Institute of Medicine on America's Vital Interest in Global Health
(photo credit: Institute of Medicine)
About a decade ago, the Institute of Medicine released a report called America's Vital Interest in Global Health. The report, issued by an influential committee of policymakers and academics, called for a coordinated, sustained commitment from the United States on issues of global health - both for altruistic, humanitarian reasons and for America's own "enlightened self-interest."
Wednesday, the IOM released its 2009 update.
You can check out all 263 pages of the U.S. Commitment to Global Health here, and I highly recommend you do. As Ruth Levine, a senior fellow at the Center for Global Development and report committee member, put it on the CGD blog, here's the "Twitter" version:
"Thanks for a good decade; don't slack off now ($15b by 2012). Healthier world = happier, healthier us. It's more than AIDS. Play nice with others. Get your act together."
Get your act together, indeed. What's most striking about yesterday's report is not necessarily its (very sound and feasible) recommendations, but how much has changed since 1997 - and how much hasn't.
Levine and two of her fellow committee members discussed the IOM report in a webcast on Thursday sponsored by the Kaiser Family Foundation, and what I found most interesting was hearing their perspectives on what the global health landscape is like in 2009, with big changes like the Global Fund, Obama administration, and Gates Foundation.
"We now have a momentum, I believe, in global health, that we simply didn't have ten years ago. You see a remarkable change in attitude ... We're a globalized community," said Maria Freire, president of the Albert and Mary Lasker Foundation. "That translates directly into excitement on our campuses ... An enormous change in the philanthropic landscape ... Frankly, new ways of doing business."
But what hasn't changed?
The report calls for a $15 billion commitment to global health from the U.S. government by 2012.
Sounds like a lot, but according to Levine, it's comparable to what other developed nations give in aid for health.
And it's money that the U.S. has already committed to.
The U.S. government has a bad track record in both these areas. We give a substantially lower percentage of our GNP in foreign aid than most other developed countries. And we consistently fall short on the aid promises we do make.
We have the tools and the energy, in 2009, to make some serious strides in international health. Let's find the political will.







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