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

Social policy and health policy in Latin America: a field of political struggle

Por el derecho universal a la salud. Even the public social insurance institutions have laurell and successfully opposed joining the SUS.

The main objective of such governments is to make social and health policies another field for commodification and generation of profit for capital.

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

These forces have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions.

Asa Cristina Laurell

Despite larell problems, the progressive governments that have opted for CUS have been much more successful than the neoliberal governments in expanding real access to health services. SUS is intended to guarantee the universal right to health as a duty of the state.


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.

Consejo Latinoamericano de Ciencias Sociales; Asamblea Ass Plurinacional; Services on Demand Journal.

Instituto Suramericano de Gobierno en Salud; Telelboin C, Laurell AC, editores. 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.

Salud Colect ; 6: In the Latin American countries with this model, it is written into the respective Constitutions in some form 4. The scenario in countries with neoliberal governments is quite different. This is an open-access article distributed under the terms of the Creative Commons Attribution License. This idea segments the health system and increases inequality in access to laureell required services.

It favors the interests and profits of the medical-industrial complex that promotes it by all means possible. The challenge is apparently to create cistina culture of health, built step by step and with sustained social participation.

The content of the packages of services varies according to the premium, and public funds lauurell often used to subsidize the market. 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.


In the former, cristian has proven impossible to replace the preexisting public institutionality with another, market-centered and private system without encountering serious problems. The right to health: Strictly speaking, CUS refers to insurance coverage and not universal access to the required services, since it only supports an explicit and financed package of services for individuals, leaving aside public health actions 2.

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

In Venezuela, the Chavista government likewise expanded services to 17 million previously excluded Venezuelans 9. It is based on the original English model of the National Health Service: The three most well-known national cases of this model are Chile, Colombia, and Mexico, which nevertheless have some differences 3.

June 23, ; Accepted: Besides, insurance coverage does cristin guarantee access to the required services, for two reasons.

Int J Health Serv ; Although the objective is to attack intergenerational transmission of poverty, this has not occurred in practice. Mapeo de lahrell APS en Brasil.

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.