By Douglas Foster
Crucial historic and journalistic portrait thus far of a country whose future will confirm the destiny of a continent. A brutally sincere exposé, After Mandela offers a sobering portrait of a rustic stuck among a democratic destiny and a political meltdown. fresh works have concentrated totally on Nelson Mandela’s transcendent tale. yet Douglas Foster, a number one South Africa authority with early, exceptional entry to President Zuma and to the subsequent iteration within the Mandela kin, strains the nation’s complete post-apartheid arc, from its celebrated beginnings lower than “Madiba” to Thabo Mbeki’s tumultuous rule to the ferocious conflict among Mbeki and Jacob Zuma. Foster tells this tale not just from the perspective of the rising black elite but in addition, drawing on thousands of infrequent interviews over a six-year interval, from the views of standard voters, together with an HIV-infected teen residing open air Johannesburg and a homeless orphan in Cape city. this can be the long-awaited, revisionist account of a rustic whose fresh background has been not only missed yet mostly neglected via the West.
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Additional info for After Mandela: The Struggle for Freedom in Post-Apartheid South Africa
This audience will find the report helpful in placing the prevention and control of NCDs within a broad public policy context. The third is also external, consisting of decision makers and technical specialists in partner agencies and foundations, for whom the report may be useful in discussions with the World Bank and with country officials. The report is organized into three chapters, three technical appendixes, a glossary, and a data appendix. While the main section provides an integrated narrative, each appendix is prepared as a separate section for readers who wish to explore an aspect of the underlying subject matter in more detail.
Policy makers are often justifiably more interested in the illnesses that precede death, because of the implications for treatment and costs. The two are closely related, of course, and WHO burden of disease projections also forecast large increases in NCD-related DALYs (Lopez and others 2006). In addition, because health expenditures are often concentrated at the end of life, a discussion of mortality trends offers a useful first approximation of potential health system pressures. However, as noted at the outset, our objective in addressing NCDs is not only to achieve reductions in both death and disability, but also to reduce morbidity for a given mortality profile, or healthy aging.
This poses challenges to both social insurance mechanisms financed by payroll taxes and public provision of benefits packages financed by general tax revenues (noncontributory). Again, these issues are particularly acute in low-income countries and they are not specific to NCDs. Fiscal sustainability also becomes a key concern if, as is common, the response to insurance market failure is greater public financing of health care. For a more extensive treatment of health financing issues see World Bank (2006a).
After Mandela: The Struggle for Freedom in Post-Apartheid South Africa by Douglas Foster