“We Should Open the Doors for Private Groups but Not So They Can Take It All”: The Design and Implementation of Medical Cooperatives in Costa Rica (1986-1990)
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| Author: | |
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| Format: | artículo original |
| Status: | Versión publicada |
| Publication Date: | 2022 |
| Description: | This paper tackles the design and implementation of the medical cooperative model in Costa Rica between 1986-1990, through the decision-making process. It is argued that these cooperatives were created as a result of the state contraction process that limited institutional expansion, together with the climax of the concept of economic democracy and decision-makers exposure to international ties. In spite of institutional resilience to medical cooperatives, and the weaknesses of their design and implementation stage, this model has set in motion a hybrid social security trajectory, in which the incorporation of private providers mainly depends on decision makers’ interpretation of institutional unfeasibility. |
| Country: | Portal de Revistas UCR |
| Institution: | Universidad de Costa Rica |
| Repositorio: | Portal de Revistas UCR |
| Language: | Español |
| OAI Identifier: | oai:portal.ucr.ac.cr:article/54078 |
| Online Access: | https://revistas.ucr.ac.cr/index.php/anuario/article/view/54078 |
| Keyword: | Health Reform Social Security Medical Cooperatives Decision-making Economic Democracy reforma de salud seguridad social cooperativismo médico toma de decisiones democracia económica |