The health insurance market: lessons on the conflict between equivalence and solidarity
Includes bibliography
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2014
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Acceso en línea: | http://hdl.handle.net/11362/11608 |
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oai-11362-116082020-03-06T16:50:27Z The health insurance market: lessons on the conflict between equivalence and solidarity Uthoff, Andras Campusano, Rolando Sánchez, José Miguel SALUD SEGURO DE ENFERMEDAD SERVICIOS DE SALUD FINANCIACION SOLIDARIDAD RIESGO DERECHO A LA SALUD SECTOR PUBLICO SECTOR PRIVADO ESTUDIOS DE CASOS HEALTH HEALTH INSURANCE HEALTH SERVICES FINANCING SOLIDARITY RISK RIGHT TO HEALTH PUBLIC SECTOR PRIVATE SECTOR CASE STUDIES Includes bibliography 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. 2014-01-02T18:46:09Z 2014-01-02T18:46:09Z 2012-12 Texto Sección o Parte de un Documento http://hdl.handle.net/11362/11608 LC/G.2549-P en CEPAL Review CEPAL Review 108 application/pdf CHILE CHILE |
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Cepal |
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Cepal |
language |
English |
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SALUD SEGURO DE ENFERMEDAD SERVICIOS DE SALUD FINANCIACION SOLIDARIDAD RIESGO DERECHO A LA SALUD SECTOR PUBLICO SECTOR PRIVADO ESTUDIOS DE CASOS HEALTH HEALTH INSURANCE HEALTH SERVICES FINANCING SOLIDARITY RISK RIGHT TO HEALTH PUBLIC SECTOR PRIVATE SECTOR CASE STUDIES |
spellingShingle |
SALUD SEGURO DE ENFERMEDAD SERVICIOS DE SALUD FINANCIACION SOLIDARIDAD RIESGO DERECHO A LA SALUD SECTOR PUBLICO SECTOR PRIVADO ESTUDIOS DE CASOS HEALTH HEALTH INSURANCE HEALTH SERVICES FINANCING SOLIDARITY RISK RIGHT TO HEALTH PUBLIC SECTOR PRIVATE SECTOR CASE STUDIES Uthoff, Andras Campusano, Rolando Sánchez, José Miguel The health insurance market: lessons on the conflict between equivalence and solidarity |
description |
Includes bibliography |
format |
Texto |
author |
Uthoff, Andras Campusano, Rolando Sánchez, José Miguel |
author_facet |
Uthoff, Andras Campusano, Rolando Sánchez, José Miguel |
author_sort |
Uthoff, Andras |
title |
The health insurance market: lessons on the conflict between equivalence and solidarity |
title_short |
The health insurance market: lessons on the conflict between equivalence and solidarity |
title_full |
The health insurance market: lessons on the conflict between equivalence and solidarity |
title_fullStr |
The health insurance market: lessons on the conflict between equivalence and solidarity |
title_full_unstemmed |
The health insurance market: lessons on the conflict between equivalence and solidarity |
title_sort |
health insurance market: lessons on the conflict between equivalence and solidarity |
publishDate |
2014 |
url |
http://hdl.handle.net/11362/11608 |
work_keys_str_mv |
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_version_ |
1718433565247537152 |