From Few to Many : Ten Years of Health Insurance Expansion in Colombia
ISBN: 9780815702726
Platform/Publisher: PQ ebrary / Brookings Institution
Digital rights: Users: Unlimited; Printing: Limited; Download: 7 Days at a time
Subjects: Health insurance : Colombia : Case studies.;

In the 1990s the nation of Colombia introduced mandatory health insurance, with the goals of improving access to care and protecting the population from impoverishing and inefficient spending as well as the hardships of illness and care-seeking. Financed through a combination of payroll contributions and general taxation, this comprehensive plan included a contributory regime for those able to pay and a fully subsidized regime for the extremely poor.From Few to Many presents the results and lessons drawn from a decade of reform implementation. The authors examine changes in the financing and delivery of health care; the impact of insurance on financial protection, equity, access, and utilization of care; and the regulatory framework accompanying reform.


Maria-Luisa Escobar is Global Health Fellow with the Brookings Institution's Global Health Financing Initiative. Amanda Glassman is nonresident fellow at the Brookings Institution and lead social development specialist with the Inter-American Development Bank. Ursula Giedion is an independent consultant on health economics and health systems financing. Antonio Giuffrida is a senior health specialist with the Inter-American Development Bank.

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