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Medical Care Under Social Insurance in Latin America

Published online by Cambridge University Press:  12 October 2022

Dieter K. Zschock
Dieter K. Zschock*
Affiliation:
State University of New York at Stony Brook
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Social insurance entitlements represent one of the more controversial aspects of social sector development in Latin America. The most comprehensive critique of social security views the system's coverage and organization as a reflection of the region's social stratification (Mesa-Lago 1978). According to this view, power groups in public administration, private industry, and labor unions exercise control over the organization and financing of sickness, invalidity, and pension funds, and they seek to restrict benefits to their respective memberships. The noninsured lack market power and political organization because of their low levels of human resources development and lack of social cohesion. Mesa-Lago's critique may be more justified for the lower-income than for the higher-income countries in Latin America, however, at least regarding medical care, which is the system's largest single entitlement program in most Latin American countries.

Type
Research Article
Information
Latin American Research Review , Volume 21 , Issue 1 , 1986 , pp. 99 - 122
Copyright
Copyright © 1986 by the University of Texas Press

Footnotes

*

The author gratefully acknowledges comments on earlier versions of this paper by Jorge Castellanos of the Pan American Health Organization (PAHO), David de Ferranti of the World Bank, Beryl Frank of the Organization of American States, Maureen Lewis of the U.S. Agency for International Development (USAID), Phillip Musgrove of PAHO, Joseph Simanis of the U.S. Social Security Administration, and three anonymous LARR reviewers. Responsibility for the paper's content remains entirely with the author.

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