Reichard S
Washington State College of Pharmacy, Pullman 99164-6510, USA.
J Public Health Policy. 1996;17(1):80-98.
The health care system of Chile evolved from rather unique historical circumstances to become one of the most progressive in Latin America, offering universal access to all citizens. Since the advent of the Pinochet regime in 1973, Chile has implemented Thatcherite/Reaganite reforms resulting in the privatization of much of the health care system. In the process, state support for health care has been sharply curtailed with deleterious effects on health services. As Chile emerges from the shadow of the Pinochet dictatorship, it faces numerous challenges as it struggles to rebuild its health care system. Other developing nations considering free-market reforms may wish to consider the high costs of the Chilean experiment.
智利的医疗保健系统从颇为独特的历史环境演变而来，成为拉丁美洲最先进的系统之一，为所有公民提供普遍医疗服务。自1973年皮诺切特政权上台以来，智利实施了撒切尔主义/里根主义改革，导致医疗保健系统的大部分实现了私有化。在此过程中，国家对医疗保健的支持大幅减少，对医疗服务产生了有害影响。随着智利走出皮诺切特独裁统治的阴影，在努力重建其医疗保健系统时面临着诸多挑战。其他考虑进行自由市场改革的发展中国家可能希望考虑智利这一试验的高昂代价。
