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Social Exclusion And the Two-Tiered Healthcare System of Brazil

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  • Denisard C. O. Alves

    (USP)

  • Christopher D. Timmins

    (Yale University)

Abstract

In Brazil, there exists a two-tiered system of healthcare access. Those with sufficient means have access to a private system of healthcare that provides quality treatment on demand, while the remainder of the country relies on an overburdened system of public clinics and hospitals. Household survey data are used to determine which socio-demographic groups rely most on this public healthcare system. Current demographic trends suggest that the public healthcare infrastructure will become more and more heavily used in the coming decades. A stylized model of healthcare choice is estimated, and its parameters are used to conduct counterfactual simulations of the welfare implications of this increased congestion, and of policies to offset it, like private healthcare subsidies.
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Suggested Citation

  • Denisard C. O. Alves & Christopher D. Timmins, 2001. "Social Exclusion And the Two-Tiered Healthcare System of Brazil," Anais do XXIX Encontro Nacional de Economia [Proceedings of the 29th Brazilian Economics Meeting] 072, ANPEC - Associação Nacional dos Centros de Pósgraduação em Economia [Brazilian Association of Graduate Programs in Economics].
  • Handle: RePEc:anp:en2001:072
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    References listed on IDEAS

    as
    1. Parker, Susan W. & Wong, Rebeca, 1997. "Household income and health care expenditures in Mexico," Health Policy, Elsevier, vol. 40(3), pages 237-255, June.
    2. David M. Cutler & Ellen Meara, 1998. "The Medical Costs of the Young and Old: A Forty-Year Perspective," NBER Chapters,in: Frontiers in the Economics of Aging, pages 215-246 National Bureau of Economic Research, Inc.
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    Cited by:

    1. Denisard Alves & Walter Belluzzo, 2005. "Child Health and Infant Mortality in Brazil," Research Department Publications 3187, Inter-American Development Bank, Research Department.
    2. Patricia Justino & Arnab Acharya, 2003. "Inequality in Latin America: Processes and Inputs," PRUS Working Papers 22, Poverty Research Unit at Sussex, University of Sussex.
    3. Patricia Justino & Julie Litchfield & Yoko Niimi, 2004. "Multidimensional Inequality: An Empirial Application to Brazil," PRUS Working Papers 24, Poverty Research Unit at Sussex, University of Sussex.
    4. Ahmed Mushfiq Mobarak & Andrew Sunil Rajkumar & Maureen Cropper, 2011. "The Political Economy of Health Services Provision in Brazil," Economic Development and Cultural Change, University of Chicago Press, vol. 59(4), pages 723-751.
    5. Waters, Hugh R. & Bós, Antonio M., 2008. "The financial protection impact of the public health system and private insurance in Brazil," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), August.
    6. Denisard Alves & Walter Belluzzo, 2005. "Salud y mortalidad infantil en Brasil," Research Department Publications 3188, Inter-American Development Bank, Research Department.

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