Restructuring health care financing in Chile

Hunger and Public Action

“…17 See e.g. Ruiz (1980), Foxley and Raczynski (1984), Solimano and Haignere (1984), Scarpaci (1985), Raczynski (1987), Scheetz (1987), Arellano (1988), andFfrench-Davis andRaczynski (1988), among others. Some relevant indicators ( constructed from official statistics) appear in Table 12.3, and they do seem to confirm the latter view.…”

The role of non‐governmental organizations and the private sector in the provision of health care in developing countries

“…One example of this is Latin America, where urban concentrations of skilled labour have led to a growth in this sector. ISAPRES in Chile, for example, perform similar roles to HMOs in the USA; in 1984 the 17 ISAPRES had a total of over 852 000 enrollees out of a total population of approximately 11.2 million (Scarpaci, 1985).…”

“…In addition, in some countries, the private sector has introduced new forms of organization. (Scarpaci, 1985). Many NGOs pride themselves on the use of more appropriate technology and on their degree of innovation in service delivery.…”

Chile after Pinochet: Aylwin's Christian Democrat Economic Policies for the 1990s

“…The unwillingness of the incoming Aylwin administration to engage in irresponsible populist short-term measures was shown by its refusal to match some of the most extravagant promises of the presidential campaign of Francisco Javier ('Fra-Fra') Errazuriz, such as the commitment to provide education and health care free of charge for everyone, and to eliminate the UF (unidad defomento 'unit of development'), the indexation system for mortgages on houses and other forms of long-term borrowing. A substantial share ofthe cost of many of these is met by out-of-pocket payments, which suggests that the well-off use them much more than the poor (Scarpaci, 1985(Scarpaci, ,1987(Scarpaci, ,1988Viveros-Long, 1986). They would encourage certain forms of inefficiency, and in terms of wealth and income redistribution universal benefits are probably regressive, compared with granting these services free of charge only to the poor.…”