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Moreover, there is a contradiction between central approval and local
priority-setting. This is almost a problem of the technocrats against the
people. In some countries, the technocrats at the central level are excel-
lent, and they want projects to be technically sound before they approve
them. In other countries, the technicians are not as good. However, there
may be a more democratic aspect here, because the technicians do not
demand as much of the projects as the more technically advanced coun-
tries do.
The multiplication and duplication of funds is actually a problem in
many Latin American countries. Often, there are several funds all com-
peting for the same resources...
Nội dung trích xuất từ tài liệu:
Health Status, Health Insurance, and Medical Services Utilization: 2010
