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抗击艾滋病的公共卫生资金对健康影响的证据与启示

Evidence and Lessons on the Health Impacts of Public Health Funding from the Fight against HIV/AIDS
American Economic Review · 2023 · Marcus Dillender

中文摘要

艾滋病是近代史上最严重的公共卫生危机之一,美国联邦政府已投入数千亿美元抗击这一疾病。本研究考察了依据《瑞安·怀特综合艾滋病资源紧急法案》第一篇向美国城市拨付的大量联邦资金对抗击艾滋病的影响。研究结果表明,通过该项目避免一例艾滋病死亡的成本约为33.4万美元;截至2018年,该项目已挽救约5.7万人的生命;资金差异是美国各地抗击艾滋病进展不均衡的原因。(JEL H51、H75、I12、I18)

Abstract

HIV/AIDS has been one of the largest public health crises in recent history, and the US federal government has spent hundreds of billions of dollars fighting the disease. This study examines the impact of the large amounts of federal funding allocated to US cities to combat HIV/AIDS through the Ryan White CARE Act’s first title. The findings indicate that the cost to avoid an HIV/AIDS death through the program is roughly $334,000, that the program has saved approximately 57,000 lives through 2018, and that funding disparities are responsible for the uneven progress in combating HIV/AIDS across the United States. (JEL H51, H75, I12, I18)
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