Abstract
This work analyzes the demand subsidies to access health care and their relationship with large private corporations in Chile, through the transfer of public funds through the modality of freedom of choice (MLE) from 2000 to 2018. Therefore, we analyzed the expansion of the health market and the strengthening of health care corporations, identifying the distribution of resources according to type of health provider. We reviewed the annual reports of private health care corporations. We also analyzed billing data according to the provider through the freedom of choice modality from the year 2000 to the year 2018. We identified an increasing transformation of medical work from free exercise to become dependent on private health corporations, and an increase in public dependence on private providers to meet health demands. There is a growing capture of public funds by these holdings, using the strategy of increasing provider property concentration and a trans nationalization of the health market in Chile.
Highlights
En algunos casos, los holdings han sido comprados por empresas multinacionales
We reviewed the annual reports of private health care corporations
We identified an increasing transformation of medical work from free exercise to become dependent on private health corporations, and an increase in public dependence on private providers to meet health demands
Summary
Análisis del subsidio a la demanda para atención de salud y su relación con los holdings de empresas en Chile. La relación de los holdings con el subsidio a la demanda para la atención de salud en Chile presenta principal interés debido al desarrollo de esta nueva integración empresarial en el país, como también por el fortalecimiento de la modalidad libre elección (MLE), es decir, modalidad de atención en prestadores privados en convenio con el Fondo Nacional de Salud (Fonasa). Según Miranda (1990), el gasto público en salud alcanza para el año 1972 4% del producto geográfico bruto y para el año 1988 este llega a 2,4%, de acuerdo con el autor, esta reducción responde, en parte, al crecimiento de las Isapres, como entes que compiten por la cotización de los ciudadanos con la alternativa estatal Fonasa[5]
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