Transitions from Bismarkism
The projects of universal reform in health systems. Spain, Brazil and Argentina
Keywords:
Bismarkism, Healthcare System Reforms, Argentina, Spain, BrazilAbstract
The objective of this article is to analyze what were the factors that led to the approval of universal healthcare system reforms, in the context of systems organized on the predominant basis of Bismarckian social insurance, by comparing positive cases (Spain and Brazil) and negative cases (Argentina, twice). We fundamentally consider the policy formulation phase, that is, the processes that led to the approval of the reforms. Our analysis will begin by briefly considering different approaches that help explain under what conditions the reforms aimed at implementing national health systems are feasible. Then, we will present the different cases and specifically consider the historical legacies of the respective Bismarckians, which, by conditioning the configuration of the reformist coalitions, largely explain the very different courses of the reform projects.
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References
Alonso, G. V. (2000). Política y seguridad social en la Argentina de los noventa. Buenos Aires: Miño y Dávila Editores, Colección FLACSO.
Alonso, G. V. (2004). La Superintendencia de Servicios de Salud y su herencia institucional (o la reforma del estado se hace cargo de la historia). En J. Bertranou, J. M. Palacio y G. M. Serrano (comps.), En el país del no me acuerdo. (Des)memoria institucional e historia de la política social en la Argentina (pp. 195-211).Buenos Aires: Prometeo Libros.
Andrenacci, L., Falappa, F. y Lvovich, D. (2004). Acerca del Estado de Bienestar en el Peronismo Clásico (1943-1955). En J. Bertranou, J. M. Palacio y G. M. Serrano (comps.), En el país del no me acuerdo. (Des)memoria institucional e historia de la política social en la Argentina (pp. 83-115). Buenos Aires: Prometeo Libros.
Arretche, M. (2004). Toward a Unifi ed and More Equitable System: Health Reform in Brazil. In R. Kaufman and J. Nelson, Crucial Needs, Weak Incentives. Social Sector Reform, Democratization, and Globalization in Latin America (pp. 155-188). Washington, DC: Woodrow Wilson Center Press.
Baldwin, P. (1992). La política de solidaridad social. Bases sociales del Estado de Bienestar europeo 1875-1975. Madrid: Ministerio de Trabajo y Seguridad Social de España.
Belmartino, S. y Bloch, C. (1994). El sector salud en Argentina. Actores, confl ictos de intereses y modelos organizativos. 1960-1985. Argentina: Organización Panamericana de la Salud.
Belmartino, S. (2010). Los servicios de atención médica. En S. Torrado (dir.), El costo social del ajuste (pp. 103-168), t.2. Buenos Aires: Edhasa.
Campos, L. (2014). Densidad sindical en Argentina en el largo plazo y sus determinantes estructurales. Buenos Aires: Observatorio de Derecho Social.
Capoccia, G. (2015). Critical junctures and institutional change. En J. Mahoney y K. Thelen (eds.), Advances in Comparative-Historical Analysis (pp. 147-179). Cambridge: Cambridge University Press. Doi: 10.1017/CBO9781316273104.007
Cawson, A. (1982). Corporatism and Welfare. Social Policy and State Intervention in Britain. London: Heineman Educational Books.
Costa, N. do R. (2017). Comunidade Epistêmica e A Formação Da Reforma Sanitária No Brasil. Physis Revista de Saúde Coletiva, 24(3), pp. 809-829.
Draibe, S., Guimaraes de Castro, M. H. y Azeredo, B. (1995). The System of social protection in Brazil. Indiana: University of Notre Dame, Helen Kellogg Institute for International Studies.
Esping Andersen, G. (1985). Politics against Markets. Princeton: Princeton University Press. Esping Andersen, G. (1990). The Three Worlds of Welfare Capitalism. Princeton: Princeton University Press.
European Observatory on Health Care Systems. (2000). Health Care Systems in Transition. Spain. Recuperado de https://apps.who.int/iris/bitstream/handle/10665/108352/E70504.pdf?sequence=1&isAllowed=y
Falleti, T. G. (2010). Infi ltrating the State: The Evolution of Health Care Reforms in Brazil, 1964–1988. In Ex-plaining Institutional Change (pp. 38-62). Cambridge: Cambridge University Press.
Farfán Mendoza, G. (2014). Brasil: La Constitución de 1988 y las reformas a los sistemas de pensiones. Revista Latinoamericana de Derecho Social, 19, 31-62. Recuperado de https://revistas.juridicas.unam.mx/index.php/derecho-social/article/view/9743/11771
Fleury, S. (1997). Estado Sin Ciudadanos: Seguridad Social En América Latina. Buenos Aires: Lugar Editorial.
Fleury, S. (2003). ¿Universal, dual o plural? Modelos y dilemas de atención de la salud en América Latina: Chile, Brasil y Colombia. In C. Molina and J. Núñez del Arco (eds.), Servicios de Salud en América Latina y Asia (pp. 3-40). Washington DC: Inter-American Development Bank. Recuperado de https://publications.iadb.org/en/health-services-latin-america-and-asia
García Diaz, C. (1975). Entre un régimen pluralista y un Servicio Nacional de Salud. El Sistema Nacional Integrado de Salud. Revista del Centro de Investigación y Acción Social, 244, 5-22.
Gaudio, R. y Thompson, A. (1990). Sindicalismo peronista/Gobierno radical. Buenos Aires: Fundación Ebert/Folios Ediciones.
Gingrich, J. (2015). Coalitions, policies, and distribution: Esping-Andersen ́ s Three Worlds of Welfare Capitalism. En J. Mahoney and K. Thelen (eds.), Advances in Comparative-Historical Analysis (Strategies for Social Inquiry), (pp. 67-96). Cambridge: Cambridge University Press.
Guillén, A. (1996). Políticas de reforma sanitaria en España: de la Restauración a la Democracia (tesis de doctorado inédita). Instituto Juan March de Estudios e Investigaciones, Centro de Estudios Avanzados en Ciencias Sociales, Universidad de Oviedo, Madrid, España.
Guillén, A. y Cabiedes, L. (1997). Towards a National Health Service in Spain: The search for Equity and Eǃ ciency. Journal of European Social Policy, 7(4), 319-336.
Guillén, A. (2010). Defrosting the Spanish Welfare State: the weight of Conservative components. En B. Pallier, A Long Goodbye to Bismarck? The Politics of Welfare Reform in Continental Europe (pp. 183-206). Amsterdam: Amsterdam University Press.
Guillén M. y León M. (2011). The Spanish Welfare State in European Context. Ashgate: Surrey.
Hacker, J. (1998). The Historical Logic of National Health Insurance: Structure and Sequence in the Development of British, Canadian and U.S. Medical Policy. Studies in American Political Development, 12, 57-130.
Haggard, S. and Kaufman, R. (2008). Development, Democracy and Welfare States. Princeton: Princeton University Press.
Heclo, H. (1974). Modern Social Politics in Britain and Sweden. New Haven: Yale University Press.
Huber, E., Ragin, C. y Stephens, J. (1993). Social Democracy, Christian Democracy, Constitutional Structure and the Welfare State. American Journal of Sociology, 99(3), 711-749.
Huber, E. and Stephens, J. (2001). Development and Crisis of the Welfare State. Chicago: The University Chicago Press.
Huber, E. and Stephens, J. (2012): Democracy and the Left. Social Policy and Inequality in Latin America. Chicago: The University of Chicago Press.
Immergut, E. (1992). The rules of the game: The logic of health policy-making in Frances, Switzerland, and Sweden. En S. Steinmo, K. Thelen y F. Longstreth (eds.), Structuring Politics: Historical Institutionalism in Comparative Analysis (pp. 57-89). Cambridge: Cambridge University Press.
Isuani, E. A. y Mercer, H. (1988). La fragmentación institucional del sector salud: ¿pluralismo o irracionalidad?Buenos Aires: CEAL.
Katz, J. y Muñoz, A. (1988). Organización del sector salud: puja distributiva y equidad. Buenos Aires: CEPAL-CEAL.
Korpi, W. (1983). The Democratic Class Struggle. London: Routledge and Kegan Paul.
Lobato, L. y Burlandy, L. (2000). The Context and Process of Health Care Reform in Brazil. In Reshaping Health Care in Latin America. Ottawa: International Development Research Centre.
Lo Vuolo, R. (1995). The Welfare State in Contemporary Argentina. Indiana:Kellog Institute.
Machado, L. F. P. (2013). Convocación de una Asamblea Constituyente para el Brasil: solución para reforma política brasileña o formalidad dispendiosa e innecesaria. Buenos Aires: Editorial UMSA.
Mahoney, J. and Kathleen, T. (2015). Advances in Comparative-Historical Analysis. Cambridge: Cambridge University Press.
Malloy, J. M. (1979). The politics of social security in Brazil. Pittsburgh: University of Pittsburgh Press.
Marshall, A. (1988). Políticas sociales: el modelo neoliberal. Buenos Aires: Legasa.
Moreno Luis (ed.) (2009). Reformas de las políticas del bienestar en España. Madrid: Siglo XXI.
Moreno Fuentes, F. (2009). Del sistema sanitario de la Seguridad Social al Sistema Nacional de Salud descentralizado. En L. Moreno (ed.), Reformas de las políticas del bienestar en España (pp. 101-136). Madrid: Siglo XXI .
Niedzwiecki, S. (2010). Social Policy in South America. The Eǂ ect of Organized Labor and Civil Society Groups on Pension and Health Reforms in Argentina and Brazil (1988-2008) (tesis de maestría inédita). University of North Carolina at Chapel Hill, Department of Political Science, Estados Unidos.
Organización Panamericana para la Salud- Comisión Económica para América Latina y el Caribe - Programa de las Naciones Unidas para el Desarrollo (2011). Aportes para el desarrollo humano en Argentina, Buenos Aires, Argentina. Recuperado de file:///C:/Users/jvita/Downloads/El%20sistema%20de%20salud%20argentino%20-%20%20pnud%20ops%20cepal%20version%20final.pdf
Paim, J. (2011). The Brazilian health system: history, advances, and challenges.The Lancet (British edition), 377(9779), 1778–1797.
Pêgo, R. A. y Almeida, C. (2002). Teoría y práctica de las reformas en los Sistemas de Salud: Los casos de Brasil y México. Cadernos de Saúde Pública,18(4), 971-989.
Pierson, P. (1994). Dismantling the Welfare State? Reagan, Thatcher, and the Politics of Retrenchment. Cambridge: Cambridge University Press.
Pierson, P. (1995). Fragmented Welfare States: Federal Institutions and the Development of Social Policy. Governance, 8(4), 449 - 478.
Pierson, P. (ed.) (2001). The New Politics of the Welfare State. Oxford: The Oxford University Press.
Przeworski, A. y Teune, H. (1970). The Logic of Comparative Social Inquiry. New York: Wiley Interscience.
Rico, A. (1996). Regional Decentralization and Health Care Reform in Spain (1975-1995). South European Politics,1(3): 115-134.
Rodríguez Cabrero, G. (2011). The Consolidation of the Spanish Welfare State (1975-2010). En M. Guillén y M. León (eds.), The Spanish Welfare State in European Context (pp. 17-38). Ashgate: Surrey.
Rothstein, B. (1992). Labor-market institutions and working-class strength. En S. Steinmo, K. Thelen y F. Longstreth (eds.), Structuring Politics: Historical Institutionalism in Comparative Analysis (pp. 33-56). Cambridge: Cambridge University Press.
Rouquié, A. (2017). El siglo de Perón. Ensayo sobre las democracias hegemónicas. Buenos Aires: Edhasa.
Schmitter, P. (1992). Teoría del Neocorporatismo. Ensayos de Philippe Schmitter. México: Universidad de Guadalajara.
Skocpol, T. y Amenta, E. (1986). States and Social Policies. Annual Review of Sociology, 12, 131-156. DOI: https://doi.org/10.1146/annurev.so.12.080186.001023
Skocpol, T. (1992). Protecting Soldiers and Mothers. Harvard: Harvard University Press.
Steinmo, T., Thelen, K. y Longstreth, F. (eds.) (1992). Structuring Politics: Historical Institutionalism in Comparative Analysis. Cambridge: Cambridge University Press.
Weir, M., Orloff , A, y Skocpol, T. (eds) (1988). The Politics of Social Policy in the United States. Princeton: Princeton University Press.
Weyland, K. (1995). Social Movements And The State: The Politics Of Health Reform in Brazil. World Development,23(10), 1699-1712.
Wilensky, H. (1975). The Welfare State and Equality. Berkeley: University of California Press.
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