How health privatization increases health inequities

hospitals

(Adhy Savala, Unsplash)

This article was exclusively written for The European Sting by Ms. Diana Marcela Mantilla Barrera, a 21 year old fourth-year medical student at Universidad Industrial de Santander in Bucaramanga, Colombia. She is affiliated to the International Federation of Medical Students Associations (IFMSA), cordial partner of The Sting. The opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.


WHO defines health inequities as “systematic differences in the health status of different populations”. One of the mechanisms established to mitigate inequities is the universal health services approach, which reduces the barriers to health access for vulnerable communities and guarantees a fundamental right for the entire population. Proposing a system based on privatization is equivalent to a commodification of health and segmentation of the population, making health care a benefit of few.

Two basic concepts that support an universal health system are solidarity and risk redistribution. Theoretically, people who generate higher incomes will cover the deficit of populations with fewer contributions and all will have availability health services that include prevention, promotion, treatment, rehabilitation and palliation.

In contrast, a private health system will only be available for people with high economic incomes who have the ability to pay for insurance membership or lower-middle class families with borrowing capacity, besides the investment will be much greater because of the competitive market in which a private system is born, the higher administrative expenses and the aim of generate incomes and reduce losses.

The individual perspective from health privatization reduce the importance of primary health care and community health actions, therefore, the management of public health problems. Also, avoids an adequate distribution of risk, and those population groups exposed to a greater risk or who demand greater medical attention have more limitations of access to the system, despite having capacity purchasing.

The privatization is not the only culprit of health inequity, however it creates barriers to direct access to care for large part of the population, making the ability to access to insurance  the determining factor of health status, affecting patients in their economic, working and social spheres. From this point, any intervention by the state from the structural social determinants is in vain, so it reduces its intervention as a guarantor of the right to health while the gap and the health inequities increases all around the world.

About the author

Diana Marcela Mantilla Barrera is a 21 years old fourth-year medical student at Universidad Industrial de Santander in Bucaramanga, Colombia. She has been active member of The Standing Committee on Public Health (SCOPH) attached at SEIMED UIS (Medical research student society of the Universidad Industrial de Santander) and ASCEMCOL since 2016. Her work has been focused in cardiovascular risk detection, healthy lifestyle and mental health in students and populations in Santander. She has been active member of Infectology hotbed of research at Universidad Industrial de Santander since 2018 and has intervened in multiple reviews about nosocomial infections

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

the sting Milestone

Featured Stings

Can we feed everyone without unleashing disaster? Read on

These campaigners want to give a quarter of the UK back to nature

How to build a more resilient and inclusive global system

Stopping antimicrobial resistance would cost just USD 2 per person a year

5 reasons to protect mangrove forests for the future

Ethiopia planted 350 million trees in a day. And its fight against deforestation does not stop there

German synagogue shooting ‘another tragic demonstration of anti-Semitism’: UN chief

Who is to profit from the quasi announced ECB rate cut?

Here’s how we can rethink the way we eat meat

Refugee crisis update: Commission still in panic while Turkey is to be added in the equation

What does strategy have to do with a platform approach?

‘Bring to life’ precious moments caught on film or tape, UN agency urges on World Day

The success story of a Chinese investment in the Greek port of Piraeus

Polish PM chooses to focus on economy, amid questions on rule of law in Poland

‘Stealing’ food from hungry Yemenis ‘must stop immediately’, says UN agency

Young people are Europe’s biggest value and hope

80,000 youngsters at risk in DRC after forcible expulsion from Angola: UNICEF

Turkey remains numb while its economy is expected to shrink further due to a cocktail of EU and US sanctions

Hate speech exacerbating societal, racial tensions with ‘deadly consequences around the world’, say UN experts

Empowering people living with HIV ‘will end the epidemic’, says AIDS agency chief

4 things ISPs can do to reduce the impact of cybercrime

From UN Assembly podium, Central African Republic leader appeals for lifting arms embargo

LGBTQI+ and health care: do they deserve more attention from medical universities?

The Ecofin deceives the SMEs with the EIB €10bn capital increase

Thomas Cook bankruptcy: Better consumer and employee protection needed

Memoirs from a unique trip to China: “my new old dragon” (Part I)

Why European manufacturing SMEs in the South face fatal dangers

Eurozone: Black economy loves the South

State aid: Commission approves €431 million public support for cleaner transport in German cities

Economic Outlook: Weak trade and investment threaten long-term growth

UN global counter-terrorism strategy review an ‘overarching vision for the future’: Assembly President

Crowdfunding: what it is and what it may become

Mergers: Commission prohibits proposed merger between Tata Steel and ThyssenKrupp

Despite setbacks, ‘political will’ to end Yemen war stronger than ever: top UN envoy

Why responsible consumption is everyone’s business

Dreaming of China

Tuesday’s Daily Brief: Venezuela-Colombia baby breakthrough, Italy piles on rescue boat pressure, States must combat hate, Kashmir rights latest and a musical plea to combat CAR hunger

EU-US trade war: Will Trump take advantage of WTO’s decision leading to ominous economic growth?

Switzerland has the most highly skilled workers in the world. This is why

Summer 2019 Economic Forecast: Growth clouded by external factors

Inequality triggered protests across Latin America. Here’s how the youth can help

Here’s how tech can help governments fight corruption

Tax Inspectors Without Borders making significant progress toward strengthening developing countries’ ability to effectively tax multinational enterprises

‘Repeated attacks’ could close down key hospital in eastern Libya, says WHO

Can the EU really make Google and Facebook pay publishers and media?

Consumers to be better protected against misleading and unfair practices

Here’s how business needs to change for a new decade

“ASEM: Global Partners for Global Challenges”, a Sting Exclusive by China’s Ambassador to the EU

“Joining forces to #BeatPollution”, a Sting Exclusive by the Head of UNEP in Brussels

Here are three ways the private sector can act as a sustainability catalyst for Globalization 4.0

Central African Republic: Guterres says UN mission committed to protecting civilians, helping stabilize country, as violence flares

Closing the loop: Commission delivers on Circular Economy Action Plan

French election: Will France vote for a reformed or no EU?

Women in video games: ‘Accept it, or don’t buy the game’

The EU Commission lets money market funds continue the unholy game of banks

2030 development agenda: Major breakthrough for world of work

This Chinese tech giant’s latest gadget is… a bus

Amazon fires: Health Effects, Near and Far

UN chief urges ‘active, substantive and meaningful participation’ on International Day of Democracy

Financial services: Commission sets out its equivalence policy with non-EU countries

Parliament elects the von der Leyen Commission

8 top stories from the week in Davos 2020

UN chief calls for Security Council to work with Myanmar to end ‘horrendous suffering’ of Rohingya refugees

ECB money bonanza not enough to revive euro area, Germany longs to rule with stagnation

More Stings?

Speak your Mind Here

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s