Vogel views health care within the context of total Sub-Saharan economic systems, emphasizing the output of health-care programs (i.e., healthier people) and the most cost-effective ways to maximize that output. He recommends shifting public financing resources from the hospital sector to primary and preventive care, in order to reposition financial resources away from the colonial and post-colonial period of concentration upon cost-ineffective hospitals and toward the direction emphasized by the World Health Organization.
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