedness, and global warming mitigation. The recent Globalization and Health article by Alex Kentikelenis and Thomas Stubbs (May 2024), "Social protection and the International Monetary Fund: promise versus performance", offers a meticulously quantified rendering of the social costs imposed by the crisis and takes aim at IMF solutions. They advocate for a rejection of IMF austerity programs and offer a valuable prescription for change through the International Labor Organization's "Universal Social Protection" concept.
View Article and Find Full Text PDFGP emigration from Ireland: an analysis of data from key destination countries.
BMC Health Serv Res
December 2024
RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Background: Ireland is experiencing a general practitioner (GP) workforce crisis, facing an ageing workforce, a growing population with increased life expectancy, and increased complexity of patients. The GP crisis threatens access to primary care in Ireland, as well as Ireland's aim to transform into a primary-care centred system of universal healthcare via the proposed "Sláintecare" healthcare reforms. The challenges faced are common to many countries as health systems seek to expand their medical workforce post-pandemic.
View Article and Find Full Text PDFThe public health implications of the cost-of-living crisis: outlining mechanisms and modelling consequences.
Lancet Reg Health Eur
April 2023
MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, United Kingdom.
The UK, and other high-income countries, are experiencing substantial increases in living costs. Several overlapping and intersecting economic crises threaten physical and mental health in the immediate and longer term. Policy responses may buffer against the worst effects (e.
View Article and Find Full Text PDFEpistemic austerity: limits to entitlement.
Synthese
September 2021
University of Cologne, Cologne, Germany.
Epistemic entitlement is a species of internalist warrant that can be had without any evidential support. Unfortunately, for this kind of warrant the so-called problem of demarcation arises, a form of epistemic relativism. I first present entitlement theory and examine what the problem of demarcation is exactly, rejecting that it is either based on bizarreness or disagreement in favour of the thesis that the problem of demarcation is based on epistemic arbitrariness.
View Article and Find Full Text PDFEssential public healthcare services utilization and excess non-COVID-19 mortality in Greece.
Public Health
September 2021
School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Objectives: Ensuring access to care for all patients-especially those with life-threatening and chronic conditions-during a pandemic is a challenge for all healthcare systems. During the COVID-19 pandemic, many countries faced excess mortality partly attributed to disruptions in essential healthcare services provision. This study aims to estimate the utilization of public primary care and hospital services during the COVID-19 epidemic in Greece and its potential association with excess non-COVID-19 mortality in the country.
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