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How the United States exports managed care to developing countries.
1Division of Community Medicine, University of New Mexico, Albuquerque 87131, USA.
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.
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.
- 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.
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