Word: doctores
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Dates: during 2000-2009
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...forest for the trees. They get the math, but they don't pay attention to systemic issues within the broader economy; it's a by-product of degree programs that encourage students to take a narrow focus too early on in their studies. "In medicine you become a doctor first, and then you become a specialist," Morici says. "In finance, you just become a specialist...
...Sunday in August in Kora Olia, a remote village in Afghanistan's northeastern province of Badakhshan, where maternal mortality is about four times the country's already high rate. Nine months pregnant, Harakatmo, 19, began bleeding heavily. Her husband and mother-in-law were concerned, but the local doctor was far away, and expensive, so they waited. When Harakatmo was still bleeding the next morning, they sent a horseman to fetch a village health worker, but Harakatmo's bleeding continued. Panicked, her husband strapped her to a makeshift stretcher and carried her down the steep track from their home until...
...could not afford 400,000 leones (about $135) for the operation. Finally the woman's aunt handed some 250,000 leones (about $85) to a nurse, who counted the banknotes before jamming them into her pocket, explaining to me that the money was "for drugs and to pay the doctor." Since nurses and doctors earn about $150 a month, "the staff is struggling to survive," says Peter Sikana, technical adviser for the U.N. Population Fund in Sierra Leone...
Though many die in hospitals, researchers say the riskiest births are those without any nurse, midwife or doctor in attendance--about 35% of all the world's births. In addition to age-old problems like unclean instruments and poor-quality water--in Sierra Leone, I visited a traditional birth attendant who said she had delivered hundreds of babies in a windowless room in a slum of cramped shanties, with no indoor plumbing--there are new hazards. Afghanistan, for example, has seen growing sales of over-the-counter oxytocin, an injectable hormone that is used to stanch postpartum bleeding and speed...
...raises an important vagueness in the concept of service. What is the sharp distinction between jobs that are traditionally considered service, such as being a soldier, and jobs that are not, such as being a shop clerk? If that seems too clear, what about being a firefighter, police officer, doctor, sanitary worker, or bureaucrat? Without an understanding of which jobs, when paid for, still constitute service, a vision of universal service is equivalent to a new federal work program...