The reshaping of healthcare systems in the age of financialization. Lessons from France and Brazil

Transformações dos sistemas de saúde na era da financeirização. Lições da França e do Brasil

Ana Carolina Lot Canellas Cordilha (), Ana Carolina Cordilha and Lena Lavinas
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Ana Carolina Lot Canellas Cordilha: CEPN - Centre d'Economie de l'Université Paris Nord - UP13 - Université Paris 13 - USPC - Université Sorbonne Paris Cité - CNRS - Centre National de la Recherche Scientifique
Lena Lavinas: UFRJ - Universidade Federal do Rio de Janeiro [Brasil] = Federal University of Rio de Janeiro [Brazil] = Université fédérale de Rio de Janeiro [Brésil]
Authors registered in the RePEc Author Service: Ana Carolina Cordilha

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Abstract: Since the postWar period, social protection systems have experienced continuous reforms , either extending or, more often, reducing the scope and the scale of public provision. This paper seeks to present how healthcare systems have evolved both in France and in Brazil recently , in order to comprehend mechanisms through which financialization has been reshaping public care provision. This comparative analysis unveils distinct financialization dynamics of healthcare systems, built upon universalism principles. After featuring both systems, underlying their private dimension-either complementary or supplementary the article points out how the financial sector is broadening its share in the supply of healthcare services. In what follows, the sector's process of internationalization/centralization is analyzed and lastly the regulatory role of the State in strengthening private provision is defined. Despite radically different institutional paths, the findings corroborate that in both cases finance is a driving force in reshaping the healthcare sector.

Keywords: Assurance Maladie; Palavras-chave França; Saúde complementar; Brazil; Financialization; Sistema Único de Saúde (search for similar items in EconPapers)
Date: 2018-07
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Published in Ciência and Saúde Coletiva, 2018, 23 (7), pp.2147-2158. ⟨10.1590/1413-81232018237.11422018⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-02526502

DOI: 10.1590/1413-81232018237.11422018

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