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Health policy in Uruguay, Argentina, and Chile

Juan Cruz Ferre

Chapter 6 in The Political Economy of Welfare in Latin America, 2026, pp 173-218 from Edward Elgar Publishing

Abstract: The analysis of the health sector reveals that policy legacies loom large on policy outcomes. Elected officials avoided conflict with the main non-public insurance provider. In Uruguay, in a favorable context for progressive reforms outlined in the previous chapters, a structural reform significantly reduced inequities across sectors, but it also salvaged the private, non-profit sector from severe financial straits. Health policy in Argentina was marked by ad hoc programs and no significant reform. In Chile, in contrast, the private health insurance companies (ISAPREs) that dominate the private health market exerted great influence on the policy reform. Despite the differences, a common thread across the three cases is the growth of the private sector. Furthermore, in the three countries, a newly created mechanism allowed for public or social security funds to be rerouted to the private sector, a process the author refers to as ‘shunting’.

Keywords: Uruguay; Argentina; Chile; Policy legacies; Health policy; Health reform (search for similar items in EconPapers)
Date: 2026
ISBN: 9781035371334
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