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医疗保险不能忽视非洲的老年人

达雷斯萨拉姆——我的祖母76岁,祖父83岁。他们在乌干达西南部山区的一个偏远村庄里共同生活,边养牛边种植农作物。但每当我想起他们,我更佩服他们的健康体魄而非辛勤劳作。

因为生活的地方偏远,每次我的祖父母需要看医生,都必须骑着被当地人称为 boda-bodas的摩托车前往25英里外最近的医院,来回路费需要50,000乌干达先令(约合13美元)。而后,由于他们最近因超龄而被迫退出医疗保险计划,他们必须自己掏更多钱来支付医疗账单。换言之,对于我的祖父母——和许多非洲老年人来讲——看医生不仅麻烦、昂贵而且非常罕见。

医疗服务普及度几乎已经成为困扰国际发展专家的强迫症。今年5月,在世卫组织一年一度的世卫大会上,来自数十个国家的官员探讨了如何借助联合国可持续发展目标实现全民医疗覆盖。但母婴及儿童吸引了绝大部分注意力;讨论基本对发展中国家的老年人口视而不见。如果解决不了这一遗漏问题,越来越多的非洲人口将无法获得平价的医疗保健。

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