Skip to main content

The State of Health in Latin America: Trends and Correlates of Health Expenditures

  • Chapter
  • First Online:
Banking on Health
  • 220 Accesses

Abstract

This chapter draws on quantitative data to examine the trends and correlates of health expenditure, including overall expenditure, the public–private mix of health expenditure, and public health expenditure compared to other public expenditures in Latin American countries. This chapter sets the stage for the three country case studies. The quantitative analysis reveals that overall, public health expenditure in Latin America has been on the rise, and that World Bank conditions attached to these loans do not have a statistically significant effect on health expenditure across a variety of measures in Latin America. Does this mean that the World Bank and other international financial institutions do not matter for health financing and health sector reform in Latin America and the Caribbean? The answer is more complicated. This chapter simultaneously contradicts some established notions of IFIs acting as neoliberal agents, driving down public expenditure and programs, and establishes the possibility of a non-unitary, contingent effect of World Bank work in health across countries, confirmed in the following country case-study chapters.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 19.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 27.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Amenta, E., Bonastia, C., & Caren, N. (2001). US social policy in comparative and historical perspective: Concepts, images, arguments, and research strategies. Annual Review of Sociology, 213–234.

    Google Scholar 

  • Armada, F., Muntaner, C., & Navarro, V. (2001). Health and social security reforms in Latin America: The convergence of the World Health Organization, the World Bank, and transnational corporations. International Journal of Health Services, 31(4), 729–768.

    Article  Google Scholar 

  • Avelino, G., Brown, D. S., & Hunter, W. (2005). The effects of capital mobility, trade openness, and democracy on social spending in Latin America, 1980–1999. American Journal of Political Science, 49(3), 625–641.

    Article  Google Scholar 

  • Babb, S. (2005). The social consequences of structural adjustment: Recent evidence and current debates. Annual Review of Sociology, 199–222.

    Google Scholar 

  • Beckfield, J., Olafsdottir, S., & Sosnaud, B. (2013). Healthcare systems in comparative perspective: Classification, convergence, institutions, inequalities, and five missed turns. Annual Review of Sociology, 39, 127–146.

    Article  Google Scholar 

  • Berman, P. (1995). Health sector reform: Making health development sustainable. Health Policy, 32(1), 13–28.

    Article  Google Scholar 

  • Birn, A.-E., & Dmitrienko, K. (2005). The World Bank: Global health or global harm? American Journal of Public Health, 95(7), 1091.

    Article  Google Scholar 

  • Brooks, C., & Manza, J. (2008). Why welfare states persist: The importance of public opinion in democracies. Chicago: University of Chicago Press.

    Google Scholar 

  • Brown, D. S., & Hunter, W. (2004). Democracy and human capital formation education spending in latin america, 1980–1997. Comparative Political Studies, 37(7), 842–864.

    Article  Google Scholar 

  • de Mesa, A. A., & Mesa-Lago, C. (2006). The structural pension reform in Chile: Effects, comparisons with other Latin American reforms, and lessons. Oxford Review of Economic Policy, 22(1), 149–167.

    Article  Google Scholar 

  • Elling, R. H. (1994). Theory and method for the cross-national study of health systems. International Journal of Health Services, 24(2), 285–309.

    Article  Google Scholar 

  • Esping-Andersen, G. (1990). The three worlds of welfare capitalism. Cambridge: Policy Press, Cambtidge.

    Google Scholar 

  • Esping-Andersen, G. (1999). Social foundations of postindustrial economies. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Fourcade-Gourinchas, M., & Babb, S. L. (2002). The rebirth of the liberal creed: Paths to neoliberalism in four countries1. American Journal of Sociology, 108(3), 533–579.

    Article  Google Scholar 

  • Franzoni Martínez, J. (2008). Welfare regimes in Latin America: Capturing constellations of markets, families, and policies. Latin American Politics and Society, 50(2), 67–100.

    Article  Google Scholar 

  • Glatzer, M., & Rueschemeyer, D. (2004). Globalization and the future of the welfare state. Pittsburgh: University of Pittsburgh Press.

    Google Scholar 

  • Huber, E. (2005). Globalization and social policy developments in Latin America. Globalization and the Future of the Welfare State, 75–105.

    Google Scholar 

  • Huber, E., & Stephens, J. D. (2001). Development and crisis of the welfare state: Parties and policies in global markets. Chicago: University of Chicago press.

    Book  Google Scholar 

  • Huber, E., & Stephens, J. D. (2012). Democracy and the left: Social policy and inequality in Latin America. Chicago: University of Chicago Press.

    Book  Google Scholar 

  • Huber, E., Mustillo, T., & Stephens, J. D. (2008). Politics and social spending in Latin America. The Journal of Politics, 70(02), 420–436.

    Article  Google Scholar 

  • Kaufman, R. R., & Segura-Ubiergo, A. (2001). Globalization, domestic politics, and social spending in Latin America: A time-series cross-section analysis, 1973–97. World Politics, 53(04), 553–587.

    Article  Google Scholar 

  • Kawachi, I., & Kennedy, B. P. (1997). The relationship of income inequality to mortality: Does the choice of indicator matter? Social Science and Medicine, 45(7), 1121–1127.

    Article  Google Scholar 

  • Kawachi, I., & Kennedy, B. P. (1999). Income inequality and health: pathways and mechanisms. Health Services Research, 34(1 Pt 2), 215.

    Google Scholar 

  • Kawachi, I., Kennedy, B. P., & Glass, R. (1999). Social capital and self-rated health: a contextual analysis. American Journal of Public Health, 89(8), 1187–1193.

    Article  Google Scholar 

  • Marshall, T. (2009). Citizenship and Social Class [in:] Inequality and Society. In J. Manza & M. Sauder (Eds.), Social science perspectives on social stratification. New York.

    Google Scholar 

  • McGuire, J. W. (2010). Wealth, health, and democracy in East Asia and Latin America. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Mechanic, D. (1975). The comparative study of health care delivery systems. Annual Review of Sociology, 43–65.

    Google Scholar 

  • Mechanic, D., & Rochefort, D. A. (1996). Comparative medical systems. Annual Review of Sociology, 239–270.

    Google Scholar 

  • Mesa-Lago, C. (2006). Private and public pension systems compared: an evaluation of the Latin American experience. Review of Political Economy, 18(3), 317–334.

    Article  Google Scholar 

  • Mesa-Lago, C. (2008). Reassembling social security: A survey of pensions and health care reforms in Latin America. Oxford: Oxford University Press.

    Google Scholar 

  • Mesa-Lago, C., & Müller, K. (2002). The politics of pension reform in Latin America. Journal of Latin American Studies, 34(03), 687–715.

    Article  Google Scholar 

  • Moore, B. (1993). Social origins of dictatorship and democracy: Lord and peasant in the making of the modern world (Vol. 268). Beacon Press, Boston.

    Google Scholar 

  • Murillo, M. (2002). Political bias in policy convergence: privatization choices in Latin America. World Politics, 54(04), 462–493.

    Article  Google Scholar 

  • Noy, S. (2011). New contexts, different patterns? A comparative analysis of social spending and government health expenditure in Latin America and the OECD. International Journal of Comparative Sociology, 52(3), 215–244.

    Article  Google Scholar 

  • Noy, S., & McManus, P. A. (2015). Modernization, globalization, trends, and convergence in health expenditure in Latin America and the Caribbean. Sociology of Development, 1(2), 113–139.

    Article  Google Scholar 

  • Noy, S., & Sprague-Jones J. (2016). Comparative dynamics of public health spending: Re-conceptualizing delta convergence to examine OECD and Latin America. International Journal of Comparative Sociology, 57(6), 425–448.

    Google Scholar 

  • Orloff, A. S. (1993). Gender and the social rights of citizenship: The comparative analysis of gender relations and welfare states. American Sociological Review, 303–328.

    Google Scholar 

  • Pierson, P. (2004). Politics in time: History, institutions, and social analysis. Princeton: Princeton University Press.

    Book  Google Scholar 

  • Pierson, P. (2005). The study of policy development. Journal of policy history, 17(01), 34–51.

    Article  Google Scholar 

  • Portes, A., & Hoffman, K. (2003). Latin American class structures: Their composition and change during the neoliberal era. Latin American Research Review, 41–82.

    Google Scholar 

  • Pribble, J. E. (2008). Protecting the poor: Welfare politics in Latin America’s free market era. Ann Arbor: ProQuest.

    Google Scholar 

  • Ragin, C. (1994). A qualitative comparative analysis of pension systems. The Comparative Political Economy of the Welfare State, 320–345.

    Google Scholar 

  • Rodrik, D. (1997). Has Globalisation gone too far?. Washington DC: Institute for International Economics.

    Google Scholar 

  • Rudra, N. (2007). Welfare states in developing countries: Unique or universal? Journal of Politics, 69(2), 378–396.

    Article  Google Scholar 

  • Ruger, J. P. (2005). The changing role of the World Bank in global health. American Journal of Public Health, 95(1), 60–70.

    Article  Google Scholar 

  • Teichman, J. (2004). The World Bank and policy reform in Mexico and Argentina. Latin American Politics and Society, 46(1), 39–74.

    Article  Google Scholar 

  • Vreeland, J. R. (2003). The IMF and economic development. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Vreeland, J. R. (2006). The International Monetary Fund (IMF): Politics of conditional lending. UK: Routledge.

    Google Scholar 

  • Weyland, K. (2005). Theories of policy diffusion lessons from Latin American pension reform. World Politics, 57(02), 262–295.

    Article  Google Scholar 

  • Weyland, K. G. (2006). External pressures and international norms in Latin American pension reform. Citeseer.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shiri Noy .

Appendix A

Appendix A

Tables 3.A.1 and 3.A.2 present fixed and random effects with an AR(1) correction. The preferred model for each of the six outcomes is selected on the basis of the Mundlak test and is highlighted in gray across Tables 3.A.1 and 3.A.2.

Table 3.A.1 Results for time-series cross-section random effects regressions with an AR(1) correction of health expenditure in Latin America and the Caribbean, N = 226
Table 3.A.2 Results for time-series cross-section fixed effects regressions with an AR(1) correction of health expenditure in Latin America and the Caribbean, N = 205

Rights and permissions

Reprints and permissions

Copyright information

© 2017 The Author(s)

About this chapter

Cite this chapter

Noy, S. (2017). The State of Health in Latin America: Trends and Correlates of Health Expenditures. In: Banking on Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-61765-7_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-61765-7_3

  • Published:

  • Publisher Name: Palgrave Macmillan, Cham

  • Print ISBN: 978-3-319-61764-0

  • Online ISBN: 978-3-319-61765-7

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics