Medical Care, Welfare State, and Deindustrialization in the Southern Cone

The Spanish-speaking countries of the Southern Cone (Argentina, Chile, and Uruguay) have long been characterized as the welfare states of Latin America. This myth is challenged by reviewing the role of the state in the financing of medical care. The Bismarkian model of medical-care financing is reexamined through the theoretical insights derived from bureaucratic authoritarianism. State concessions to the labor force in the form of medical-care benefits are now less crucial to labor's relationship with the state than they have been at any other time in the postwar period, and they remain independent of whether the military remain in power. Comparative aspects of medical-care financing, industrialization policies, and state-labor relations indicate that structural constraints-in the form of securing export-product niches, labor costs, and the threat of military intervention-have cast medical-care benefits in a relatively inferior position when the labor force bargains with management or with the state. Deindustrialization has forced thousands of workers into jobs that lack the comprehensive medical benefits that once characterized the traditional industrial sector. The welfare-state concept has given way to a new ideology that emphasizes individual choices in life-style and encourages medical-program affiliation according to income levels

Deindustrialization · Industrialisation · Social and Economic Development in India

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  Joseph L Scarpaci•Economic Geography•1990

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• La privatización de los servicios públicos. La experiencia de las ciudades estadounidenses

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• Medical geography

  Open Access•Kelvyn Jones, Graham Moon•Progress in Human Geography•1992

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• Engendering the Latin American state

  Open Access•Altha J Cravey•Progress in Human Geography•1998

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• Industrial subcontracting and employment forms in Latin America

  Open Access•Violet Lawson, Victoria A Lawson•Progress in Human Geography•1992

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• Primary-Care Decentralization in the Southern Cone

  Joseph L Scarpaci•Annals of the Association of…•1991

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• State terror

  Open Access•Joseph L Scarpaci, Lessie Jo Frazier•Progress in Human Geography•1993

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• An Argument for Critical and Comparative Research on the Urban Economic Geography of the Americas

  Open Access•Lawson, Violet Lawson et al.•Environment and Planning A…•1993

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• Dependency and Development in Latin America

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• Reversal of Development in Argentina

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• Global restructuring and territorial development

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• Latin American Experiments in Neoconservative Economics

  Alejandro Foxley•Latin American Experiments in…•1983

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• The Political Economy of the Welfare State

  Open Access•Ian Gough•Political Economy of the Welfare…•1979

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• Social Security in Latin America

  Carmelo Mesa-Lago, Carmelo Mesa‐lago•Social Security in Latin America•1978

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• Contradictions of the Welfare State

  Claus Offe, John Keane•Contradictions of the Welfare State•2018

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• The Origins of the Liberal Welfare Reforms 1906–1914

  Open Access•James Roy Hay•Origins of the Liberal Welfare…•1975

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• Promise of Development

  Charles H Wood, Peter F Klarén et al.•Hispanic American Historical Review•1987

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• Sunbelt/Snowbelt urban development and regional restructuring

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• Health Services Privatization in Industrial Societies

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• The Welfare State and Its Aftermath

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• The Deindustrialization of America

  Open Access•Richard Peet•Antipode•1982

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• Latin American Populism in Comparative Perspective

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• Restructuring the World Economy

  William Diebold, Joyce Kolko•Foreign Affairs•1988

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• Latin American Political Economy

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• The Highest Form Of The Geographer's Art∗

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• State Institutions, Ideology, and Autonomous Technological Development

  Open Access•Emanuel Adler•Latin American Research Review•1988

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• Resistance and Integration

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• Industrialisation and Urbanisation in Latin America

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• Estado, clases sociales y salud

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• From Fordism to Flexible Accumulation

  Open Access•Erica Schoenberger•Environment and Planning D…•1988

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• The Urbanization of the Third World

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• The Deindustrialization of Chile, 1974-1984

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• Primary Medical Care in Chile

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• Labor in Latin America

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• A Political Economy of Uruguay Since 1870

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• Chile

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• Authoritarianism and Corporatism in Latin America

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• Urban Workers and Labor Unions in Chile, 1902-1927

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• Women and Industrial Development in Latin America

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• Reflections on the Patterns of Change in the Bureaucratic-Authoritarian State

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• Introduction

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