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An international perspective on strikes and strike threats by physicians: the case of Chile
Insights
The Chilean government
Area of Science:
- Public Health Policy
- Medical Sociology
Background:
- The Salvador Allende Gossens government in Chile implemented a comprehensive health services program.
- This program aimed for community participation and changes in healthcare delivery models.
- The organized medical profession exhibited systematic opposition to these reforms.
Purpose of the Study:
- To outline the Chilean government's health services program and its initial impacts.
- To analyze the organized medical profession's opposition to the health program and socialist goals.
- To trace the medical profession's activities from 1970 to 1973.
Main Methods:
- Historical review of the government's health services program.
- Analysis of the medical profession's response and activities.
- Examination of political links between the medical profession and opposition groups.
Main Results:
- The medical profession opposed community participation and changes in care delivery.
- Physicians feared a diminished professional status.
- Significant political connections existed between the medical profession and anti-government factions.
Conclusions:
- The opposition of the medical profession extended beyond healthcare reform to broader political objectives.
- The organized medical profession was linked to the eventual overthrow of the Allende government.
- The study highlights the intersection of medical professional interests and political power struggles.
Abstract:
The program for health services developed by the government of Dr. Salvador Allende Gossens in Chile is outlined, as well as its early effects. A review of this development is necessary to an understanding of the systematic opposition of the organized medical profession to this program in particular, and to the broad socialist goals of the government in general. Three periods of activity by the medical profession are traced, beginning in September 1970 and culminating in September 1973 with the military coup and overthrow of the democratically elected government of Chile and the murder of its president, a physician. While the medical profession was opposed to the government program for community participation in health care and to changes in the models for delivery of care, and feared a changed status for the physician, clearly there were broader political links between the organized medical profession and the political opponents of the government which sought its overthrow.
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