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Published 22 May 2009, doi:10.1136/bmj.b2103
Cite this as: BMJ 2009;338:b2103
Bob Roehr
1 Washington, DC
| The first 150 words of the full text of this article appear below. |
Structural changes are needed in the way that the United States delivers its international health assistance, together with a near doubling of resources devoted to this area, to $15bn (£10bn;
11bn) a year by 2012, recommends a study by the Institute of Medicine, the independent adviser to the US government on health.
"We should look at the question of global health as both a responsibility and an opportunity for the United States, for our self interest and for humanitarian reasons as well," said Thomas Pickering, co-chairman of the institutes panel, which wrote the recommendations and a former US ambassador.
The report noted that US expenditure on global health increased by 350% between 2001 and 2008, to about $8bn. This was due primarily to creation of the Presidents Emergency Plan for AIDS Relief (PEPFAR). The US devotes 24% of its foreign aid to health, considerably more than the 16% average for
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