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Previous Volume 340:1131-1136 April 8, 1999 Number 14

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Editorial by Pérez-Stable, E. J. Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Valdes, L. PubMed Citation

While concern about the direction of managed care has intensified in the United States,¹ managed care has been diffusing rapidly to other countries. During the late 1980s and early 1990s, reforms in several European national health programs introduced principles of managed care, market competition, and privatization of public services.^1,2,3 More recently, managed-care reforms in some European countries, including the United Kingdom, the Netherlands, and Sweden, have been reversed.^3,4,5

Since the mid-1990s, U.S. managed-care organizations and investment funds have rapidly entered the Latin American market. The exportation of managed care has been linked to privatization and cutbacks in public-sector services; international . . . [Full Text of this Article]

Economic Motivations for Exporting Managed Care

Policies of the World Bank and Other Multilateral Lending Agencies

Corporate Strategies for the Exportation of Managed Care

Specific Strategies

Main Corporations Involved

Effects on Health Care and Public Health Programs

Resistance to Managed Care and Alternative Proposals

Evaluating Managed Care throughout the Americas

Source Information

From the Department of Anthropology (K.S.) and the Division of Community Medicine, Department of Family and Community Medicine (H.W., C.I.), University of New Mexico, Albuquerque; and the Faculty of Social Sciences, University of Buenos Aires, Buenos Aires, Argentina (C.I.).

Address reprint requests to Dr. Waitzkin at the Division of Community Medicine, University of New Mexico, 2400 Tucker Ave. NE, Albuquerque, NM 87131, or at waitzkin@unm.edu.

References

Appendix

Related Letters:

Managed Care in Latin America
Valdes L., Waitzkin H., Iriart C.
Extract | Full Text  
N Engl J Med 1999; 340:1922-1923, Jun 17, 1999. Correspondence

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