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Public Health Systems in the Age of Financialization: Lessons from the Center and the Periphery de Ana Carolina Lot Canellas Cordilha

Public Health Systems in the Age of Financialization: Lessons from the Center and the Periphery: Studies in Critical Social Sciences / New Scholarship in Political Economy, cartea 260/25

Autor Ana Carolina Lot Canellas Cordilha
en Limba Engleză Hardback – 3 iul 2023
In Public Health Systems in the Age of Financialization, Ana Carolina Cordilha unpacks policy shifts that have transformed public health systems into vehicles for financial speculation and capital accumulation. While it is commonly thought that these systems are being cut back in the period of financialization, the author shows that current changes in public health financing go far beyond budget cuts and privatization measures. She examines how public health systems are adopting financial instruments and participating in financial accumulation strategies, with harmful impacts on transparency, democratic accountability, and health service provision. With an in-depth study of both the French and Brazilian systems, Cordilha explores the different ways in which this process unfolds in central and peripheral countries.
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Specificații

ISBN-13: 9789004524729
ISBN-10: 900452472X
Dimensiuni: 155 x 235 mm
Greutate: 0 kg
Editura: Brill
Colecția Brill
Seria Studies in Critical Social Sciences / New Scholarship in Political Economy

Notă biografică

Ana Carolina Cordilha, Ph.D. (2022), Sorbonne Paris Nord University, teaches Quantitative Methods and Economic Development at Sorbonne Nouvelle University. She has several publications on financialization and social policy, including Financialisation and Public Health Systems: a new concept to examine ongoing reforms (2022).

Cuprins

Acknowledgments

List of Figures and Tables

Acronyms

Introduction

Part 1
Financialization as a New Concept to Examine Public Health Systems Change
1Financialization and Its Inroads into Public Policy
1 Finance and Its Workings
1.1Conventional Views of Finance

1.2The Heterodox Critique

1.3The Academic Scholarship on Financialization


2 Together But Different: Financialization in Central and Peripheral Countries
2.1Financialization in France

2.2Financialization in Brazil


3 Financialization and Social Provision
3.1The Inroads of Finance in Areas of Social Provision

3.2The Financialization of Social Policy

3.3The Financialization of the State

3.4Financialization and Central Governments: Changes in Public Debt Management

3.5Emerging Themes on State Financialization: Local Governments, Public Investments, and Social Provision


2Public Health Systems in Times of Financialization
1 Public Health Systems (phs)
1.1Reasons for State Intervention in Health Care

1.2Defining Public Systems

1.3Common Institutional Arrangements of phs

1.4phs in Historical Perspective


2 Conventional Approaches to Assess Health Systems Change
2.1Deconstructing the Notion of Privatization

2.2Agents

2.3Narratives

2.4Theoretical Underpinnings

2.5Impacts


3 Financialization in the Health Sector
3.1The State of the Art of the Health Financialization Literature

3.2Investment Platforms: a New Approach to Finance Global Health Policies

3.3Ownership Restructuring: Reshaping the Landscape of Private Health

3.4Financial Innovations: a Novel Strategy for Public and Non-profit Agencies

3.5Gaps in the Existing Research for the Public Sector

3.6Financialization as a Distinctive Type of phs Change

3.7Agents

3.8Narratives

3.9Theoretical Underpinnings

3.10Different Paths, Same Driving Force: Austerity Policies

3.11Impacts of Financialization

3.12Bridging Concepts Together: Privatization as a Driver of Financialization

3.13Financialization as a Driver of Privatization



Part 2
From Theory to Practice: How Financialization Reshapes Public Health Systems
3The French System Pioneering Financialized Strategies in phs
1 Social Security and Public Health Care in France
1.1The French System of Social Security

1.2The French Public Health System: Assurance Maladie

1.3The Trajectory Toward Universalization

1.4The Path of Neoliberal Reforms in Assurance Maladie

1.5Assurance Maladie’s Accounts in Perspective


2 Mechanisms of Financialization
2.1Financialized Strategies for Long-Term Debt Management: the Social Debt Amortization Fund

2.2Contextualizing cades’ Creation

2.3Deconstructing cades’ Strategy

2.4cades in Numbers

2.5Instruments and Costs

2.6Investors and Intermediaries

2.7State Support

2.8Financialized Strategies for Short-Term Financing by the Central Agency of Social Security

2.9Contextualizing the Adoption of Financialized Practices by the Central Agency

2.10acoss’ Financing Strategy in Numbers

2.11Instruments and Costs

2.12Investors and Intermediaries

2.13State Support

2.14Government Policies Toward Hospitals: Credit-Based Investment Programs

2.15The French Hospital Sector at a Glance

2.16Bringing Hospitals and Banks Closer Together: a New Approach to Finance Investments

2.17Delving into the Credit-Based Financing Strategy

2.18The Role of the State

2.19Addendum: Public Hospitals Venturing into Financial Markets

2.20Financing Conditions and Intermediaries


3 Taking Stock


4The Brazilian System A Trajectory (Mis)led by Financialization
1 Social Security and Public Health Care in Brazil
1.1The Brazilian Social Security System

1.2The Brazilian Public Health System: Sistema Único de Saúde

1.3The Quest to Consolidate Universal Health Care: Successes and Drawbacks

1.4The Public Health System Today

1.5sus Accounts in Perspective


2 Mechanisms of Financialization
2.1Public Health Revenues Feeding Financial Accumulation: Policies at the Federal Level

2.2The 1999 Monetary Policy Regime and Its Associated Fiscal Policy Framework

2.3Reinforcing the Macroeconomic Regime: Health Spending Rules

2.4Backing the Macroeconomic Regime: Rules for Social Security Revenues

2.5Data Analysis and Interpretation: Health and Financial Expenditures in Perspective

2.6The Role of Financial Institutions

2.7Investing sus Revenues in Short-Term Financial Assets: Policies at the Subnational Level

2.8The Role of Health Funds

2.9The Rio de Janeiro State Health Fund

2.10The Federal District Health Fund

2.11When the Financial System Overrides the Health System: Revenue Retention Practices

2.12Subsidized Credit Lines for sus Providers

2.13sus and the Philanthropic Health Sector

2.14Government Programs Connecting Philanthropic Hospitals and Banks

2.15Consigned Credit for Philanthropic Health Establishments

2.16The Bank-Based Strategy in Numbers

2.17How Credit-Based Hospital Financing Serves the Financial Sector

2.18Taking Stock


5Uncovering the Hidden Costs of Financialized Public Health Insights from Case Studies
1 Systematizing Results: Common Trends

2 Shared Trends, Unique Expressions: Contrasting Central and Peripheral Experiences

3 A Broader View of Financialized Policies in phs and the Role of the State

4 Impacts of Financialized Policies on the Foundational Principles of phs


Appendix Additional Information on Data Sources and Treatment

References

Index