Table 2 Country and Scheme Overview
Country | Name of subsidization scheme (Year of introduction of the subsidization scheme and policy/law) | Own account workers (% of population) [51] | GGHE as % of THE (1995) [15] | GGHE as % of THE (Year of introduction) [15] | GGHE as % of THE (2012) [15] | Social Security Funds as % of GGHE 2012) [51] |
|---|---|---|---|---|---|---|
Bolivia | “Mother and Child Universal Insurance” (Seguro Universal Materno Infantil, SUMI) (2002), in existence already since 1996 as the Seguro Nacional de Maternidad y Niñez, SNMN; “Health Insurance for older persons” (Seguro de Salud del Adulto Mayor, SSPAM) (2006) These two insurance type schemes were merged in December 2013 into a new program “the Integrated Health Service of the Plurinational State” (Servicio Integral de Salud del Estado Plurinacional), that also covers people with disabilities [28] | 33.2 | 57 | 63 (2002) | 72 | 37 |
Chile | “National Health Fund” (Fondo Nacional de la Salud, FONASA) (1979) 2003: Plan de Acceso Universal de Garantías Explícitas (AUGE) [28] – this meant that an explicit guaranteed benefit package came into being. Subsidization of vulnerable groups also through: - Explicit Primary Health Care Interventions Program - Law of catastrophic insurance | n/a | 48 | 38 (2004) | 49 | 9 |
Colombia | “Subsidized Scheme” (Régimen Subsidiado) (1993: “Mandatory Health Plan” (Plan Obligatorio de Salud) | 43.3 | 55 | - | 75 | 83 |
Costa Rica | “Costa Rican Social Security Caisse” (Caja Costarricense de Seguridad Social, CCSS) (1973: Ley n.° 5349, de Traspaso de Hospitales) | 18.6 | 77 | - | 73 | 86 |
Dominican Republic | “Subsidized Scheme” (Régimen Subsidiado) (2001: Ley General de Salud) | 33.2 | 22 | 34 (2001) | 67 | 47 |
Mexico | Seguro Popular de Salud (2004: Reglamento de la Ley General de Salud en Materia Protección Social en Salud) | n/a | 42 | 44 (2004) | 52 | 56 |
Peru | “Integrated Health Insurance” (Seguro Integral de Salud) (2009: Ley Marco de Aseguramiento Universal en Salud) | 33.6 | 54 | 57 (2001) | 61 | 35 |
Uruguay | “National Integrated Health System” (Sistema Nacional Integrado de Salud) (2007: Law No. 18,211) | 21.1 | 31 | 56 (2007) | 71 | 60 |