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Table 2 Country and Scheme Overview

From: State budget transfers to Health Insurance to expand coverage to people outside formal sector work in Latin America

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
  1. THE Total health expenditure, GGHE, General government health expenditure