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Reassembling Social Security - A Survey of Pensions and Health Care Reforms in Latin America (Hardcover)
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Reassembling Social Security - A Survey of Pensions and Health Care Reforms in Latin America (Hardcover)
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The reform of social security pensions and healthcare is a key
issue for the modern world, and in many ways Latin America has
acted as a social laboratory for the reform of these systems. From
the reforms that took place in Chile in 1981, most pension and
health care systems in the region have seen reform, and been fully
or partially privatized. Many other countries considering reform of
their own systems have been influenced by the policies implemented
in Latin America. Yet despite the importance and influence of these
reforms, until now there has not been an integrated and
comprehensive analysis of the changes and their effects. This book
is the result of four years of painstaking work, data collection,
field research and international collaboration, and so fills the
vacuum in the literature with a systematic comparison of pension
and healthcare reforms in the 20 Latin American countries. It
identifies reform models, and elaborates taxonomies to facilitate
their understanding and comparison. Some key features of the
reforms to emerge are: labour force and population coverage, equity
and solidarity, sufficiency and quality of benefits, state
regulation, competition and degree of privatization, efficiency and
administrative costs, social participation in management, financing
sources and long-term sustainability. Effects of the reforms on
social security principles are measured based on recent
standardized statistics and other information. Goals or assumptions
of the reforms are contrasted with actual outcomes, and the pros
and cons of private versus private provision assessed. Detailed
policy recommendations are offered to correct current problems and
improve pension and healthcare systems. This is the first book to
comprehensively study these influential reforms in Latin America's
pension and health care systems, and as such will be of importance
to academics and researchers interested in social security and
welfare policy, pensions, health care, and public policy; Social
security, pension, and health care policy-makers; And social
security, pension, and health care consultants and practitioners.
Published in association with PAHO
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