The health insurance market: lessons on the conflict between equivalence and solidarity
- Author(s):
-
Uthoff, Andras |
-
Campusano, Rolando |
- Sánchez, José Miguel
- Date Issued:
- 2012-12
- Serie:
- CEPAL Review
- UN symbol:
- Published in:
- CEPAL Review No.108
Health-care systems are highly diverse, sometimes even sharing few basic aspects of design. In developing countries, demographic profiles, poverty, the labour market and public finances are such that a comprehensive approach to solidarity -combining contributory and non-contributory mechanisms- is essential. In 1981, Chile redesigned the contributory component of its system by means of private health-insurance companies. The rationale of private, individual insurance runs counter to the ethical imperatives of contracts based on social rights. In Europe, this dilemma has been tackled using risk-levelling mechanisms that resolve the conflict between accessibility, efficiency and selection. In Chile, competitive health insurance companies (Isapres) coexist with a solidarity-based State alternative, the National Health Fund (FONASA). The Isapres engage in aggressive risk selection. The challenge for health policy is to integrate the two systems to balance the principles of equivalence and solidarity.
Show full data
- Physical description:
- UN symbol:
- Physical location:
- Type of document:
- Bibliographic level:
- Notes:
- Show full item record
Downloadable Files
This item appears in the following Collection(s)
-
Revista CEPAL [2903]
Related items
Showing items related by title, author, creator and subject.
El mercado de seguros de salud: lecciones sobre el conflicto entre equivalencia y solidaridad
- Author(s):
- Uthoff, Andras |
- Campusano, Rolando |
- Sánchez, José Miguel
- Serie:
- No.
- 108
- Date Issued
- 2012-12
- Physical Description
- grafs., tabls.
- p. 147-167
- UN symbol:
Los sistemas de salud presentan una notable diversidad, sin llegar a consensos en aspectos fundamentales de diseño. En países en desarrollo, los perfiles de demografía, pobreza, mercado de trabajo y finanzas públicas obligan a plantearse una solidaridad integral, combinando mecanismos contributivos...
Pension funds, the financing of transition costs and financial markets development: lessons from the Chilean privatization reform
- Author(s):
- Uthoff, Andras
- Corporate Author(s):
- NU. CEPAL. Unidad de Financiamiento
- Date Issued
- 1998-06-26
- Physical Description
- 28 p. : diagrs., tabls.
- UN symbol:
Public policy for pensions, health and sickness insurance: potential lessons from Sweden for Latin America
- Author(s):
- Palmer, Edward
- Corporate Author(s):
- NU. CEPAL |
- NU. CEPAL. Unidad de Estudios Especiales |
- Swedish International Development Cooperation Agency
- Serie:
- No.
- 179
- Date Issued
- 2006-07
- Physical Description
- 53 p. : gráfs., tabls.
- UN symbol:
Abstract This paper discusses the rationale of social insurance and social insurance institutions as they have emerged and developed in economically mature nations. The aim of the paper is to present discuss experience in a perspective that can be useful for discussions in Latin America. Key is...
The role of insurance in social protection
- Author(s):
- Titelman Kardonsky, Daniel |
- Uthoff, Andras
- Serie:
- No.
- 81
- Date Issued
- 2003-12
- Physical Description
- p. 99-117
- UN symbol:
Social protection systems have to cope with large
discrepancies between the financing needed to cover demand
and the resources actually available. For this reason, it is
necessary for any reform proposal to include elements of
cost restraint as well as measures to increase the population
coverage ...