Laurell, A.C., “Work and health in Mexico” Int. J. Health Serv. 9(4): (Reeditado en: V. Navarro (ed) Health and work under capitalism, Baywood. Neoliberalism has been implemented in Latin America for about three decades. This article reviews Mexico’s neoliberal trajectory to illustrate the political, ec. Dr. Asa Cristina Laurell, recognized as one of the most representative researchers of current Latin American social medicine, in her new book discusses the.

Author: Bagrel Tale
Country: Slovenia
Language: English (Spanish)
Genre: Software
Published (Last): 8 April 2016
Pages: 456
PDF File Size: 18.93 Mb
ePub File Size: 18.77 Mb
ISBN: 923-5-90342-917-4
Downloads: 78098
Price: Free* [*Free Regsitration Required]
Uploader: Dousho

Nevertheless, when such policies are insufficiently or incorrectly implemented, they not only fail to serve their purpose, but can become an important source of de-legitimation and popular discontent. Banco Interamericano de Desarrollo; Its objective is to introduce the market lxurell competition, both in the administration of funds and purchase of services and in the provision of medical services, in both cases including both private and public agents.

Meanwhile, in Colombia the denial of services has led to hundreds of thousands of court cases, and the Constitutional Court has declared unconstitutional cristia existence of distinct packages of services according to the payment made.

This ideology is still hegemonic, accepted not only by physicians and other healthcare personnel but also by politicians crisstina even the general population. Meanwhile, clean slate attempts have led to the parallel development of another health subsystem built as a further obstacle to construction of the SUS.

Cuadernos del Doctorado, SUS is intended to guarantee the universal right to health as a duty of the state. For example, the SUS provided access to health services for tens of millions of previously excluded citizens The priority is an extensive social policy expressed as the inclusion of a number of diverse themes, especially featuring both public goods cristins services such as active generation of employment and an overall increase in income.


Even the public social insurance institutions have frequently and successfully opposed joining lauell SUS. In Venezuela, the Chavista government likewise expanded services to 17 million previously excluded Venezuelans 9. The Mexican Popular Health Insurance: This idea segments the health system and increases inequality in access to the required services.

Dr. Asa Cristina Laurell discusses impact of Seguro Popular in Mexico in new book – ISAGS

Salud Colect ; 6: In the Latin American countries with this model, it is written into the respective Constitutions in some form 4. Consejo Latinoamericano de Ciencias Sociales; Int J Health Serv ; Social policy priorities vary from country laurekl country, depending on their particular issues and the available resources.

Services on Demand Journal. Rightist or neoliberal governments view such policies as an area they cannot overlook oaurell losing legitimacy, and as a terrain for patronage and corporate population control.

It has various negative results, unnecessarily increasing the cost of medical care, destroying clinical procedures, alienating physicians, and causing iatrogenic outcomes. It is thus important to mobilize social participation and combat the idea that the private sector can play the role of relieving pressure on the public sector. These forces have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions.

The existence of institutions with their own history and structures cannot be overlooked particularly when moving from one form of the state to another, as is the case both in the construction of the neoliberal state and that of the social democratic state of law.

Fidelis de Almeida P. Barrio Adentro and the reduction of health inequalities in Venezuela: In the former, it has proven impossible to replace the preexisting public institutionality with another, market-centered and private system without encountering serious problems. The reasons are varied and complex, of an economic, political, institutional, and ideological order, or rather a mixture of the above.


Social Medicine

The content of the packages of services varies according to the premium, and public layrell are often used to subsidize the market.

It also reinforces the notion of the public system as a poor system for the poor. Besides, insurance coverage does not guarantee access to the required services, for two reasons.

Por el derecho universal a la salud. It favors the interests and profits of the medical-industrial complex that promotes it by all means possible. The majority of the leftist governments have written into their constitutions the SUS as a duty of laureol state, but they have also experienced institutional problems in its construction.

For leftist and progressive governments, social policy and health policy as part of it are priority instruments for generating social welfare and decent life for citizens. La Segunda Reforma de Salud: How to cite this article.

Asa Cristina Laurell

Laurfll is an open-access article distributed under the terms of the Creative Commons Attribution License. The main objective of such governments is to make social and health policies another field for commodification and generation of profit for capital. The challenge is apparently to create another culture of health, built step by step and with sustained social participation.

There is also a sustained effort at building a public system focused on comprehensive, integrated primary care.