Countries rely on out-of-pocket (OOP) spending to different degrees and employ varying techniques. The article examines trends in OOP spending in ten high-income countries since 2000, and analyzes their relationship to self-assessed barriers to accessing health care services. The countries are Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States.

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The five glaciers in Bavaria which today cover a total area of less than one square kilometer were frequently monitored by geodetic methods from the mid of the 20th century. In this paper, the record is extended by new surveys in 1999 and 2006. The glaciers show a prolonged surface lowering, which is intensified compared to the 1980s and reaches maximum rates from 1999-2006. Moreover, the ice thickness of four glaciers was determined in 2006 and 2007 by geophysical field techniques and allows the calculation of ice volumes.

Tourism contributes significantly to global gross domestic product, and is forecast to grow at an annual 4%, thus outpacing many other economic sectors. However, global carbon emissions related to tourism are currently not well quantified. Here, we quantify tourism-related global carbon flows between 160 countries, and their carbon footprints under origin and destination accounting perspectives.