FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

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

This article has been cited by other articles:

• Drechsler, D., Jutting, J. (2007). Different Countries, Different Needs: The Role of Private Health Insurance in Developing Countries. Journal of Health Politics, Policy and Law 32: 497-534 [Abstract]  
• Araya, R., Rojas, G., Fritsch, R., Frank, R., Lewis, G. (2006). Inequities in Mental Health Care After Health Care System Reform in Chile. Am. J. Public Health 96: 109-113 [Abstract] [Full Text]  
• Shaffer, E. R., Waitzkin, H., Brenner, J., Jasso-Aguilar, R. (2005). Global Trade and Public Health. Am. J. Public Health 95: 23-34 [Abstract] [Full Text]  
• Yamada, S. (2003). Latin American Social Medicine and Global Social Medicine. Am. J. Public Health 93: 1994-1996 [Abstract] [Full Text]  
• Laurell, A. C. (2003). What Does Latin American Social Medicine Do When It Governs? The Case of the Mexico City Government. Am. J. Public Health 93: 2028-2031 [Abstract] [Full Text]  
• Nef, J. (2003). Socioeconomic and Political Factors of Health Security and Insecurity in Latin America and the Caribbean. Journal of Developing Societies 19: 172-226 [Abstract]  
• Lloyd-Sherlock, P. (2002). Social policy and population ageing: challenges for north and south. Int J Epidemiol 31: 754-757 [Full Text]  
• Lipson, D. J (2001). The World Trade Organization's health agenda. BMJ 323: 1139-1140 [Full Text]  
• Waitzkin, H., Iriart, C., Estrada, A., Lamadrid, S. (2001). Social Medicine Then and Now: Lessons From Latin America. Am. J. Public Health 91: 1592-1601 [Abstract] [Full Text]  
• Laurell, A. C. (2000). Structural Adjustment and the Globalization of Social Policy in Latin America. International Sociology 15: 306-325 [Abstract]  
• Valdes, L., Waitzkin, H., Iriart, C. (1999). Managed Care in Latin America. NEJM 340: 1922-1923 [Full Text]  
• Perez-Stable, E. J. (1999). Managed Care Arrives in Latin America. NEJM 340: 1110-1112 [Full Text]