By Christian Baeza, Truman Packard, Fernando Montenegro-torres
'Beyond Survival' breaks new flooring within the ongoing debate approximately overall healthiness finance and fiscal safety from the prices of future health care. The proof and dialogue help the necessity to ponder monetary security, as well as well-being prestige, as a coverage aim while surroundings priorities for well-being structures. This ebook reports the Latin American event with overall healthiness reform within the final twenty years and the basics of healthiness method financing, utilizing new proof to teach the importance and mechanisms that ensure the impoverishing results of well-being occasions (diseases, injuries, and people of the existence cycle). It presents ideas for coverage makers on easy methods to safeguard, and support family to guard themselves,against this impoverishment. The authors use empirical facts from six case stories commissioned for this record, on Argentina, Chile, Colombia, Ecuador, Honduras, and Mexico. This publication presents coverage makers with an outstanding conceptual foundation for judgements at the contents of essential medical insurance profit applications, offerings of financing mechanisms, and the jobs of public coverage during this box. 'Beyond Survival' presents an in-depth research of, and organizational choices for, chance pooling and medical insurance for monetary safety. It analyzes the pressing have to expand chance pooling to the casual region, the demanding situations for present social assurance preparations, and innovations for coverage makers to successfully expand threat pooling to the casual region.
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Extra info for Beyond Survival: Protecting Households from Health Shocks (Latin American Development)
Risk-rated premiums are typically associated with voluntary health insurance systems. Recent reforms, however, are changing these typical associations. For example, in Costa Rica a substantial part of the social security system is financed by allocations from general tax revenues in addition to payroll contributions (PAHO 2002). This is similar to Chile, where the national health care fund finances care for indigent groups (Fondo Nacional de Salud—FONASA) (Baeza and Copetta 1999), and Colombia finances most of its subsidized regime (Administradora de Régimen Subsidiado) (Baeza and Cabezas 1998).
While public sector tax revenue performance has more to do with the overall economic and fiscal context of a country and is “beyond the health sector,” both public policy regarding priority of fiscal allocations to the health sector and reforms to improve the efficiency in the health system are clearly decisions that governments make, either explicitly or implicitly. Given existing fiscal sustainability constraints during the transition in most developing countries, worker participation in contributory risk pooling needs to be expanded and efficiency increased in the delivery of publicly financed health services.
Comparing rural and urban residents, the authors discovered that estimations of health production indicate that investments in nutrition are critically important to individuals’ future returns in the labor market. HEALTH SHOCKS, HOUSEHOLD WELFARE, AND THE RISK OF POVERTY 39 The relation between health and income has also been analyzed from the perspective of nutrition among working-age individuals. Economic theories incorporating this association—known as the “efficiency wage” hypothesis—have been argued in the literature since the 1950s.
Beyond Survival: Protecting Households from Health Shocks (Latin American Development) by Christian Baeza, Truman Packard, Fernando Montenegro-torres