Question:
Universal healthcare stifles innovation

Profits drive innovation. That’s the long and short of it. Medical care is not exception, albeit the situation is a bit more complicated in this case.

The US’s current system has a marketplace of different private insurers capable of making individual and often different decisions on how and which procedures they’ll choose to cover. Their decisions are something that helps shape and drive new and different practices in hospitals. A simple example is one of virtual colonoscopies. Without getting into the nitty gritty, they often require follow up procedures, yet are very popular with patients. Some insurers value the first, some the other, but none have the power to force the health care providers to choose one or the other. They’re free to decide for themselves, innovate with guidelines, even new procedures. Those are then communicated back to insurers, influencing them in turn and completing the cycle.

What introducing a single-payer universal health coverage would do is introduce a single overwhelming player into this field – the government. Since we have seen how the insurer can often shape the care, what such a monopoly does is opens up the possibility of top-down mandates as to what this care should be. With talk of “comparative effectiveness research”, tasked with finding optimal cost-effective methods of treatment, the process has already begun. [1]

[1] Wall Street Journal, How Washington Rations, published 5/19/2009, http://online.wsj.com/article/SB124268737705832167.html#mod=djemEditorialPage , accessed 9/18/2011

Profits do drive innovation. But there is nothing out there that would make us believes that the profits stemming from the health care industry are going to taper off or even decrease in a universal coverage system. In short in a single-payer system, it’s just the government that’ll be picking up the tab and not the private companies. But the money will still be there.

An expert on the issue from the Brigham and Women’s Hospital opined that this lack of innovation crops up every time there is talk of a health care reform, usually from the pharmaceutical industry, and usually for reasons completely unrelated to the policy proposed. [1]

Whereas the opposition fears new research into efficiency of medical practice and procedures, we, on the other hand, feel that’s exactly what the doctor ordered – and doctors do too. [2]

[1] Klein, E., Will Health-Care Reform Save Medical Innovation?, published 8/3/2009, http://voices.washingtonpost.com/ezra-klein/2009/08/will_health-care_reform_save_m.html , accessed 9/18/2011

[2] Brown, D., ‘Comparative effectiveness research’ tackles medicine’s unanswered questions, published 8/15/2011, http://www.washingtonpost.com/national/health-science/comparative-effectiveness-research-tackles-medicines-unanswered-questions/2011/08/01/gIQA7RJSHJ_story.html , accessed 9/18/2011

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
The network approach: promoting learning

The use of ICT and creating a network of professional experts enables learning and knowledge transfer between health workers and academics. In addition to the brain-drain, whereby skilled health professionals continue to emigrate from Zambia, Zambia also shows a slow rate of training of new health workers. Therefore the VDP provides a vital learning tool. VDP provides practical skills by healthcare workers to learn from first-hand experience while having access to a field of experts, or advisers, able to answer any questions. The quality of healthcare will be improved as workers in remote locations are given access to information and correct answers for diagnosis. A global pool of skills can be drawn upon, and utilised, when required.

Although the use of virtual networks and doctors may provide solutions to share knowledge it creates other difficulties. The use of VDP as an educational tool clearly has downsides. First it is not designed for training; if it were why not use a tool specifically for training? As the VDP is not any educational benefits have to be considered secondary. Unlike with a specifically educational tool there is no way for the experts to test that the knowledge they are passing on is being learnt or that their advice is being followed.

Additionally, if the use of virtual doctors is educating medical officers on the ground does it ensure the newly trained professional will stay in Zambia? The bigger picture of what the officers do, and whether the government implement competitive labour policies, requires consideration.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Taking healthcare beyond basic needs

Not only does VDP improve access to primary health care but the networks developed between different health advisers mean changing health demands can be met. Across Africa there is now a shift in the type of diseases prevalent. Increasing rates of non-communicable disease are being recorded - for which advisers can provide ongoing support. Additionally, there remains a need to improve understanding and treatment of mental health issues within rural areas in particular. Concern with mental health requires greater recognition across Africa. Finally, data can be collected on health issues affecting rural areas for targeted intervention.

Can the VDP go beyond basic needs and rights when the scale, and scope, of basic need is so large? Figures show a negative image not only of physical health, also the environment in which people live in. The maternal mortality ratio is calculated at around 590 per 100,000 and infant mortality (under 1) stands at 53 per 1,000 live births. However, only 61% of the population have access to improved drinking water; and 48% are able to access improved sanitation facilities (UNICEF, 2013).

Can we rely on NGO’s providing the VDP to fulfil basic needs when the challenges are so large?

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Flexibility of mobile clinics

The use of mobile clinics and ICT in health not only tackles issues around location accessibility to health, by travelling into remote areas, but also the flexibility provided through the clinics mobility means a larger population can be seen and treated.

Virtual doctors are flexible; one doctor can be providing his or her expertise through numerous local doctors and nurses at any time. They can help staff with much less training make the correct decisions. By using mobile clinics the location is flexible - and can be altered depending on variations in social need and seasons -, and the time individuals can access the clinic is flexible. Mobile clinics are more responsive to demand.

Mobility remains a key issue across Africa. The WDR (2009) identifies three key sources for effective integration: institutions, infrastructure, and interventions. Infrastructure includes systems that facilitate the geographical movement of goods, services, people, and ideas - such as roads. The reality of a mobile clinic therefore relies heavily on having the infrastructure to support flexibility, mobility, and frequent movement.

Mobile clinics still won’t be able to reach all patients that need their help; public investment is required into infrastructure such as roads and railways first. The project can only work if mobile clinics are able to be mobile. Further, even if they are mobile it doesn’t necessarily ensure people become ill when the medical officer happens to be visiting.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Tackling access: working in rural areas

Zambia’s human resource crisis in healthcare is most prominent in rural areas. Poverty remains widespread and despite Zambia’s high economic fortune as a result of copper during the 1960s it has become a heavily-indebted poor country. The World Bank (2013) classifies 76% of Zambia’s poor as residing in rural areas. With disparities in access to health prevalent, Zambia needs to train new doctors and nurses to ensure the population can access health care. The VDP is therefore tackling the issue of access within rural, and remote, areas.

Access to health is a human right, and the VDP is ensuring such rights are become a reality in rural areas and rural populations. Mortality and morbidity can be reduced as rural health workers are able to diagnose and treat a wider range of conditions.

Zambia needs to improve its health care system in general, not work on implementing a virtual programme. Physical contact is still necessary for diagnosis and treatment.

Alternative schemes are being used to meet health needs and improve the structure of Zambia’s health system. For example, the Clinton Foundation and DFID [1] have invested in the provision of community health workers. These programmes invest in training community health workers across Zambia’s rural regions. The health workers trained are therefore physically located within the regions. This is much more important than having virtual doctors on call.

[1] See further readings: Clinton Foundation, 2013.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Speeding up referral

Each mobile clinic will be equipped with vital tools and equipment, and staffed with a medical assistant, a midwife/nurse, and project officer. Furthermore, the presence of a medical staff team means a number of services can be provided for women, men, and children. The team are able to carry out tests on the ground, and if required refer the patient to a hospital. Referrals are made by the staff, with all required information passed on to the hospital and an appropriate appointment made.

The VDP makes each actor within the referral and treatment process aware of their position and role. The VDP appropriately delegates jobs; thus improving the system of hospital referrals and minimising unnecessary costs from inappropriate referrals.

A study carried out by Masiye (2007) indicates only around 40% of Zambia’s hospitals can be defined as efficient. There remains a significant problem of resource wastage in Zambia’s hospitals and the hospitals are technically inefficient in producing, and delivering, services. Health goals cannot be achieved in Zambia if hospitals continue to function inefficiently. This raises concern as to how the hospitals cope once referrals are sent? Is the wider health system adequate?

Outsourcing of medical professions into rural areas, and making improvements in the speed and quality of referrals does not resolve the issue of hospital quality. Although VDP’s can act to significantly reduce the number of inappropriate referrals investment, training, and improved management, is still required within Zambia’s hospital system. Additionally, improved access to drugs is needed. Drug shortages have been reported due to corruption scandals - funding provided to supply drugs in the health sector have previously gone missing [1] . Generic drugs are in short-supply, and high demand. Without doctors being able to access vital drugs, whether they are located in hospitals or remote areas, treatment cannot be provided.

[1] See further readings: IRIN, 2011.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Resolving the health service crisis?

To what extent does the VDP resolve the lack of health service professionals in Zambia? Two caveats emerge.

Firstly, the project shows how intervention from international organisations can work against trade union demands and employment issues. The project is introducing a model of outsourcing. The medical staff do not need to be based in hospitals so reducing government costs and decentralising employees. Recent strikes by nurses [1] shows dissatisfaction with work conditions and overwork. It raises concern over the motives of the VDP. Is the VDP encouraging social protection and an ethical work environment for all medical professionals? Or is the VDP an escape mechanism to keep wages low and neglect demands made by working nurses? A majority of the expert ‘virtual doctors’ employed are volunteers. Ultimately then the government might consider the VDP a good excuse not to invest in training Zambian doctors.

Secondly, does the VDP resolve the issue of brain drain? Improved incentives and increased salaries are required for trained medical professionals, to motivate them to stay. The VDP may help educated doctors but it does not provide them with reasons to remain in Zambia, rather it gives them contacts with outside healthcare systems where their skills will be much better rewarded.

[1] See further readings: Kunda, 2013.

The VDP is providing a number a solution to the lack of human resources within Zambia’s health sector. VDP is enabling the growth of local jobs, for Zambian nationals. Although there are no current figures to estimate the amount of jobs that will be provided within the health sector, the VDP has currently been rolled out into six sites and continues to expand. New clinics will be set-up across Zambia, as well as Tanzania, Malawi and Kenya. A growing body of health workers will be required to maintain the VDP network; reducing the doctor to population disparity in Zambia.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
Will virtual doctors be used?

Even if VDPs do improve access to health services we cannot assume the health services will be used. The use of traditional healers, and practices, remains popular across rural Zambia [1] . If the population is unwilling to use modern medicine then providing better access to that medicine will be of little benefit. If formally trained doctors and medicines are not accepted, or trusted, by communities then the resources being spent on VDPs would be much better spent on education to encourage people to make better use of the facilities they already have than introducing new technology based solutions that will simply be more likely to be rejected.

[1] See further readings: Bansal, 2012.

Figures showcasing the popular use of traditional practices, and medicine, do not show the reasons behind use. It fails to recognise the degree of choice and the nature of treatment provided. If people don’t have access to modern medicine then they will go to that which is available. The answer then is to increase access to modern medicine to provide the alternative.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
How sustainable?

A key issue that needs to be raised is funding. Currently the VDP is funded by a range of corporate partners - including Microsoft and Google. However, for the project to be sustainable in the long-run investment is required from a wider range of bodies, and further partnerships need to be formed with the public sector. The government needs to be included as a funder and supporter. The neglect, and exclusion, of the government within discussion on health projects - such as VDP - only acts to remove their responsibility and obligation to tackle the social dilemma. Healthcare is the responsibility of government, not the NGOs and private firms that are providing VDP.

Today the inclusion of private stakeholders in providing access to health is proving to be a sustainable approach. To achieve developmental impact the public sector is no longer the key source or actor. Although increased support by the government - both financial and political - may be required in the future it is not fundamental for the implementation stage. The VDP can continue to grow and be sustainable through the work of private organisations and funders. The state can later step in and expand the system nationwide when it is fully demonstrated. Private partnerships are changing how health-care is provided and its sustainability.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim


Question:
A dangerous reliance on technology?

ICT is providing innovative solutions to resolve many social problems across Africa. However, is there now a dangerous reliance on technology? Not everyone has access to mobiles and signal remains precarious. When answers, diagnosis, and treatment, are reliant on using technology in the field it needs to be ensured that the service fitted in mobile clinics will remain reliable for field health workers. Additionally, it needs to be ensured that the network of global professionals frequently check messages for updates and respond as quickly as possible. The quality of health service cannot be improved if the response time remains low due to insufficient technology or connectivity. The scheme requires partnerships to telephone and information technology companies.

The reliance on technology is also danger when we consider what information the technology used is actually providing. The VDP will mainly involve text-based emails and messages to provide patient information. Expanding to use images and videos - such as through Skype - will ensure the virtual doctor is more involved in the process, reducing error.

Technology will only be required within the mobile clinics, to enable the VDP networks to be used. It is a key component, but not the only foundation of which the VDP is based on. This means that the clinics can carry equipment to ensure access to the internet remains – such as a satellite connection. Furthermore, significant developments have been made in Zambia’s technological revolution. Internet connectivity has improved in rural areas; and pioneering movements across rural areas - such as the implementation of solar-powered internet - means connectivity is spreading into rural, remote, Zambia.

Cloning will lead to a lack of diversity amongst the human population as it is creating genetic copies rather than increasing diversity by mixing genes. [1] The natural process of evolution will be halted, and as such humankind will be denied development, and may be rendered more susceptible to disease.

[1] ThinkQuest, Disadvantages of human cloning, http://library.thinkquest.org/C0122429/ethics/disadvantages.htm , accessed 08/20/2011

Reducing funds is an unfortunate, although necessary, mechanism for pressurising the political elite to legalise homosexuality. Africa’s democracies, such as Nigeria, have to be sensitive to the needs of their citizens. Even dictatorships have to maintain a grasp on the people’s will. Once the African population starts to feel the impact of reduced aid, the only viable way to remedy the situation will be to re-legislate on the same-sex issue.

Foreign aid struggles to reach those who need it the most anyway, with corruption in the Ugandan government (and the disappearance of £1.3 million) causing the UK to cut aid to Uganda in 2012 [1] . The funding itself is then redirected away from African governments, but will reach those who need it the most through non-governmental organisations which will negate the suffering predicted by critics [2] .

[1] BBC ‘UK cuts aid to Ugandan government’ 16/11/2012

[2] Gray,S. ‘Minister confirms UK will redirect aid, not cut it, for human rights violations’ Pink News 22/11/2011

There is no evidence that limiting access to healthcare would act as a deterrent. In fact, in the developing world, where a smoker would on average have worse access to healthcare, tobacco consumption has increased significantly over the last decade.1 Furthermore, governments have indeed acted to discourage smoking through a variety of methods. These have included advertising campaigns and banning smoking in public places and they seem to have worked. Cigarette use in the developed world has declined over the last 50 years. In the UK, smoking rates have dropped by half between 1974 and 2009, from 45% down to 21%2. A majority 59% have never taken up the habit3. 1 World Health Organization, The Tobacco Atlas, 2 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011. 3 Daily Telegraph, 22 Jan 09, Lowest ever number of smokers after public ban and health campaigns.Accessed 14 Jul 2011.

Legalization of cannabis would make it easier for scientific studies to take place, thereby providing a more accurate picture of the physical, psychological, spiritual and sociological effects of the drug. Just as the lift of the taboo on discussions of a sexual nature in schools around the world has resulted in people being more informed as to the dangers of unprotected sex, so would the increased availability and accuracy of scientific data on cannabis serve to reduce the ratio of abuse to responsible use.

If coca cultivation were legalized, there would probably be mechanisms and policies to allow the plant and its derivatives to co-exist without this necessarily signifying an increase in harmful consumption, and to limit it being grown in the huge amounts needed for cocaine production. [1] The legalizing of coca cultivation for non-cocaine use could also undermine the supply basis of cocaine itself, as farmer would shift their production of coca from cocaine-purposed coca to open market coca production, as legal production would be much more secure from government action. Therefore legalizing coca production could actually help make cocaine less readily available.

[1] Transnational Institute Debate Papers. “Coca yes, cocaine, no?”. Transnational Institute. No. 2006/2. No. 13. May 2006. http://www.kdrink.com/fitxers/debate13.pdf

Our children are sexually active. They are making decisions that can affect the rest of their lives. They should be able to choose responsibly and be well-informed about the likely outcomes. They should know about sources of free or cheap contraception, who to turn to when pregnant or if they suspect they have a venereal disease, how to use contraception to avoid both, and, contrary to the impression of abolitionists, they should be told the benefits of abstinence. How can you tell people about that if you refuse to discuss sex? How can you imagine they will take you seriously if you turn a blind eye to something so many of their peers are doing?

They need an external source of support to resist peer pressure, and have sex later rather than sooner: lamentably, it is presumed amongst many young people that having unprotected sex with many partners at an early age is the norm and they encourage others to do it (and attempt to humiliate those that don’t). We need mechanisms to support those that want to resist that pressure: sex education is such a mechanism. Sex education is part of a package of provisions needed to help our teenagers avoid the terrible pitfalls of unwanted pregnancy and venereal disease. This problem is here – pretending that it isn’t won’t make it go away. How else do opponents of sex education propose to deal with the huge problems of STDs and teen pregnancy? Effective and widely supported sex education programs can achieve real results. For example, in the Netherlands, amongst people having intercourse for the first time, 85% used contraception – compared to 50% in the UK.

In any single law, that prohibits substances there is going to be the danger of a black market. In Canada, a black market for alcohol developed despite the legal status of alcohol (it was due to high taxation). The Association of Canadian Distillers actually estimated that 25 % of all spirits in Ontario are consumed illegally (without paying taxes). [1]

The problem therefore is not going to lay in the ban itself, but in the enforcement of legislation and thorough control of the markets.

[1] Mackenzie Institute, Prohibition’s Hangover – Ontario’s Black Market and Alcohol, http://www.mackenzieinstitute.com/1997/1997_10_Sex_Alcohol.html , accessed 08/17/2011

If a parent gives into pressure from a young child so easily, even when she knows it’s the wrong thing to do, then she has bigger parenting problems to worry about than the presence of toys in fast food meals. The government cannot possibly step in to eliminate all temptations and negative influences on children’s choices. Parents need to be firm and provide their kids with the guidance necessary to choose what is best.

Of course there is no such thing as a silver bullet solution to a problem as complex as childhood obesity. This ban would need to be part of a bigger push to regulate the fast food industry’s marketing to children and to provide kids and parents with better choices and information. That doesn’t mean the ban has no merit or that it would not play a beneficial role in the fight against obesity.

This leads to patients requesting drugs they do not need and in many cases are even harmful to them.

The prescription drugs are very different from freely available drugs. They often treat serious diseases, and so advertising those should target mainly people that are very ill and especially vulnerable. On the other hand, with direct-to-consumer advertising, many people who do not have a serious disease become convinced that they need the prescription drug, because the advertisements scare them.

Because of such advertisement, in the U.S. there was a rapid widespread exposure to dangerous drugs before risks were fully recognized, as with troglitazone (Rezulin) for diabetes and cisapride (Propulsid) for nighttime heartburn. Causing people to become more ill instead of healthier, because this leads to a higher “self-diagnosing”. [1]

[1] Health Information Action, Direct-to-Consumer Prescription Drug Advertising The European Commission’s Proposals for Legislative Change, September 2011, http://www.haiweb.org/campaign/DTCA/BMintzes_en.pdf , accessed 08/07/2011

Instruction: Given a claim, retrieve documents that refute the claim