Tackling segmentation to advance universal health coverage: analysis of policy architectures of health care in Chile and Uruguay.

ABSTRACT:

Background

With the turn of the century, most countries in Latin America witnessed an increased concern with universalism and redistribution. In the health sector, this translated into a wide range of reforms to advance Universal Health Coverage (UHC) that, however, have had to cope with health systems that stratified the population since their foundation and the further segmentation inherited by market-oriented policies in the 1980s and 1990s. Studies on social welfare stress the relevance of cross-class alliances between the middle and working classes to reach universal and sustainable social benefits. Consequently, the endurance of separate health schemes across groups of the population in most countries in Latin America may seriously hamper the efforts towards UHC.

Aim

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SUBMITTER: Bernales-Baksai P 

PROVIDER: S-EPMC7362498 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature