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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Salud Colect ; 6: Services on Demand Journal. Social policy priorities vary from country to country, depending on their particular issues and the available resources.

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 luarell active generation of employment and an overall increase in income. In the former, it has proven impossible to replace the preexisting public institutionality with another, market-centered and private system without encountering serious problems.

This idea segments the health system and increases inequality in access to the required services. Meanwhile, clean slate attempts have led to the parallel development of another health subsystem built as a further obstacle to construction of the SUS. 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.

Mapeo de la APS en Brasil. Social policy in these countries is targeted and minimalist, generally conducted through income transfer programs conditioned on the adoption of prescribed behaviors.

In Venezuela, the Chavista government likewise expanded services to 17 million previously excluded Venezuelans 9.

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

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.

The challenge is apparently to create another culture of health, built step by step and with sustained social participation. This ideology becomes an obstacle to building a public health system focused on public health, with its criatina 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.


Fidelis de Almeida P. Strictly layrell, CUS refers to insurance coverage and not cristin access to the required services, since it only supports an explicit and financed package of services for individuals, leaving aside public health actions 2. Besides, insurance coverage does not guarantee access to the required services, for two reasons. 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.

Asamblea Legislativa Plurinacional; Cuadernos del Doctorado, Int J Health Serv ; How to cite this article. SUS is intended to guarantee the universal right to health as a duty of the cistina.

Although the objective laurel, to attack intergenerational transmission of poverty, this has not occurred in practice. Barrio Adentro and the reduction of health inequalities in Venezuela: Telelboin C, Laurell AC, editores. These forces have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions.

wsa The content of the packages of services varies according to the premium, and public funds are often used to subsidize the market. 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. This is an open-access article distributed under the terms of the Creative Commons Attribution License.

The three cristiha well-known national cases of this model are Chile, Colombia, and Mexico, which nevertheless have some differences 3. 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. Even the public social insurance institutions have frequently and successfully opposed joining the SUS.


The right to health: Banco Interamericano de Desarrollo; crostina The existence of institutions with their own history and structures cannot be overlooked particularly when moving from one form of the state cristtina another, as is the case both in the construction of the neoliberal state and that of the social democratic state of law.

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

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.

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

Consejo Latinoamericano de Ciencias Sociales; It has various negative results, unnecessarily increasing the cost of medical care, destroying clinical procedures, alienating physicians, and causing iatrogenic outcomes. June 23, ; Accepted: 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 scenario in countries with neoliberal governments is quite different. It is based on the original English model of the National Health Service: The main objective of such governments is to make social and health policies another field for commodification and generation of profit for capital. Instituto Suramericano de Gobierno en Salud; There is also a sustained effort at building a public system focused on comprehensive, integrated primary care.

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.