Do Options Exist?: The Reform Of Pension And Health Care Systems In Latin America Reform Of Pension And Health Care Systems In Latin America

This timely volume brings together specialists on the reform of social security systems to analyze the similarities and differences of those health care and pension reforms that have taken place since the early 1990s and suggests possible gains through recent or contemplated revisions to those systems. Contributors: Mariela Arenas; Alberto Arenas de Mesa; Julin Bertranou; Silvia Borzutzky; Miguel Eduardo Crdenas Rivera; Brian Cartin; Ricardo C-rdova Mac'as; Aldo Isuani; Cheikh Kanerical information, wide ranging across large and small Latin American countries, and firmly focused on the reform of pension and health care systems, this comprehensive book is likely to become the standard reference work on its subjects. To my knowledge, no other book accomplishes so much in these areas." - Jorge Dom'nguez, The Center for International Affairs, Harvard University "With a wealth of detail on a dozen major countries in Latin America, this edited volume demonstrates that there is no single path to reform of social protection. The editors' summary and recommendations remind those seeking simple solutions that each national experience precludes applying one-size-fits-all formulae. Globalization may push all governments toward slimmer safety nets, but incumbent stakeholders will resist, draw out, and attenuate moves toward greater equity and efficiency. Thisam McGreevey, Director, Development Economics, The Futures Group Int'l and Principal Economist, The World Bank "The sound and insightful analysis in this volume asssesses a variety of social security and health care schemes in Latin America, where policy issues havtilateral organizations, including the InterAmerican Development Bank, the World Bank, and the Acuerdo de Cartagena, and official agencies such as the government of Paraguay and vice president of development at the Corporac'on Financiera de Desarrollo in Peru. Analisa As Reformas Nos Sistemas Previdenciário E De Saúde Pública Do Chile, México, Argentina, El Salvador, Uruguai, Peru, Colômbia, Brasil, Equador, Guatemala E Venezuela, Ressaltando As Condições E Fatores Que Afetam Cada Tipo De Reforma, Comparando As Principais Características Estruturais Das Reformas E Formulando Recomendações Para A Elaboração De Políticas De Seguridade Social. Introduction : Context And Typology Of Reform Models / María Amparo Cruz-saco Oyague -- Chile : The Politics Of Privatization / Silvia Borzutsky -- The Chilean Pension System : Evaluation, Lessons, And Challenges / Carmelo Mesa-lago And Alberto Arenas De Mesa -- Mexico : The Politics Of The System For Retirement Pensions / Julián F. Bertranou -- Social Security Reform In El Salvador / Carmelo Mesa-lago And Ricardo Córdova Macías -- The New Argentine Social Security System : A Mixed Model / Ernesto Aldo Isuani And Jorge Antonio San Martino -- The Pension System In Uruguay : A Delayed Reform / Jorge Papadópulos -- The Pension System Reform In Peru : Economic Rationale Versus Political Will / María Amparo Cruz-saco Oyague -- The Colombian Social Security Reform : Between Competition And Solidarity / Miguel Eduardo Cárdenas Rivera -- Chile : The Effectiveness Of The Reform / Brian Cartin -- Health Sector Reform : A Financial-service Flow Model And The Colombian Case / Gerard M. La Forgia -- Health Care Reform In Brazil : Phasing Change / Maureen Lewis And André Medici -- Reforming The Brazilian Pension System / Cheikh T. Kane -- Social Security In Ecuador : Mixed Or Substitutive Reform / Rubén M. Lo Vuolo And Carmelo Mesa-lago -- Poverty Of Social Security In Guatemala : The Need For Structural Reform / María Amparo Cruz-saco Oyague -- Social Security In Venezuela : Diagnosis And Reform / Carmelo Mesa-lago And Mariela Arenas -- Conclusion : Conditioning Factors, Cross-country Comparisons, And Recommendations / María Amparo Cruz-saco Oyague And Carmelo Mesa-lago. Edited By María Amparo Cruz-saco And Carmelo Mesa-lago. Includes Bibliographical References And Index. Social security in Latin America has encompassed a broad variety of programs designed to protect workers from the risks of old age, disability, death, common illness, maternity, occupational hazards, and unemployment. In the early 1990s, several Latin American countries implemented structural social security reforms, particularly in health care and in pensions. The contributors to these essays discuss, for the first time anywhere, the theoretical context in which the reforms are taking place, their main attributes, their successes and failures, and recommendations for prospective reformers. The national reforms documented in this book show that it is possible to find a pattern that characterizes the reform process. In addition to pointing out the opportunities for reform that presented themselves in various Latin American nations, the essays also evaluate the equity and welfare implications of the reforms. This work will be necessary reading for scholars of contemporary Latin America and professionals concerned with social security, health care, and social administration.