Abstract

Starting from a similar heritage of Spanish colonialism, followed by United States influence, the Philippines and Cuba developed sharply divergent ideologies after Cuba's socialist revolution in 1959. In the Philippines today there is a pattern of hospital services based strongly on capitalist “free market” ideology; government facilities, intended to serve the majority of the population, are meager while private ones are relatively abundant and compete for a small market of paying patients. In Cuba, virtually all hospital resources have been placed in the public sector and urban-rural disparities have been greatly reduced. All hospital services are freely available to every resident on an equal basis.

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