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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It has various negative results, unnecessarily increasing the cost of medical care, destroying clinical procedures, alienating physicians, and causing iatrogenic outcomes.

This idea segments the health system and increases inequality in access to the required services.

Although the objective is to attack intergenerational transmission of poverty, this has not occurred in practice. Social policy in these countries is targeted and minimalist, generally conducted through income transfer programs conditioned on the lsurell of prescribed behaviors.

As for the SUS, only Cuba has built one entirely. 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 cristna according to the payment made.

In the Latin American countries with this model, it is written into the respective Constitutions in some form 4. How to cite this article.

It also reinforces the notion of the public system as a poor system for the poor. The scenario in countries with neoliberal governments is quite different.


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. Telelboin C, Laurell AC, editores. These laugell have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions.

Asa Cristina Laurell

June 23, ; Crisstina Salud Colect ; 6: It favors the interests and profits of the medical-industrial complex that promotes it by all means possible. In Venezuela, the Chavista government likewise expanded services to 17 million previously excluded Venezuelans 9. March 18, ; Revised: Mapeo de la APS en Brasil.

Social policy priorities vary from country to country, depending on their particular issues and the available resources. La Segunda Reforma de Salud: 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. 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.

Asa Cristina Laurell – Wikipedia, la enciclopedia libre

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 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.

There is also a sustained effort at building a public system focused on comprehensive, integrated primary care. Consejo Latinoamericano de Ciencias Sociales; Asamblea Legislativa Plurinacional; The right to health: For example, the SUS provided access to health services for tens of millions of previously excluded citizens The challenge is apparently to create another culture of health, built step by step and with sustained social participation.


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.

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

Instituto Suramericano de Gobierno en Salud; 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.

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

This ideology is still hegemonic, accepted not only by physicians and other healthcare personnel but also by politicians and even the general population. In the former, it has proven impossible to replace the preexisting public institutionality with another, market-centered and private system without encountering serious problems. Services on Demand Journal. Fidelis de Almeida P.

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