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lost time and supplying rural ar-
eas with adequate medical equip-
ment, but the opposite is happen-
ing in other countries. Here, with
the decline in public expenditure
on health and education, the gen-
eral level of public health is ei-
ther steady or actually declining.
Inequality is on the rise, with the
switch to a two-tier health serv-
ice under which payment is de-
manded for an increasing range
of treatments, putting them out
of the reach of much of the popu-
lation.
Several additional factors have
contributed to the emergence of
new health problems, in particu-
lar the increase in perinatal or
infant mortality, the reappearance
of diseases such as tuberculosis
or polio that had almost been
eradicated, and an increase in the
number of hepatitis and cholera
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