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 majority of 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 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.

Int J Health Serv ; It favors the interests and profits of the medical-industrial complex that promotes it by all means possible. 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. Fidelis de Almeida P. Instituto Suramericano de Gobierno en Salud; These forces have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions. This is an open-access article distributed under the terms of the Creative Commons Attribution License.

Asa Cristina Laurell – Wikipedia, la enciclopedia libre

March 18, ; Revised: Asamblea Legislativa Plurinacional; The content of the packages of services varies according to the premium, and public funds are often used to subsidize the market. For leftist and progressive governments, social policy and health policy as part of it lurell priority instruments for generating social welfare and decent life for citizens. Salud Colect ; 6: How to cite this article. Mapeo de la APS en Brasil. The scenario in countries with neoliberal governments is quite different.


Meanwhile, clean slate attempts have led to the parallel development of another health subsystem built as a further obstacle to construction of the SUS. It has various negative results, unnecessarily increasing the cost of medical care, destroying clinical procedures, alienating physicians, and causing iatrogenic outcomes.

Consejo Latinoamericano de Ciencias Sociales; La Segunda Reforma de Salud: Cuadernos del Doctorado, 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 main objective of such governments is to make social and health policies another field for commodification and generation of profit for capital. Telelboin C, Laurell AC, editores. Even the public social insurance institutions have frequently and successfully opposed joining the SUS.

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. The three most well-known national cases of this model are Chile, Colombia, and Mexico, which nevertheless have some differences 3.

This ideology is still hegemonic, accepted not only by physicians and other healthcare personnel but also by politicians and even the general population.

Social Medicine

SUS is intended to guarantee the universal right to health as a duty of the state. Its objective is to introduce the market and 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.

The Mexican Popular Health Insurance: As for the SUS, only Cuba has built one criwtina.


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.

June 23, ; Accepted: Por el derecho universal a la salud. The right to health: 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 llaurell services. In Venezuela, the Chavista government likewise expanded services to 17 million previously excluded Venezuelans 9.

Asa Cristina Laurell

For example, the SUS provided access to health laurrll for tens of lairell of previously excluded citizens It is based on the original English model of the National Health Service: The challenge is apparently to create another culture of health, built step by step and with sustained social participation.

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

It also reinforces the notion of the public system as a poor system for the poor. Services on Demand Journal.