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Work-related illness, work-related accidents, and lack of social security in Colombia

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  • Buitrago Echeverri, María Teresa
  • Abadía-Barrero, César Ernesto
  • Granja Palacios, Consuelo

Abstract

The impacts of neoliberal or market-based social security reforms in health have been extensively studied. How such reforms transformed employment-related insurance and entitlements, however, has received significantly less attention. This study aims to understand how the employment insurance system operates in Colombia and to assess how the experience of workers seeking social security entitlements relates to the system's structure. We conducted an ethnographic study of the Colombian Occupational Risk System between May 2014 and March 2016, with two main components: 1) analysis of the system itself through in-depth interviews with 32 people working in leadership positions and a systematic review of the system's most important legislation, and 2) a study of people who experienced problems receiving entitlements and were challenging the assessment of their work-related illness or accident. We conducted in-depth interviews with 22 people, followed up with half of them, and reviewed their case files. We found that difficulties accessing health care services, payments for medical leave, job reassignments, severance packages, and filing for pension benefits were common to all cases and resulted from overwhelming bureaucratic and administrative demands. Regional and national evaluation bodies dictate whether a given illness or accident is work-related, and establish a percentage of Loss of Wage Earning Capacity (LWEC). People's disabled bodies rarely reached the threshold of 50% LWEC to qualify for disability pensions. The lengthy process that workers were forced to endure to obtain work-related entitlements always involved the judiciary. The three competing for-profit financial sectors (health insurance, pension funds, and Occupational Risk Administrators) actively challenged workers' demands in order to increase their profits. We conclude that these for-profit sectors work contrary to the principles that sustain social security. Indeed, they push sick and disabled workers to unemployment, informality, economic dependence, and ultimately dire poverty.

Suggested Citation

  • Buitrago Echeverri, María Teresa & Abadía-Barrero, César Ernesto & Granja Palacios, Consuelo, 2017. "Work-related illness, work-related accidents, and lack of social security in Colombia," Social Science & Medicine, Elsevier, vol. 187(C), pages 118-125.
    • Handle: RePEc:eee:socmed:v:187:y:2017:i:c:p:118-125
    DOI: 10.1016/j.socscimed.2017.06.030
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    References listed on IDEAS

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    1. Hurtado, David & Kawachi, Ichiro & Sudarsky, John, 2011. "Social capital and self-rated health in Colombia: The good, the bad and the ugly," Social Science & Medicine, Elsevier, vol. 72(4), pages 584-590, February.
    2. Hartmann, C., 2016. "Postneoliberal public health care reforms: Neoliberalism, social medicine, and persistent health inequalities in Latin America," American Journal of Public Health, American Public Health Association, vol. 106(12), pages 2145-2151.
    3. Sojo, Ana, 2003. "Vulnerabilidad social, aseguramiento y diversificación de riesgos en América Latina y el Caribe," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), August.
    4. Daniel Titelman & Andras Uthoff, 2005. "The Role of Insurance in Social Protection in Latin America," International Social Security Review, John Wiley & Sons, vol. 58(2‐3), pages 43-69, July.
    5. Mridula Ghai, 2015. "A model for universal social security coverage: The experience of the BRICS countries," International Social Security Review, John Wiley & Sons, vol. 68(3), pages 99-118, July.
    6. Iriart, Celia & Elías Merhy, Emerson & Waitzkin, Howard, 2001. "Managed care in Latin America: the new common sense in health policy reform," Social Science & Medicine, Elsevier, vol. 52(8), pages 1243-1253, April.
    7. Grushka, Carlos O. & Demarco, Gustavo, 2003. "Disability pensions and social security reform : analysis of the Latin American experience," Social Protection Discussion Papers and Notes 29139, The World Bank.
    8. Ewig, Christina & Bello, Amparo Hernández, 2009. "Gender equity and health sector reform in Colombia: Mixed state-market model yields mixed results," Social Science & Medicine, Elsevier, vol. 68(6), pages 1145-1152, March.
    9. Abadia, Cesar Ernesto & Oviedo, Diana G., 2009. "Bureaucratic Itineraries in Colombia. A theoretical and methodological tool to assess managed-care health care systems," Social Science & Medicine, Elsevier, vol. 68(6), pages 1153-1160, March.
    10. Lydia FRAILE, 2009. "Lessons from Latin America's neo-liberal experiment: An overview of labour and social policies since the 1980s," International Labour Review, International Labour Organization, vol. 148(3), pages 215-233, September.
    11. Cuesta, Jose & Olivera, Mauricio, 2014. "The impact of social security reform on the labor market: The case of Colombia," Journal of Policy Modeling, Elsevier, vol. 36(6), pages 1118-1134.
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