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Maria Amparo Cruz-Saco - Do Options Exist?: The Reform of Pension and Health Care Systems in Latin America

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This timely volume brings together specialists on the reform of social security systems to analyze the similarities and differences of those health care and pension reforms that have taken place since the early 1990s and suggests possible gains through recent or contemplated revisions to those systems. Contributors: Mariela Arenas; Alberto Arenas de Mesa; Julin Bertranou; Silvia Borzutzky; Miguel Eduardo Crdenas Rivera; Brian Cartin; Ricardo C-rdova Macas; Aldo Isuani; Cheikh Kanerical information, wide ranging across large and small Latin American countries, and firmly focused on the reform of pension and health care systems, this comprehensive book is likely to become the standard reference work on its subjects. To my knowledge, no other book accomplishes so much in these areas. - Jorge Domnguez, The Center for International Affairs, Harvard University With a wealth of detail on a dozen major countries in Latin America, this edited volume demonstrates that there is no single path to reform of social protection. The editors summary and recommendations remind those seeking simple solutions that each national experience precludes applying one-size-fits-all formulae. Globalization may push all governments toward slimmer safety nets, but incumbent stakeholders will resist, draw out, and attenuate moves toward greater equity and efficiency. Thisam McGreevey, Director, Development Economics, The Futures Group Intl and Principal Economist, The World Bank The sound and insightful analysis in this volume asssesses a variety of social security and health care schemes in Latin America, where policy issues havtilateral organizations, including the InterAmerican Development Bank, the World Bank, and the Acuerdo de Cartagena, and official agencies such as the government of Paraguay and vice president of development at the Corporacon Financiera de Desarrollo in Peru.

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title Do Options Exist The Reform of Pension and Health Care Systems in - photo 1

title:Do Options Exist? : The Reform of Pension and Health Care Systems in Latin America Pitt Latin American Series
author:Cruz Saco, Mara Amparo.
publisher:University of Pittsburgh Press
isbn10 | asin:0822940795
print isbn13:9780822940791
ebook isbn13:9780585043920
language:English
subjectPensions--Latin America, Social security--Latin America, Health care reform--Latin America.
publication date:1998
lcc:HD7130.5.D6 1998eb
ddc:368
subject:Pensions--Latin America, Social security--Latin America, Health care reform--Latin America.
Page i
Do Options Exist?
Page ii
PITT LATIN AMERICAN SERIES
Billie R. DeWalt, General Editor
Reid Andrews, Associate Editor
Carmen Diana Deere, Associate Editor
Jorge I. Domnguez, Associate Editor
Page iii
Do Options Exist?
The Reform of Pension and Health Care Systems in Latin America
Edited by
Mara Amparo Cruz-Saco
and Carmelo Mesa-Lago
UNIVERSITY OF PITTSBURGH PRESS
Page iv
Published by the University of Pittsburgh Press, Pittsburgh, Pa. 15261
Copyright 1998, University of Pittsburgh Press
All rights reserved
Manufactured in the United States of America
Printed on acid-free paper
10 9 8 7 6 54 3 2 1
A CIP catalog record for this book is available from
the Library of Congress and the British Library.
Page v
CONTENTS
Abbreviations
vii
1 Introduction: Context and Typology of Reform Models
Mara Amparo Cruz-Saco Oyague
1
Part 1. Reforms in Place: Pensions
2 Chile: The Politics of Privatization
Silvia Borzutsky
35
3 The Chilean Pension System: Evaluation, Lessons, and Challenges
Carmelo Mesa-Lago And Alberto Arenas De Mesa
56
4 Mexico: The Politics of the System for Retirement Pensions
Julin F Bertranou
85
5 Social Security Reform in El Salvador
Carmelo Mesa-Lago And Ricardo Crdova Madcs
109
6 The New Argentine Social Security System: A Mixed Model
Ernesto Aldo Isuani And Jorge Antonio San Martino
130
7 The Pension System in Uruguay: A Delayed Reform
Jorge Papadpulos
150
8 The Pension System Reform in Peru: Economic Rationale Versus Political Will
Mara Amparo Cruz-Saco Oyague
165
9 The Colombian Social Security Reform: Between Competition and Solidarity
Miguel Eduardo Crdenas Rivera
186

Page vi
Part 2. Reforms in Place: Health Care
10 Chile: The Effectiveness of the Reform
Brian Cartin
205
11 Health Sector Reform: A Financial-Service Flow Model and the Colombian Case
Gerard M. La Forgia
225
12 Health Care Reform in Brazil: Phasing Change
Maureen Lewis And Andr Medici
267
Part 3. Reforms Under Study
13 Reforming the Brazilian Pension System
Cheikh T Kane
293
14 Social Security in Ecuador: Mixed or Substitutive Reform
Rubn M. Lo Vuolo And Carmelo Mesa-Lago
310
15 Poverty of Social Security in Guatemala: The Need for a Structural Reform
Mara Amparo Cruz-Saco Oyague
332
16 Social Security in Venezuela: Diagnosis and Reform
Carmelo Mesa-Lago And Mariela Arenas
354
17 Conclusion: Conditioning Factors, Cross-Country Comparisons, and Recommendations
Mara Amparo Cruz-Saco Oyague And Carmelo Mesa-Lago
377
Contributors
429
Index
433

Page vii
ABBREVIATIONS USED THROUGHOUT THIS BOOK
AFAP
Administradora de Fondos de Previsin Social, Uruguay
AFJP
Administradora de Fondos de Jubilaciones y Pensiones, Argentina
AFORE
Administradora de Fondos de Retiro, Mexico
AFP
Administadora de Fondos de Pensiones, Chile and Peru
AD
Alianza Democrtica (Social Democrats), Venezuela
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