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Health crisis in Latin America (Social impacts and adjustment policies)

Medice, André Cezar

Revista de administração pública (Rio de Janeiro), 1989-07, Vol.23 (3), p.7 [Periódico revisado por pares]

Rio de Janeiro: Fundação Getulio Vargas, Revista de Administração Pública

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Título:
Health crisis in Latin America (Social impacts and adjustment policies)
Autor: Medice, André Cezar
Assuntos: Per capita
É parte de: Revista de administração pública (Rio de Janeiro), 1989-07, Vol.23 (3), p.7
Descrição: How to realize the crisis of the Welfare State in countries that have not had a Welfare State? This has been the foremost challenge presented to scholars and social policy-makers in Latin America. Once overcome the last authoritarian cycle, many Latin-American governments have been striving to make up for time lost with the poor degree of satisfaction to basic needs of their populations, by establishing mechanisms capable to guarantee to their peoples universal social rights. Many are, however, the obstacles in this direction, varying from the so-called "structural poverty" to the financial incapacity of the State; from the political and electoral clientelism to the more complex forms of corporativism, through which both the societal structure and political aspirations are maintained in a state of fragmentation. This paper intends to study the aforementioned question within the context of health policies, attempting to discover the link between the recent economic crisis, the health service structure and the policies of adjustment adopted in the diverse national frame-works. To attain this goal, the article is divided into 11 parts, in the first one being exposed some angles connected to the economic, structural and conjectural dimensions of Latin-American countries, the discussion being focused on matters related to the recent crisis. In its second part, are a1igned some comments on the conquering of social rights in central countries, as opposed to what took place in the framework Latin-American nations. The third part deals with the effects of the economic crisis on the expenditures and of health policies. Given the heterogeneity of the diverse prevailing conditions, the analysis was restricted to rather general problems. Parts IV to X analyse specific cases of the crisis impact and strategies of adjustment in nations such as Argentina, Brazil, Chile, Colombia, Mexico, Uruguai and Costa Rica. Segment XI tries to patch up some congruent and some diverging points in the adopted strategies. The extreme heterogeneity of Latin-American countries allowed some of them, before the crisis, to almost reach the level of services supply available in central economies. Others, in another historical context, were even able to achieve levels of attention offered in the developed world but, as time went by, "lost the train of history". Without any intention of conclusiveness, this study aims at mapping these differences, as well as discerning a horizon of viability for those who believe that political will is still the best conducting wire, as compared with the restrictions of the economic order.
Editor: Rio de Janeiro: Fundação Getulio Vargas, Revista de Administração Pública
Idioma: Inglês;Português

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Health crisis in Latin America (Social impacts and adjustment policies)

Medice, André Cezar

Rio de Janeiro: Fundação Getulio Vargas, Revista de Administração Pública

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