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Social Exclusion and the Two-Tiered Healthcare System of Brazil

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  • Denisard Alves
  • Christopher Timmins

Abstract

In Brazil, there exists a two-tiered system of healthcare access. Those with sufficient means have access to a private system of healthcare that provides quality treatment on demand, while the remainder of the country relies on an overburdened system of public clinics and hospitals. Household survey data are used to determine which socio-demographic groups rely most on this public healthcare system. Current demographic trends suggest that the public healthcare infrastructure will become more and more heavily used in the coming decades. A stylized model of healthcare choice is estimated, and its parameters are used to conduct counterfactual simulations of the welfare implications of this increased congestion, and of policies to offset it, like private healthcare subsidies.

Suggested Citation

  • Denisard Alves & Christopher Timmins, 2001. "Social Exclusion and the Two-Tiered Healthcare System of Brazil," Research Department Publications 3132, Inter-American Development Bank, Research Department.
    • Handle: RePEc:idb:wpaper:3132
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    References listed on IDEAS

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    1. David M. Cutler & Ellen Meara, 1998. "The Medical Costs of the Young and Old: A Forty-Year Perspective," NBER Chapters, in: Frontiers in the Economics of Aging, pages 215-246, National Bureau of Economic Research, Inc.
    2. Parker, Susan W. & Wong, Rebeca, 1997. "Household income and health care expenditures in Mexico," Health Policy, Elsevier, vol. 40(3), pages 237-255, June.
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    Cited by:

    1. Denisard Alves & Walter Belluzzo, 2005. "Salud y mortalidad infantil en Brasil," Research Department Publications 3188, Inter-American Development Bank, Research Department.
    2. repec:pru:wpaper:22 is not listed on IDEAS
    3. Alves, Denisard & Belluzzo, Walter, 2004. "Infant mortality and child health in Brazil," Economics & Human Biology, Elsevier, vol. 2(3), pages 391-410, December.
    4. repec:pru:wpaper:24 is not listed on IDEAS
    5. Miller, Chad A. & Wilkins, Clara L. & de Paula Couto, Clara & Farias, Jéssica & Lisnek, Jaclyn A., 2023. "Anti-Black attitudes predict decreased concern about COVID-19 among Whites in the U.S. and Brazil," Social Science & Medicine, Elsevier, vol. 320(C).
    6. Denisard Alves & Walter Belluzzo, 2005. "Child Health and Infant Mortality in Brazil," Research Department Publications 3187, Inter-American Development Bank, Research Department.
    7. Ahmed Mushfiq Mobarak & Andrew Sunil Rajkumar & Maureen Cropper, 2011. "The Political Economy of Health Services Provision in Brazil," Economic Development and Cultural Change, University of Chicago Press, vol. 59(4), pages 723-751.
    8. Acuna, Jorge A. & Cantarino, Daniela & Martinez, Rodrigo & Zayas-Castro, José L., 2024. "A two-stage stochastic game model for elective surgical capacity planning and investment," Socio-Economic Planning Sciences, Elsevier, vol. 91(C).

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