Privatization as a symptom of health inequity

hospitals__

(Julián Ricardo Zapata Rozo, Unsplash)

This article was exclusively written for The European Sting by Mr. Julián Ricardo Zapata Rozo, a 22 year old medical student at Universidad Industrial de Santander in Bucaramanga, Colombia. He 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.


Currently, after several pronouncements of the World Health Organization, coverage and equity of access to health are global goals and are on the agenda of the United Nations. In this desire to achieve better health care rates, interdisciplinary efforts have been made and the health economy has gained strength in the design and monitoring of health models.

The classic dispute between privatization and statization is no stranger to this race. Private or mixed models are proposed with great success in countries such as Norway or France, whose policies are sound and aimed at a significant amount of GDP to health. However, it is necessary to evaluate the promotion of neoliberal privatization models of health by organizations such as the Inter-American Development Bank and the World Bank. These bets that capitalist logic is the solution for health (and a number of other problems), may be due to the protection of private interests, the maintenance of a system with little fluctuation of inequality or a simplistic look at specific problems of developing countries.

The evidence on the application of neoliberal or capitalist health models in developing countries is poor and controversial. In some countries, as is the case in Colombia, a mixed system between public and private entities has been adopted; however, despite having a solid theoretical basis, based on the choice of the service according to the needs and limitations of the users, the reality after 26 years of application of Law 100 shows that the goals of quality, coverage and Equitable access has not been achieved, despite considerable increases in public and private expenditures.

In spite of the fact that capitalist logics benefit economic elites and that this affects the differences in access to health services; the privatization cannot be exclusively blamed for inequity in access to health service, since similar inequities occur in systems with greater public sector participation. Privatization is not the origin of inequity in health, but only one of its symptoms, since it is born as a response to the need for better quality of medical care for those who can pay for it. The origin of this inequity is the disability of the public system to correctly meet the needs of the population in health services. This disability has several country-specific reasons. In the case of Latin America, high rates of corruption, bureaucracy, political sponsorship and low investment in health are limiting in the management of resources and in ensuring equitable access to health. Encouraging more active user participation could improve the use of resources in public and privatized systems.

About the author

Julian is a 22 years old medical student at Universidad Industrial de Santander in Bucaramanga, Colombia. He is the current Director of the Student Center for Scientific Training (CEFC) of SEIMED UIS, local association of ASCEMCOL. Head of the Editorial Review Department and associate editor of the “Medicas UIS” magazine.

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

Germany to re-invent its security position in Europe and a chaotic world

EU Commission indifferent on Court of Auditors’ recommendations

Aid funding for Occupied Palestinian Territories at ‘all-time low’

Commission’s Youth Initiative fails first hurdle by not sufficiently consulting young people

COP21 Breaking News: China has promised to cut emissions from its coal power plants by 60% by 2020

The EU heads of State and Government about the result of the European Elections 2019

European Business Summit 2015: In search of a vision for the future

Our food system is pushing nature to the brink. Here’s what we need to do

European Commission and World Bank Group renew agreement to strengthen development cooperation

Europe’s forests are booming. Here’s why.

Let’s Learn

3 ways to accelerate the energy transition

WEF Davos 2016 LIVE: Banking moguls continue brandishing financial Armageddon to intimidate us all but in Davos they worry about the very distant future

EU migration deal welcomed by UN agencies

To my Chinese friend

We generate 125,000 jumbo jets worth of e-waste every year. Here’s how we can tackle the problem

Trump’s blasting win causes uncertainty and turbulence to the global financial markets

The punishment gap: how workplace mistakes hurt women and minorities most

Development aid drops in 2018, especially to neediest countries

How smartphones can close the global skills gap for billions

How banks should prepare for robots going rogue

UN chief ‘deeply alarmed’ over military offensive in south-west Syria

Restore land to save the planet, boost the economy, says head of UN body combating desertification

Global leaders and companies pledge to reduce the gender pay gap by 2030

Greferendum: the biggest political gaffe in western modern history to tear Europe apart? #Grexit #Graccident

Estonia is making public transport free

JADE Testimonial #3: Sebastian @ Fundraising

Progress in medical research: leading or lagging behind?

Solitary Britain sides with US aggressing Russia and chooses hard Brexit

UN-led Yemen ceasefire monitoring team gets ready to begin operations

Europe on the Move: Commission completes its agenda for safe, clean and connected mobility

FROM THE FIELD: Faces and Voices of Conflict

Margrethe Vestager, European Commissioner for Competition, in Brussels - Berlaymont, last week. (Copyright European Union, 2017 / Source: EC - Audiovisual Service / Photo: Lukasz Kobus)

Amazon, Luxembourg and Ireland hit by EU’s latest turn of the screw over competition

Brexit: European Commission publishes Communication on preparing for the UK’s withdrawal from the EU

4 views on the shape of global cooperation in the time of COVID-19

All for equality – 2020 is a pivotal year for Gender Equality

China Unlimited Special Report: The trip to China

The EU to fight cross-border tax evasion with a toothless directive

EU report: Implementation of reforms continues to bring EU and Ukraine closer together

Global Report on Food Crises reveals scope of food crises as COVID-19 poses new risks to vulnerable countries

Scotland “shows the way” to separatist movements as Catalonia calls a vote on independence

To be fair or to be sustainable? That is the (retirement) question

Trust and support of Iraqis essential for success of UN’s Da’esh terror investigation

EU migration crisis again accentuates lack of unity and solidarity among member states

Parliament votes reform for better European Co2 market but critics want it sooner than later

UN launches new fund to advance sustainable development in Aral Sea region

Here are three key ways that data analytics can improve the workplace

The European Brain Drain: hard facts and harder truths

Seven trends shaping the future of the mining and metals industry

EU Parliament shows its teeth in view of 2014 elections

Germany objects to EU Commission’s plan for a Eurozone bank deposits insurance scheme but Berlin could go along

UN mourns death of former Secretary-General Kofi Annan, ‘a guiding force for good’

From memes to mourning, how Europe is dealing with its darkest hour since World War II

Senior UN official strongly condemns Southern California synagogue attack

EU’s core members are eyeing larger parts of arms trade and of world map

Towards a seamless internal EU market for industrial goods

The Greta effect? Why businesses are more committed to climate action in 2020

Somalia: UN mission head condemns deadly terrorist attacks in Mogadishu, Galkayo

End ‘shame, isolation and segregation’ of fistula sufferers, urges UN reproductive health chief

A health of all and for all based on the Ecuadorian reality

More Stings?

Advertising

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