Beyond Survival: Protecting Households from Health Shocks in Latin AmericaWorld Bank Publications, 2006 M06 20 - 192 pages 'Beyond Survival' breaks new ground in the ongoing debate about health finance and financial protection from the costs of health care. The evidence and discussion support the need to consider financial protection, in addition to health status, as a policy objective when setting priorities for health systems. This book reviews the Latin American experience with health reform in the last 20 years and the fundamentals of health system financing, using new evidence to show the magnitude and mechanisms that determine the impoverishing effects of health events (diseases, accidents, and those of the life cycle). It provides options for policy makers on how to protect, and help household to protect themselves,against this impoverishment. The authors use empirical evidence from six case studies commissioned for this report, on Argentina, Chile, Colombia, Ecuador, Honduras, and Mexico. This book provides policy makers with a solid conceptual basis for decisions on the contents of mandatory health insurance benefit packages, choices of financing mechanisms, and the roles of public policy in this field. 'Beyond Survival' provides an in-depth analysis of, and organizational alternatives for, risk pooling and health insurance for financial protection. It analyzes the urgent need to extend risk pooling to the informal sector, the challenges for current social insurance arrangements, and options for policy makers to effectively extend risk pooling to the informal sector. |
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adverse selection Argentina Baeza benefits package Caribbean challenge Chile Colombia consumption contribution-benefits gap contributory risk pooling costs country’s covered delinking delivery economic Ecuador effective efficiency ensure equity subsidies example explicit Figure financial protection fiscal sustainability FONASA formal workers health expenditures health finance health sector reform health shocks health status health system Honduras impoverishing improve incentive framework income quintile increase individuals interventions ISAPREs labor market LAC countries LAC region Latin America lower-income mandated mandatory Mexico middle-income countries Ministry of Health national health services options participation in contributory payroll tax percent policy makers poor population poverty poverty line prevention Private insurers Private providers provider-payment public providers public subsidies Q1 poorest quintile reduce Régimen Subsidiado revenue risk-pooling arrangements risk-pooling organizations risk-pooling schemes risk-rated Salud saving self-employed social health insurance social insurance social security spending on health strategic purchasing taxation tion unsalaried workers Uruguay World Bank
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Page v - This series was created in 2003 to promote debate, disseminate information and analysis, and convey the excitement and complexity of the most topical issues in economic and social development in Latin America and the Caribbean. It is sponsored by the Inter-American Development Bank, the United Nations Economic Commission for Latin America and the Caribbean, and the World Bank. The manuscripts chosen for publication represent the highest quality in each institution's research and activity output,...
Page v - ... disseminate information and analysis, and convey the excitement and complexity of the most topical issues in economic and social development in Latin America and the Caribbean. It is sponsored by the Inter-American Development Bank, the United Nations Economic Commission for Latin America and the Caribbean, and the World Bank. The manuscripts chosen for publication represent the highest quality in each institution's research and activity output, and have been selected for their relevance to the...
Page v - Haber, AA and Jeanne Welch Milligan Professor, Department of Political Science, Stanford University; Peter and Helen Bing Senior Fellow, the Hoover Institution Eduardo Lora, Principal Adviser, Research Department, Inter-American Development Bank Jose Luis Machinea, Executive Secretary, Economic Commission for Latin America and the Caribbean, United Nations Guillermo E. Perry, Chief Economist, Latin America and the Caribbean...
Page xxii - ISSSTE — Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado...
Page 136 - Empire at the end of the 19th century and early in the 20th century, the Arabs never staged a revolt against the Ottomans.
Page 115 - ... funding sources for health care were drastically modified, with 70 percent financed from general taxation and 30 percent from payroll tax contribution. In the mid-1990s, it was agreed that all health financing would come from general taxation, and the payroll tax should be phased out progressively by 2000. In 1999, one year ahead of schedule, the entire health care budget in Spain came from general taxation. Regions in Spain receive health care funding from the central government on a per capita...
Page xix - Bank staff in Mexico to develop adjustment operations needed to support pension reform. Since then he has participated in analytical and lending assistance to support both pension reform and broader efforts to strengthen social insurance. His research focuses on how pensions and social insurance affect the efficiency of labor markets and incentives to save. He holds a Ph.D. in economics from the University of Oxford.
Page 26 - LAC health systems. Within each system, different types of risk-pooling arrangements coexist, creating a complex set of incentives for households trying to cover their health care costs. These incentives not only shape how households decide to face potential financial losses from health shocks, but also influence life-style and economic decisions such as whether to work in the formal or informal sectors of the economy (see chapter 6).
Page 71 - Canada, the United States and other Organisation for Economic Cooperation and Development (OECD...
Page 18 - This function is usually (but not always) a government responsibility. What are the health priorities to which public resources should be targeted? What is the institutional framework in which the system and its many actors should function? Which activities should be coordinated with other systems outside the realm of health care and how (for example, highway safety and food quality control)?