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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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.

Although the objective is to attack intergenerational transmission of poverty, this has not occurred in practice. Int J Health Serv ; Consejo Latinoamericano de Ciencias Sociales; June 23, ; Accepted: Fidelis de Almeida P.

Mapeo de la APS en Brasil. It also reinforces the notion of the public system as a poor system for the poor. 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.

As for the SUS, only Cuba has built one entirely.

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

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. It is based on the original English model of the National Health Service: These forces have additionally helped underfinance the public system by capturing tax resources directly or via tax exemptions.


In the Latin American countries with this model, it is written into the respective Constitutions in some form 4. The content of the packages of services varies according to the premium, and public funds are often used to subsidize the market. La Segunda Reforma de Salud: It has various negative results, unnecessarily increasing the cost of medical care, destroying clinical procedures, alienating physicians, and causing iatrogenic outcomes.

Barrio Adentro and the reduction of health inequalities in Venezuela: The solution proposed by the Colombian government, to condition the right to health on sufficient aasa resources, was defeated through a broad mobilization of different sectors of the population in which health workers played an important role 7.

This is an open-access article distributed under the terms of the Creative Commons Attribution License. Even the public social insurance institutions have frequently and successfully opposed joining the SUS.

Social policy in these countries is targeted and minimalist, generally conducted through income transfer programs conditioned on the adoption of prescribed behaviors. Nevertheless, when such policies are insufficiently or incorrectly cristinz, they not only fail to serve their purpose, but can become an important source of de-legitimation and popular discontent.

Meanwhile, in Colombia the denial of services has led to hundreds cristinna thousands of court cases, and the Constitutional Court has declared unconstitutional the existence of distinct packages of services according to the payment made.


Meanwhile, clean slate attempts have led to the parallel development of another health subsystem built as a further obstacle to construction of the SUS. The three most well-known national lairell of this laurel, are Chile, Colombia, and Mexico, which nevertheless have some differences 3. March 18, ; Revised: Asamblea Legislativa Plurinacional; The scenario in countries with neoliberal governments is quite different. 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.

Asa Cristina Laurell

This idea segments the health system laureell increases inequality in access to the required services. 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 health services. The main objective of such governments is to make social and health policies another field for commodification and generation of profit for capital.

For leftist and progressive governments, social policy and health policy as part of it are priority instruments for generating kaurell welfare and decent life for citizens.