PHA-Exchange> Whither equity in health? The state of the poor in Latin America

[claudio at hcmc.netnam.vn]

 from "Ruggiero, Mrs. Ana Lucia (WDC)" <ruglucia at PAHO.ORG> -----
   
Whither equity in health? The state of the poor in Latin America

Los obstáculos de la equidad en salud, o la realidad de los pobres en 
Latinoamérica

Paul Farmer, Department of Social Medicine, Harvard Medical School, Boston, 
U.S.A
Cadernos de Saúde Pública vol.23  suppl.1 Rio de Janeiro  2007

Full text available online at: http://www.scielosp.org/scielo.php?
script=sci_arttext&pid=S0102-311X2007001300002&lng=en&nrm=iso&tlng=en 
<http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-
311X2007001300002&lng=en&nrm=iso&tlng=en>  

PDF [6p.] at: http://www.scielosp.org/pdf/csp/v23s1/02.pdf 
<http://www.scielosp.org/pdf/csp/v23s1/02.pdf>  

"......As Latin American nation states define their public health agendas, the 
notion of public responsibility for health has slowly dissipated, and 
inclinations towards neoliberalism have led to an increasing privatization of 
health care. When it comes to the privatization of health, Haiti has many 
similarities to other parts of Latin America, from the Guatemalan highlands to 
the urban slums of Lima. 

 

Even in Chile, where health indicators rank amongst the best in Latin America, 
there is a growing equity gap in health outcomes. Although in health care the 
application of market forces cannot yield optimal results, health 
professionals have to increasingly work within the paradigm of market forces 
and defensively prove that their interventions are effective and inexpensive. 
Unless the poor are accorded some right to health care, water, food, and 
education, their lives will inevitably be short, desperate and unfree; these 
are not indicators by which we will want to be judged....."

 


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