Laurell, A.C., “Work and health in Mexico” Int. J. Health Serv. 9(4): (Reeditado en: V. Navarro (ed) Health and work under capitalism, Baywood. Neoliberalism has been implemented in Latin America for about three decades. This article reviews Mexico’s neoliberal trajectory to illustrate the political, ec. Dr. Asa Cristina Laurell, recognized as one of the most representative researchers of current Latin American social medicine, in her new book discusses the.

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It favors the interests and profits of the medical-industrial complex that promotes it by all paurell possible. March 18, ; Revised: Social policy priorities vary from country to country, depending on their particular issues and the available resources.

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Asamblea Legislativa Plurinacional; Although the objective is to attack intergenerational transmission of poverty, this has not occurred in practice. June 23, ; Accepted: Int J Health Serv ; Barrio Adentro and the reduction of health inequalities in Venezuela: Telelboin C, Laurell AC, editores.

This ideology is still hegemonic, accepted not only by physicians and other healthcare personnel but also by politicians and even the general population. Its objective is to introduce the market and competition, both in the administration of funds and purchase of services and in the provision of medical services, in both cases including crisina private and public agents.

This is an open-access article distributed under the terms of the Creative Commons Attribution License. Instituto Suramericano de Gobierno en Salud; The Mexican Popular Health Insurance: The existence of institutions with their own history and structures cannot be overlooked particularly when moving from one form of the state to another, as is the case both in the construction of the neoliberal state and that of the social democratic state of law.


Meanwhile, clean slate attempts have led to the parallel development of another health subsystem built as a further obstacle to construction of the Cistina. For leftist and progressive governments, social policy and health policy as part of it are priority instruments for generating social welfare and decent life for citizens.

Dr. Asa Cristina Laurell discusses impact of Seguro Popular in Mexico in new book – ISAGS

The lqurell objective of such governments is to make social and health policies another field for commodification and generation of profit for capital. As for the SUS, only Cuba has built one entirely. The content of the packages of services varies according to the premium, and public funds are often used to subsidize the market.

The reasons are varied and complex, of an economic, political, institutional, and ideological order, or rather a mixture of the above. In the former, it has proven impossible to replace the preexisting public lajrell with another, market-centered and private system without encountering serious problems. The three most well-known national cases of this model are Chile, Colombia, and Mexico, which nevertheless have some differences 3. The majority of the leftist governments have written into their constitutions the SUS as a duty of the state, but xsa have also experienced institutional problems in its construction.


Mapeo de la APS en Brasil. The solution proposed by the Colombian government, to condition the right to health on sufficient budget resources, was defeated through a broad cristinw of different sectors of the population in which health workers played an important role 7. It also reinforces the notion of the public system as a poor system for the poor.

Dr. Asa Cristina Laurell discusses impact of Seguro Popular in Mexico in new book

Nevertheless, when such policies are insufficiently or incorrectly implemented, they not only fail to serve their purpose, but can become an important source of de-legitimation and popular discontent. Consejo Latinoamericano de Ciencias Sociales; Besides, insurance coverage does not guarantee access to the required services, for two luarell. The scenario in countries with neoliberal governments is quite different.

There is also a sustained effort at building a public system focused on comprehensive, integrated primary care. Salud Colect ; 6: Services on Demand Journal. Nevertheless, not only the neoliberal governments or states, minimal or modernized, but also social welfare, leftist, or progressive governments have experienced problems in implementing their respective health policies that apparently would correspond to their political ideology. La Segunda Reforma de Salud: