There is a simple way to save lives and cost. It starts with valuing death and disability prevention.


Each year the average country loses 13 million years of healthy life to premature death and disability and billions of dollars in response costs. Many of these would be cheaper to prevent than respond to.

Governments have large and growing healthcare, welfare and other costs in response to disease, injury, crime and other social issues. They usually pay response providers, such as hospitals, a rate for each activity they need to provide. They can save costs and lives through reduction valuing and rates. This means when a program reduces costs by reducing the cause, they are repaid a portion of costs saved.

This can be done at any scale and at no financial risk to the cost-bearing government through payments based on outcomes achieved. Currently many governments do not offer prevention prices, at best they offer grants at levels which are untied to the value achieved.

Save a Million researches and promotes valuing and pricing prevention in order to more than save a million years of life and dollars.

Red. Card deadly diseases

A short list of rates for reduction are called a Reduction Outcomes Rate Card, what we call a Red. Card. 

Red. Cards are the basis for pay for success tenders for each target location and which often result in many more contracts than standard grant processes.

An example of non-communicable disease (NCD) reduction using this approach is diabetes prevention, because diabetes causes high levels of hospitalisation and other health and welfare costs. This approach is being scaled in a range of countries working with pre-diabetic cohorts. There are dozens of like approaches being developed for other NCDs including avoidable blindness, stroke, mental disorders and neonatal diseases. An example is here.

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