Colombie: un pari encore incertain

Yves Le Bonniec

Revue Tiers-Monde, 2003, vol. n° 175, issue 3, 583-602

Abstract: The recent Colombian attempt to ensure universal health insurance coverage stems from a political conjuncture featuring social protection reform as partial solution to a serious political legitimacy crisis. Engaging in such a program would have been impossible without this particular historical context, which however draws the limits of the reform. The universalising process focuses on extending health insurance coverage to groups with no access to the contributory insurance scheme. The implementation of this program reveals the ambiguities and constraints of a politically driven process that simultaneously aims at health insurance protection and poverty reduction. Finally, by using structural analysis to define several welfare regimes, one may outline the paradigm likely to shape the future Colombian social protection system.

Date: 2003
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