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The institutional organization of health in Colombia and its disconnection with the common good and mutuality

Juan Fernando Álvarez (), Miguel GORDO Granados () and Hernando ZABALA Salazar ()
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Juan Fernando Álvarez: Member of the research group UNES of the Institute of Rural Studies of the Pontificia Universidad Javeriana; Member of the Board of Directors of CIRIEC-Colombia, Colombia
Miguel GORDO Granados: Expert in health and taxation of the Capital District. Member of CIRIEC-Colombia, Colombia
Hernando ZABALA Salazar: Member of the ECOSOL group of Luis Ámigo University. President of the Board of Directors of CIRIEC-Colombia, Colombia

Chapter 11 in Providing public goods and commons. Towards coproduction and new forms of governance for a revival of public action, 2018, vol. 1, pp 231-248 from CIRIEC - Université de Liège

Abstract: This chapter analyzes the provision of health services in Colombia, which are constitutionally recognized even if in reality they are far from being guaranteed in terms of gratuity and universal coverage for most of the population. A situation possibly brought about by the market orientation promoted by the legal framework and the effects it has brought in terms of general interest, in exclusion and in the tendency towards the deterioration in the provision of services. Some of the actors in the system, characterized by a common property, offer a real and effective alternative in getting closer to the right to health for all. In this context, the organizational logic of mutual associations stands out as an instrument to optimize public health policy even if a new institutional dynamic is required, with anew relation between the State and social organizations. A relation in which the concept of common good is an appropriate starting point and finality as a strategy of governing the institutional agreements that improve the relations between the public organisms and the citizens.

Keywords: Colombian; health system; competition; optimization; common good; mutual (search for similar items in EconPapers)
JEL-codes: I11 I18 P13 P36 P46 (search for similar items in EconPapers)
Date: 2018
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Handle: RePEc:crc:chapte:1-11