26 Oct
35 Years Supporting Chile's Private Health System
0 Comentarios | chile

Chile’s health care system has undergone a number of transformations ever since the creation of the country’s first health care organizations. These modifications have led to structural changes of Chile’s health care system, steering it in the direction of what it is nowadays: an all-around mixed health care system that includes the participation of both the public as well as the private sector in all matters concerning its financing, underwriting (social security insurance) and health care delivery services. The origin of Chile’s health care system dates back to the year 1844, with the emergence of the first sanitary organization, hand-in-hand with the creation of the National Welfare Board (Junta Nacional de Beneficiencia). Nevertheless, the concept of insurance appeared for the first time during the first part of the 20th century, with the creation in 1924 of the Ministry of Hygiene, Assistance and Social Security (Ministerio de Higiene, Asistencia y Previsión Social), which subsequently became the Ministry of Health, and with the enactment of the Mandatory Worker’s Insurance Act2 (Ley de Seguro Obrero Obligatorio) (Law N° 4,054 of 1924). This insurance, in addition to health care coverage also incorporated pension payments (old age), labor casualty indemnity payments (disability) and affiliate death payments (until the year 1952). With the Worker’s Insurance, a contributory form of health financing system was first installed in our country; namely, the system’s contributions came from hired workers, their respective employers, and the State. Later, in 19423 was created the National Employees’ Medical Insurance (SERMENA, in its Spanish acronym), merging the former National Public Employees’ and Journalists’ Fund (CEPP, in its Spanish acronym) with the Private Employees’ Social Security Fund (EMPART)

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