更糟糕的是，世行主张采取使用者付费和“覆盖成本”的医疗服务，这导致穷国的最贫困人口 — — 最需要服务的人群 — — 根本无法获得赖以救命的医疗服务。
Even worse, the Bank advocated user fees and “cost recovery” for health services, thereby putting life-saving health care beyond the reach of the poorest of the poor – precisely those most in need of it.