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Healthcare provision for elderly people in Argentina: the crisis of PAMI [Integrated Healthcare Programme]
Author(s)Peter Lloyd-Sherlock
Journal titleSocial Policy and Administration, vol 31, no 4, December 1997
Pagespp 371-389
KeywordsHealth services ; Health insurance ; Argentina.
AnnotationThe problems of administering health insurance programmes in Latin America and the difficulties of imposing effective reforms is highlighted in this paper. It examines the development, financial collapse and subsequent restructuring of a health insurance programme specifically targeting older people in Argentina. By the 1990s the Integrated Healthcare Programme (PAMI) had become one of the largest components of the country's public welfare system, managing an annual budget of US$ 2.5 billion. It provided older people with a wide range of services, including free and discounted medical care and a national network of day centres. PAMI was widely praised as efficient and innovative both within Argentina and beyond and was considered a model which other developing countries might emulate. However, in 1994 it was discovered that PAMI had accumulated a deficit of US$ 1.3 billion and was suffering from a large number of structural weaknesses, and had contributed to long-standing inequalities between different geographical regions and between insured and uninsured populations. Since then, numerous attempts have been made to reform the programme. (AKM).
Accession NumberCPA-981119243 A
ClassmarkL: WPG: 7W8

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