Fiscal Policy, Inequality, and the Ethnic Divide in Guatemala

Cabrera, Maynor; Lustig, Nora; Morán, Hilcías E.

doi:10.1016/j.worlddev.2015.07.008

Cited by 68 publications

(51 citation statements)

References 19 publications

(5 reference statements)

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“…Another significant barrier for indigenous persons, who suffer from rates of poverty nearly double than those of their non-indigenous counterparts in Guatemala,22 is the high cost of medical care. In Guatemala, healthcare for chronic diseases has become increasingly privatised since the 1990s.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Myxoedema in a patient with achondroplasia in rural area of Guatemala

Juarez

Rohloff²

2017

BMJ Case Reports

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A 43-year-old indigenous Guatemalan woman with achondroplasia presented to our clinic with chronic fatigue and generalised oedema. She had limited contact with the formal healthcare system. However, 1 year prior, she had sought medical evaluation from a private physician. Her symptoms had been attributed to a combination of heart failure and physical disability due to the musculoskeletal complications of her achondroplasia. She was lost to follow-up due to inability to pay for further testing or treatment. On initial laboratory evaluation in our clinic, she was found to have a thyrotropin level greater than assay. With initiation of oral levothyroxine supplementation, her dyspnoea and oedema completely resolved. The case illustrates how indigenous patients in rural Guatemala experience many barriers to accessing high-quality medical care. As a result, presentations of common illnesses are often very advanced and definitive diagnoses and treatments are frequently delayed.

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Section: Global Health Problem Analysismentioning

confidence: 99%

Myxoedema in a patient with achondroplasia in rural area of Guatemala

Juarez

Rohloff²

2017

BMJ Case Reports

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“…Nonetheless, at the minimum, the design of transfer programs should avoid exacerbating ethnoracial inequalities. As discussed above, this is the case with the Special Circumstances Author's calculations based on Cabrera, Lustig, and Moran (2015).…”

Section: Discussionmentioning

confidence: 95%

“…Guatemala does not have an official poverty line either. For the purpose of this analysis, Cabrera, Lustig, and Moran (2015) defined the extreme poverty line as the amount needed to purchase a basic basket of food, or $2.03 per day in 2005 purchasing power parity dollars. To put these lines in perspective, the World Bank defines extreme poverty in Latin America with a poverty line that equals $2.50 per day in 2005 purchasing power parity dollars.…”

Section: Fiscal Policy Inequality and Poverty In The Ethnoracial Spacementioning

confidence: 99%

Fiscal Redistribution and Ethnoracial Inequality in Bolivia, Brazil, and Guatemala

Lustig¹

2022

Lat. American Res. Rev.

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Afro-descendants and indigenous peoples in Latin America face higher poverty rates and are disproportionately represented among the poor. The probability of being poor is between two and three times higher for indigenous and Afro-descendants than whites. Using comparable fiscal incidence analyses for Bolivia, Brazil, and Guatemala, I analyze how much poverty and inequality change in the ethnoracial space after fiscal interventions. Although taxes and transfers tend to reduce the ethnoracial gaps, the change is very small. While per capita cash transfers tend to be higher for the nonwhite population, spending on these programs is too low, especially when compared with the disproportionate number of poor people among nonwhites.

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“…Poverty is exacerbated in rural areas were the rate reaches 77.2% (Economic Commission for Latin America and the Caribbean, 2017) ( Figure 3). With an average Human Development Index (HDI) of 0.628 for 2014 (UNDP, 2014), Guatemala ranked 125th out of 187 countries worldwide, above Haiti, Honduras and Nicaragua (Cabrera, 2015).…”

Section: Guatemala's Forest Management Contextmentioning

confidence: 99%