Is Anybody Listening?: Ignoring Evidence in the Latin American Health Reform Debates
AbstractThroughout Latin America and the Caribbean, countries are in the midst of debates about their health systems. Frequently, the characteristics of reforms in one country are used to promote or criticize particular proposals in another. Despite the great importance and potential from learning from external models, evidence frequently makes very little difference to the way models are perceived and described in the political and social arena. To illustrate this point, the author takes Chile as an example, a country whose health reform has been widely decried as the most horrible of neo-liberal health reforms. However, the author states that Chile has one of the most progressive health systems in the world when measured by the combination of tax incidence and public health spending.
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Bibliographic InfoPaper provided by Inter-American Development Bank in its series IDB Publications with number 51858.
Date of creation: Oct 2000
Date of revision:
Health Care; Health Policy; Fiscal Policy; Health Reform; neoliberalism; external models; health system; public health;
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- Claudio Sapelli & Bernardita Vial, 1998. "Utilización de Prestaciones de Salud en Chile: ¿Es Diferente entre Grupos de Ingreso?," Latin American Journal of Economics-formerly Cuadernos de Economía, Instituto de Economía. Pontificia Universidad Católica de Chile., vol. 35(106), pages 343-382.
- Wagstaff, Adam & van Doorslaer, Eddy, 2000. "Chapter 34 Equity in health care finance and delivery," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 34, pages 1803-1862 Elsevier.
- Ronald Eduardo Gómez Suárez, 2007. "Cream-Skimming And Risk Adjustment in Colombian Health Insurance System:: The Public Insurer Case," ARCHIVOS DE ECONOMÃA 004295, DEPARTAMENTO NACIONAL DE PLANEACIÓN.
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