Scarpaci has produced a well-written, informative and often provocative account of Chile's formal system of primary medical services. . . . an important contribution to the growing body of literature on health care systems. . . . It will be of particular interest to medical geographers, students of international health care policy and systems, and Latin American and urban specialists.
Since Pinochet's regime assumed power in 1973, the Chilean public medical system has been incrementally disassembled in favor of private enterprise, modeled after U.S. HMOs. Scarpaci assembles data ranging from interviews with patients to income statements and balance sheets from the National Health Service System, National Health Fund, and National Statistics Institute to view the financial and cultural impediments imposed by the Pinochet system that have compromised and effectively limited health care accessibility for Chile's adult population.
Provides an excellent analysis of the reforms undertaken by the Pinochet administration. It also contains extensive data on all the essential aspects of medical care as well as a forceful critique of the nature and impact of these policies.