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The reshaping of healthcare systems in the age of financialization. Lessons from France and Brazil

机译:在经济时代的医疗系统重塑。来自法国和巴西的课程

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Since the post-War period, social protection systems have experienced continuous reforms, either extending or, more often, reducing the scope and the scale of public provision. This paper seeks to present how healthcare systems have evolved both in France and in Brazil recently, in order to comprehend mechanisms through which financialization has been reshaping public care provision. This comparative analysis unveils distinct financialization dynamics of healthcare systems, built upon universalism principles. After featuring both systems, underlying their private dimension – either complementary or supplementary – the article points out how the financial sector is broadening its share in the supply of healthcare services. In what follows, the sector’s process of internationalization/centralization is analyzed and lastly the regulatory role of the State in strengthening private provision is defined. Despite radically different institutional paths, the findings corroborate that in both cases finance is a driving force in reshaping the healthcare sector.
机译:自战后时期以来,社会保护系统经历了持续的改革,无论是延伸还是更常见,降低公共规定的范围和规模。本文旨在展示医疗保健系统最近在法国和巴西在巴西出现的,以理解金融化一直在重塑公众护理的机制。这种比较分析推出了普遍主义原则的医疗保健系统的明显经验动态。在拥有两个系统之后,潜在的私人维度 - 互补或补充 - 文章指出了金融部门如何在供应医疗服务供应方面扩大其份额。在下文中,分析了各部门的国际化/集中化进程,并依法了国家加强私营规定的监管作用。尽管不同的制度路径不同,但在两种情况下,融资在融资中都是重塑医疗保健部门的推动力。

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