chiles neoliberal health reform an assessment and a critique智利的新自由主义医疗改革评估和批评.pdfVIP

Policy Forum Chile’s Neoliberal Health Reform: An Assessment and a Critique * Jean-Pierre Unger , Pierre De Paepe, Giorgio Solimano Cantuarias, Oscar Arteaga Herrera Summary Points like the International Monetary Fund Salvador Allende, the Pinochet regime and the World Bank. This movement embarked on a sweeping health sector • The Chilean health system underwent demands reforms such as free trade, reform, based on neoliberal doctrines a drastic neoliberal reform in the privatisation of previously public- [5–7]. A private health insurance 1980s, with the creation of a dual owned enterprises, goods, and services, system, ISAPRES, was developed system: public and private health undistorted market prices, and limited alongside the state system and was insurance and public and private government intervention. After the intended to be the dominant one. provision of health services. publication of the World Bank’s 1993 The two systems followed completely • This reform served as a model for report, “Investing in Health” [2], Chile different rationales: the public system, later World Bank–inspired reforms in became a model for neoliberal reforms a traditional “Bismarckian” social countries like Colombia. to health services.