Barrio Adentro
VENEZUELAN HEALTH REFORMS Venezuela's Barrio Adentro: Participatory Democracy, South-South Cooperation and Health Care for All Carles Muntaner, MD, PhD,1,2, Francisco Armada, MD, PhD2, Haejoo Chung, RPh, PhD2, Rosicar Mata3, Leslie Williams-Brennan, Bsc, BScN, RN2 and Joan Benach, MD, PhD4 Preface to improve quality of life; thus, Latin America In the 1990s Latin American countries, with the remains the region of the world with the greatest exception of Cuba, undertook reforms in their inequalities between social classes. health systems. In general, they followed a pattern These persistent inequalities have motivated a similar to that adopted in other parts of the world variety of political responses in Latin America, by pursuing a neoliberal agenda that included the including proposals advocated by liberal left-wing promotion of changes designed to achieve greater sectors in various countries of the region that are participation of the private sector in the funding contrary to neoliberalism and include the and delivery of health services. Despite the promotion of policies to reverse privatization of different modes of reform, all strengthened the health care while asserting it as a right guaranteed view of health as a consumer commodity and by the state. The amendments to the Venezuelan favored abandonment of the concept of health care health system are one of the earliest examples of as a right guaranteed by the state. Most of the this type of reform. From 1999 onward, after a changes implemented corresponded to the policies decade of implementing neoliberal policies, a of structural adjustment, in accordance with the marked adjustment in the health system was neoliberal paradigm recommended by initiated to establish health as a fundamental right international financial institutions with the aim of guaranteed by the state in a context of broad guaranteeing payments of the external debt (1-4).
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