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How the United States exports managed care to developing countries.

H Waitzkin1, C Iriart

  • 1Division of Community Medicine, University of New Mexico, Albuquerque 87131, USA.

International Journal of Health Services : Planning, Administration, Evaluation
|September 20, 2001
PubMed
Summary

Managed care organizations are expanding globally, particularly in Latin America, impacting healthcare access. Resistance movements are emerging, framing this as a struggle against economic imperialism and neoliberal policies.

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Area of Science:

  • Global Health
  • Health Economics
  • International Relations

Background:

  • Managed care organizations (MCOs) are expanding into international markets as US growth slows.
  • Latin America presents a lucrative opportunity for MCOs due to privatization of public health services.
  • International lending agencies support the shift towards managed care in developing nations.

Purpose of the Study:

  • To analyze the global expansion of managed care organizations.
  • To examine the impact of managed care reforms on healthcare access in developing countries.
  • To understand the resistance movements opposing neoliberal healthcare solutions.

Main Methods:

  • Analysis of market trends in managed care organization expansion.
  • Review of policy shifts in public-sector healthcare and social security in Latin America.

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  • Examination of grassroots movements advocating for health as a public good.

    • Main Results:

    • MCOs are actively pursuing new markets abroad, especially in Latin America.
    • Privatization and reorganization of health services under managed care are increasing.
    • Significant resistance is forming against the imposition of US-exported managed care models.

    Conclusions:

    • The expansion of managed care poses critical questions about healthcare access and equity globally.
    • Resistance movements are framing managed care as a form of economic imperialism.
    • Alternative models defending health as a public good are gaining traction in developing regions.