France

After World War II, countries in the Middle East and North Africa (MENA) started from low levels of socioeconomic development. Especially health indicators were worse than in most other world regions. This changed drastically when MENA countries became independent and started to invest into the social protection of citizens against health risks. They built up powerful social health insurance schemes, and today, many of their health indicators are almost on the same level as in Europe or North America. During the 1980s and 1990, however, most MENA governments reduced healthcare spending again as an element of structural adjustment programs, and focused increasingly on health services that are particularly important for the urban upper and middle classes, their main allies in society, but not so much for the poor. Therefore, MENA health systems suffer again from significant deficits regarding fairness, efficiency, and effectiveness. Financial, legal, and geographical obstacles restrict access for large parts of the population. The coexistence of multiple social protection schemes for different population groups reflects and intensifies already existing social inequalities. Deficits in quality and tidiness and the prevalence of informal fees charged for “good” treatment reduce further the value of public health services. Efficiency suffers from irrational prioritizations in fund allocation and from a lack of customer orientation. And the effects of MENA health systems, although not really bad, could still be better, which has become more than obvious during the recent COVID-19 pandemic.

After World War II, countries in the Middle East and North Africa (MENA) started from low levels of socioeconomic development. Especially health indicators were worse than in most other world regions. This changed drastically when MENA countries became independent and started to invest into the social protection of citizens against health risks. They built up powerful social health insurance schemes, and today, many of their health indicators are almost on the same level as in Europe or North America. During the 1980s and 1990, however, most MENA governments reduced healthcare spending again as an element of structural adjustment programs, and focused increasingly on health services that are particularly important for the urban upper and middle classes, their main allies in society, but not so much for the poor. Therefore, MENA health systems suffer again from significant deficits regarding fairness, efficiency, and effectiveness. Financial, legal, and geographical obstacles restrict access for large parts of the population. The coexistence of multiple social protection schemes for different population groups reflects and intensifies already existing social inequalities. Deficits in quality and tidiness and the prevalence of informal fees charged for “good” treatment reduce further the value of public health services. Efficiency suffers from irrational prioritizations in fund allocation and from a lack of customer orientation. And the effects of MENA health systems, although not really bad, could still be better, which has become more than obvious during the recent COVID-19 pandemic.

After World War II, countries in the Middle East and North Africa (MENA) started from low levels of socioeconomic development. Especially health indicators were worse than in most other world regions. This changed drastically when MENA countries became independent and started to invest into the social protection of citizens against health risks. They built up powerful social health insurance schemes, and today, many of their health indicators are almost on the same level as in Europe or North America. During the 1980s and 1990, however, most MENA governments reduced healthcare spending again as an element of structural adjustment programs, and focused increasingly on health services that are particularly important for the urban upper and middle classes, their main allies in society, but not so much for the poor. Therefore, MENA health systems suffer again from significant deficits regarding fairness, efficiency, and effectiveness. Financial, legal, and geographical obstacles restrict access for large parts of the population. The coexistence of multiple social protection schemes for different population groups reflects and intensifies already existing social inequalities. Deficits in quality and tidiness and the prevalence of informal fees charged for “good” treatment reduce further the value of public health services. Efficiency suffers from irrational prioritizations in fund allocation and from a lack of customer orientation. And the effects of MENA health systems, although not really bad, could still be better, which has become more than obvious during the recent COVID-19 pandemic.

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The article argues that the European Commission’s plan to adopt “welfare standards” instead of a ban on fur farming disregards public demand, scientific evidence and EU law, exposing political and policy inconsistencies and how the Union undermines its foundational values.

La ligne de chemin de fer à grande vitesse entre Belgrade et Budapest, qui devait entrer en opération en février, n'est toujours pas opérationnelle pour les passagers. Une avarie de plus pour ce projet sous pavillon chinois au coût exorbitant.

- Articles / Serbie, Courrier des Balkans, Relations régionales, Economie

La ligne de chemin de fer à grande vitesse entre Belgrade et Budapest, qui devait entrer en opération en février, n'est toujours pas opérationnelle pour les passagers. Une avarie de plus pour ce projet sous pavillon chinois au coût exorbitant.

- Articles / Serbie, Courrier des Balkans, Relations régionales, Economie

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Séamus Boland instructs security agents to collect fingerprints and trawl video surveillance to identify ‘perpetrator’ behind corruption allegations