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From Few to Many: Ten Years of Health Insurance Expansion in Colombia

Author

Listed:
  • Giuffrida, Antonio
  • Flórez, Carmen Elisa
  • Giedion, Úrsula
  • Cueto, Enriqueta
  • López, Juan Gonzalo
  • Glassman, Amanda
  • Castaño, Ramón A.
  • Pinto, Diana M.
  • Pardo, Renata
  • Tono, Teresa M.
  • Savedoff, William D.
  • Alfonso, Eduardo Andrés
  • Stone, Leslie F.
  • López, Álvaro
  • Díaz, Beatriz Yadira
  • Escobar, María Luisa
  • Arango, Carlos H.
  • Ruiz Gómez, Fernando
  • Acosta, Olga Lucía

Abstract

From Few to Many is the first comprehensive look at Colombia's 1993 health system reforms. It describes the implementation of universal health insurance, including a subsidized system for the poor, and examines the impact of this and other reforms during a time when Colombia experienced crushing recession and internal conflict that displaced half a million people. Prior to the reforms, a quarter of the Colombian population had health insurance. Subsidies failed to reach the poor, who were vulnerable to catastrophic financial consequences of illness. Yet by 2008, 85 percent of the population benefited from health insurance. From Few to Many describes the challenges and benefits of implementing social health reforms in a developing country, exploring health care financing, institutional reform, the effects of political will on health care, and more. The reforms have provided important lessons not only for continued reform in Colombia, but also for other nations facing similar challenges.

Suggested Citation

  • Giuffrida, Antonio & Flórez, Carmen Elisa & Giedion, Úrsula & Cueto, Enriqueta & López, Juan Gonzalo & Glassman, Amanda & Castaño, Ramón A. & Pinto, Diana M. & Pardo, Renata & Tono, Teresa M. & Savedo, 2009. "From Few to Many: Ten Years of Health Insurance Expansion in Colombia," IDB Publications (Books), Inter-American Development Bank, number 426, November.
    • Handle: RePEc:idb:idbbks:426
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    Citations

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    Cited by:

    1. Lautier, Bruno, 2012. "La diversité des systèmes de protection sociale en Amérique latine," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 11.
    2. Ramiro Guerrero & Sergio I. Prada & Dov Chernichovsky, 2014. "La doble descentralización en el sector salud: evaluación y alternativas de política pública," Cuadernos de Fedesarrollo 12019, Fedesarrollo.
    3. Paola A. Mosquera & Jineth Hernández & Román Vega & Ronald Labonte & David Sanders & Kjerstin Dahlblom & Miguel San Sebastián, 2014. "Challenges of implementing a primary health care strategy in a context of a market-oriented health care system: the experience of Bogota, Colombia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 29(4), pages 347-367, October.

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