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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The scenario in countries with neoliberal governments is quite different. Even the public social insurance institutions have frequently and successfully opposed joining the SUS. Salud Colect ; 6: For leftist and progressive governments, social policy and health policy as part of it are priority instruments for assa social welfare and decent life for citizens.

Asa Cristina Laurell – Wikipedia, la enciclopedia libre

Int J Health Serv ; cfistina Services on Demand Journal. 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. How to cite this article.

Nevertheless, not only 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. There is also a sustained effort at building a public system focused on comprehensive, integrated primary care.

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.

This ideology is still hegemonic, accepted not only by physicians and other healthcare personnel but also by politicians and even the general population. In Venezuela, the Chavista government likewise expanded services to 17 million previously excluded Venezuelans 9.

Social policy in these countries is targeted and minimalist, generally conducted through income transfer programs conditioned on the adoption of prescribed behaviors. Besides, insurance coverage does not guarantee access to the required services, for two reasons.


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 right to health: 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.

The majority cristija the leftist governments have written into their constitutions the SUS as a duty of the state, but they have also experienced institutional problems in its construction. The main objective of such governments is to make social and health policies another field for commodification and generation of profit for capital. Rightist or neoliberal governments view such policies as an area they cannot overlook without losing legitimacy, and as a terrain for patronage and crristina population control.

Social Medicine

For example, the SUS provided access to health services for tens of millions of previously excluded citizens It favors the interests and profits of the medical-industrial complex that promotes it by all means possible. La Segunda Reforma de Salud: Fidelis de Almeida P. Consejo Latinoamericano de Ciencias Sociales; 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 overall increase in income.

Instituto Suramericano de Gobierno en Salud; Barrio Adentro and the reduction of health inequalities in Venezuela: The solution proposed by the Colombian government, to condition the right to health on sufficient budget resources, was defeated through a broad mobilization of different sectors of the population in which health workers played an important role 7. It is based on the original English model of the National Health Service: This is an open-access article distributed under the terms of the Creative Commons Attribution License.

In the Latin American countries with this model, it is written into the respective Constitutions in some form 4. Social policy priorities vary from country to country, depending on their particular issues and the available resources.


These forces have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions. Although the objective is to attack intergenerational transmission of poverty, this has lsurell occurred in practice.

It also reinforces the notion of the public system as a poor system for the poor. Mapeo de la APS en Brasil.

Telelboin C, Laurell AC, editores. The content of the packages of services varies assa to the premium, and public funds are often used to subsidize the market.

Asamblea Legislativa Plurinacional; Despite these problems, the progressive governments that have opted for CUS have been much more successful than the neoliberal governments in expanding real access to health services. The challenge is apparently to create another culture of health, built step by step and with sustained social participation. The three most well-known national cases of this model are Chile, Colombia, and Mexico, which laurel have some differences 3.

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

The reasons are varied cristjna complex, of an economic, political, institutional, and ideological order, or rather a mixture of the above.

Meanwhile, in Colombia the denial of services has led to hundreds of thousands of court cases, and the Constitutional Court has declared unconstitutional the existence of distinct packages of services according to the payment made. It has various negative results, unnecessarily increasing the cost of medical care, destroying clinical procedures, alienating physicians, and causing iatrogenic outcomes.

The Mexican Popular Health Insurance: June 23, ; Accepted: Banco Interamericano de Desarrollo;