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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.

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These forces have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions. 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.

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Besides, insurance coverage does not guarantee access to the required services, for two reasons. It favors the interests and profits of the medical-industrial complex that promotes it by all means possible. Consejo Latinoamericano de Ciencias Sociales; Por el derecho universal a la salud.

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. Asamblea Legislativa Plurinacional; In the Latin Crlstina countries with this model, it is written into the respective Constitutions in some form 4.

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

Barrio Adentro and the reduction of health inequalities in Venezuela: La Segunda Reforma de Salud: Rightist or neoliberal governments view such policies as an area they cannot overlook without losing legitimacy, and as a terrain for patronage and corporate population control.


The majority of the leftist governments have written into their constitutions the Cgistina as a duty of the state, but they have also experienced institutional problems in its construction. Social policy priorities vary from country to country, depending on their particular issues and the available resources.

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Instituto Suramericano de Gobierno en Salud; cristima Nevertheless, not crisyina the neoliberal governments or states, minimal or modernized, but also social welfare, leftist, or progressive governments have experienced problems in implementing their respective health policies that apparently would correspond to their political ideology.

Salud Colect ; 6: The main objective of such governments is to make social and health policies another field for commodification and generation of profit for capital. The reasons are varied and complex, of an economic, political, institutional, and ideological order, or rather a mixture of the above. Cuadernos del Doctorado, The scenario in countries with neoliberal governments is quite different.

Fidelis de Almeida P. Telelboin C, Laurell AC, editores. Social policy in these countries is targeted and minimalist, generally conducted through cristna transfer programs conditioned on the adoption of prescribed behaviors. This idea segments the health system and increases inequality in access to the required services.

Asa Cristina Laurell – Wikipedia, la enciclopedia libre

SUS is intended to guarantee the universal right to health as a duty of the state. The priority is an extensive social policy expressed as the inclusion of a number of diverse themes, especially featuring both public goods and services such as active generation of employment and an cristona increase in income. In Venezuela, the Chavista government likewise expanded services to 17 million previously excluded Venezuelans 9. 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.

As for the SUS, only Cuba has built one entirely.

The Mexican Popular Health Insurance: Meanwhile, clean slate attempts have led to the parallel development of another health subsystem built as a further obstacle to construction of the SUS. Banco Interamericano de Desarrollo; It has various negative results, unnecessarily increasing the cost of medical care, destroying clinical procedures, alienating physicians, and causing iatrogenic outcomes.


Although the objective is to attack intergenerational transmission of poverty, this has not occurred in practice.

It is based on the original English model of the National Health Service: This ideology becomes an obstacle to building a public health system focused on public health, with its conception of the social and historical determination of the health-disease process and the corresponding model of care with social participation, inter-sector collaboration, and health education and promotion at the center. Meanwhile, in Colombia the denial of services crisyina led to hundreds cristin thousands of court cases, and the Constitutional Court has declared unconstitutional the existence of distinct packages of services according to the payment made.

Despite these paurell, the progressive governments that have opted for CUS have been much more successful than the neoliberal governments in expanding real access to health services. June 23, ; Accepted: Even the public dristina insurance institutions have frequently and successfully opposed joining the SUS. March 18, ; Revised: The challenge is apparently to create another culture of health, built step by step and with sustained social participation.

Strictly speaking, CUS refers to insurance coverage and not universal access to the required services, since it only supports an explicit and financed package of services for individuals, leaving aside public health actions 2.