Among the most serious challenges facing health systems in lower and middle income countries is establishing efficient, fair, and sustainable financing mechanisms that offer universal protection. Lack of financial protection forces families to suffer the burden not only of illness but also of economic ruin and impoverishment. In Latin America, financial protection for health continues to be segmented and fragmented; health is mainly financed through out-of-pocket payments.
Financing Health in Latin America presents new and important insight into the crucial issue of financial protection in health systems. The book analyzes the level and determinants of catastrophic health expenditures among households in Argentina, Brazil, Chile, Colombia, Costa Rica, the Dominican Republic, Mexico, and Peru, applying both descriptive and econometric analyses. The results demonstrate that out-of-pocket health spending is pushing large segments of the population into impoverishment and that the poorest and most vulnerable segments of the population are most at risk of financial catastrophe. This work is a product of the collaboration between more than 25 researchers and 18 institutions associated with the Research for Health Financing in Latin America and the Caribbean Network, with support from the International Development Research Centre of Canada.
About the Author
Felicia Marie Knaul, Ph.D., is Director of the Harvard Global Equity Initiative, Associate Professor at Harvard Medical School, and Senior Economist at the Mexican Health Foundation. She is also the founder of Cáncer de mama: Tómatelo a Pecho.
Rebeca Wong is P. & S. Kempner Distinguished Professor in Health Disparities at the Sealy Center on Aging, University of Texas Medical Branch.
Héctor Arreola-Ornelas is Economic Research Coordinator at Fundación Mexicana para la Salud.
Ricardo Bitrán is Lead Researcher, Fundación Interamericana de Economía de la Salud
Antonio Carlos Coelho Campino is Full Professor, Department of Economics, School of Business Economics, Business Administration, and Accounting at the University of São Paulo
Juan José Diaz is Lead Researcher at Grupo de Análisis para el Desarrollo, Perú.
Maria Dolores Montoya Diaza is Associate Professor, Department of Economics, School of Economics, Business Administration, and Accounting at the University of São Paulo; Ribeirão Preto
Carmen Elisa Flórez is Professor, Faculty of Economics at the Universidad de los Andes, Colombia
Ursula Giedion is Consultor at the Banco Intermaricano de Desarrollo
Roberto Iunes is Senior Evaluation Officer, Office of Evaluation and Oversight at the Inter-American Development Bank.
Liv Lafontaine is Research Associate at Fundación Mexicana para la Sud.
Daniel Maceira is Lead Researcher at Centro de Estudios de Estado y Sociedad, Argentina.
Oscar Méndez is Research Analyst at Fundación Mexicana para la Sud.
Magdalena Rathe is Executive President of Fundacion Plenitud, Dominican Republic
Rodrigo Muñoz is Research Associate at Fundación Interamericana de Economía de la Salud.
Maja Pleic is Research Assistant at the Harvard Global Equity Initiative.
Ana Reynoso is a Research Associate with Centro de Estudios de Estado y Sociedad, Argentina.
Flavia Mori Sarti is Assistant Professor, School of Arts and Human Sciences at the University of São Paulo.
Martin Valdivia is Lead Researcher at Grupo de Análisis para el Desarrollo, Perú.
Juan Rafael Vargas is Lead Researcher, Centro Centroamericano do Población at Universidad de Costa Rica.
Alberto Vindas is Associate Researcher, Centro Centroamericano do Población at Universidad de Costa Rica.
Maria Paola Zuñiga-Brenes is Associate Researcher, Centro Centroamericano do Población at Universidad de Costa Rica.