[Neoliberal reinvention of inequality in Chile: the case of the health sector].
This paper examines the main changes in the Chilean health system from the 1920s to the present, identifying contradictions, limits, and successes in terms of policy outcomes. Taking equity as the central theme, the analysis focuses on decisions made from the mid-1920s until 1973 in moving toward socialized medicine, with the sudden interruption of this process by the military coup in 1973. The author then discusses the set of regressive measures taken by authoritarian neoliberalism, with the help of Pinochet, to insert health into the market economy. Finally, the article analyzes efforts made by democratic administrations since 1990 to redress the legacy of socioeconomic inequalities, focusing on the commitment to rebuild the health care system with a new basis in equity, solidarity, and people's participation.
Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, 21041-210, Brasil. labra@ensp.fiocruz.br
Maria Eliana
ME
Labra
D002677:Chile; D003695:Delivery of Health Care / Q000191:economics / Q000639:trends*; D006291:Health Policy; D006304:Health Status; D006801:Humans; D011050:Policy Making; D011057:Politics; D012935:Social Justice; D012959:Socioeconomic Factors