The 2006 Issue of the Report on Social Security in the Americas is divided in four chapters. The first two chapters address older-adult issues, the third chapter deals with disability-related problems, and the fourth chapter discusses Social Security agreements in the Americas. In the Presentation, it was pointed out that the objective of the Report on Social Security in the Americas is to become...

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This paper describes the Chilean experience concerning the implementation of a new unemployment insurance (UI) program. The use of individual savings accounts and private management are essential elements. In addition, a redistributive fund (Common Fund) helps workers pool risks, distributing resources from employed to unemployed workers and from stable firms to workers with low incomes and...

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This article examines health sector reforms in Latin America and the Caribbean to discuss the ideological, theoretical, and conceptual elements that inform the reform agenda and the models put forward for attaining greater equity in the region’s countries. Its starting assumption is that the relevant literature generally neglects the economic, social, and political aspects underlying the...

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This paper analyzes the roles of health goods and services markets within the regional integration process. It is a known fact that the consolidation of integrated markets is slower regarding social goods and services (as health and education) than among other goods and services (e.g. durable consumption goods). The paper discusses the nature of the health sector and its global dimension, showing...

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This paper reviews the determinants and conditionalities of the process of universalizing public health in developed countries, notably the European ones, and in Brazil, and is aimed at highlighting their differences. The first part discloses the main interpretations on the constructing of the Welfare State, emphasizing the characteristics of that historical moment and its articulation with...

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The objective of this article is to put in economic perspective the expenditure in health within the pattern of family expenditure of the Mexican households. Information of the National Survey on Income Expenditure of Households (ENIGH) of Mexico of 2004 is analyzed on: structure of the expenditure of the households, expenditure in health and income-expenditure elasticities in health; by...

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This paper aims at analyzing healthcare expenditure and demand of families, by estimating income-elasticity and price-elasticity for ten groups of products using the so-called model Linear Almost Ideal Demand System (LAIDS). The 2002/03 consumer expenditure surveys (POF) of the Fundação Instituto Brasileiro de Geografia e Estatística – FIBGE (Brazilian census bureau) are used, providing extremely...

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This paper raises the point that only few health reforms implemented in Latin American countries modified the existing health systems in order to fix the problems brought by the institutional fragmentation typical of this sector. A great part of these reforms did not implemented the necessary measures to improve coordination among health systems in the prevailing pluralistic model and besides,...

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The Americas Social Security Report 2005, published by the CISS, gathers the contributions, opinions, and comments of more than 30 social security specialists from different countries in the American continent, as well as the review of the most recent literature on this matter. The purpose is to present, to specialized public and to laymen, a detailed, analytic, and updated report of the...

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This paper analyses the factors affecting the decision to apply a reform (parametric and structural) in the Americas, which may hold a specific set of conditions, i.e. a sui generis political system and a high degree of economic openness, among others. Economic freedom is relevant in the case of structural reforms, while results for the share of older population are not conclusive. It may be that...

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This paper analyses the influence of new rights derived from the Social Security System in Brazil after the Federal Constitution (1988). At least, three different and independent forces determinate the arrangements in social security policies: 1) the new social rights created by constitutional rules in response to social pressure; 2) the decrease of employment and wages in salaried jobs imposed...

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The article documents the failure of social security in Mexico as an instrument of social protection and evaluates possible reform strategies. It analyses the truncated coverage of these systems for the most vulnerable, the regressive incidence and horizontal inequities of public social security subsidies, and the consequences for old-age poverty and inequalities in basic health opportunities. It...

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Reporte elaborado por la Jefatura de Personal y Desarrollo de la Subdirección General Administrativa del Instituto Mexicano del Seguro Social (IMSS), basado en el "Taller de diagnóstico organizacional basado en la misión", que se orientó a promover el consenso entre los directivos del Centro Interamericano de Estudios de Seguridad Social (CIESS), como base para la concertación y el compromiso en...

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