Reassembling Social Security: A Survey of Pensions and Health Care Reforms in Latin America

Paperback | April 8, 2012

byCarmelo Mesa-Lago

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The reform of social security pensions and healthcare is a key issue for the modern world, and in many ways Latin America has acted as a social laboratory for the reform of these systems. From the reforms that took place in Chile in 1981, most pension and health care systems in the region haveseen reform, and been fully or partially privatized. Many other countries considering reform of their own systems have been influenced by the policies implemented in Latin America. Yet despite the importance and influence of these reforms, until now there has not been an integrated and comprehensive analysis of the changes and their effects. This book is the result of four years of painstaking work, data collection, field research, and international collaboration, and so fillsthe vacuum in the literature with a systematic comparison of pension and healthcare reforms in the 20 Latin American countries. It identifies reform models, and elaborates taxonomies to facilitate their understanding and comparison. Some key features of the reforms to emerge are: labour force and population coverage, equity and solidarity, sufficiency and quality of benefits, state regulation, competition and degree ofprivatization, efficiency and administrative costs, social participation in management, financing sources and long-term sustainability. Effects of the reforms on social security principles are measured based on recent standardized statistics and other information. Goals or assumptions of the reformsare contrasted with actual outcomes, and the pros and cons of private versus private provision assessed. Detailed policy recommendations are offered to correct current problems and improve pension and healthcare systems. This is the first book to comprehensively study these influential reforms in Latin America's pension and health care systems, and as such will be of importance to academics and researchers interested in social security and welfare policy, pensions, health care, and public policy; social security,pension, and health care policy-makers; and social security, pension, and health care consultants and practitioners.

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The reform of social security pensions and healthcare is a key issue for the modern world, and in many ways Latin America has acted as a social laboratory for the reform of these systems. From the reforms that took place in Chile in 1981, most pension and health care systems in the region haveseen reform, and been fully or partially pr...

Carmelo Mesa-Lago is Distinguished Service Professor Emeritus of Economics and Latin American Studies at the University of Pittsburgh and has been a visiting professor or researcher in Argentina, Germany, Mexico, Spain, Uruguay, United Kingdom, and the United States, as well as a lecturer in 36 countries in Asia, Europe, Latin America...

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Format:PaperbackDimensions:480 pagesPublished:April 8, 2012Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199644616

ISBN - 13:9780199644612

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Table of Contents

Preamble: Reassembling Social Security in Latin AmericaPart I: The State of Pension and Health Care in the Region Before the Reforms1. Social Security Principles, their Enforcement in Latin America, and Modifications by the ReformsPart II: Pension Reforms and Their Effects2. Pension Reforms: Taxonomy, Objectives, and Actors3. Effects on Coverage, Equal Treatment, Solidarity, and Comprehensiveness/Sufficiency4. Effects on Unity, State Responsibility, Efficiency, and Social Participation5. Effects on Financial Sustainability and New Reform GoalsPart III: Health Care Reforms and their Effects6. Healthcare Reforms: Taxonomy, Objectives, Actors7. Effects on Universal Coverage8. Effects on Equal Treatment, Solidarity, and Comprehensiveness/Sufficiency9. Effects on Unity, State Responsibility, Efficiency, and Social Participation10. Effects on Financial Sustainability and EfficacyPart IV: Towards a Better Social Security in the Future11. Policies on Pensions and Healthcare

Editorial Reviews

"This comprehensive volume is written by the most knowledgeable expert on Latin American pension and health care issues, a long-standing observer of social policy making on the subcontinent. His razor-sharp analysis and recommendations deserve many readers in Latin America and beyond." --Dr. Katharina Mueller, Professor of Social Policy, Mannheim University of Applied Sciences