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Economists are coming to acknowledge that measures of national wealth and poverty in terms strictly of average income tell you little that is significant of the health or viability of a society.
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In sharp contrast to the idea that this stage of life is enviable, we hear high levels of anxiety about getting old, anxieties about health, mobility, access to facilities, simple routine care and attention.
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The answer was that in Burundi, having a clean bill of health has taken on a very particular meaning: unless and until you have paid for your hospital treatment, you simply can't leave, you are in effect a captive.
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People take the mickey out of mental health, but it is very delicate.
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Over 120 Aboriginal communities run their own health services - some have been doing so for 30 years. They struggle with difficult medical problems. They also try to deal with counselling, stolen generations issues, family relationships, violence, suicide prevention.