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INFORME ALTERNATIVO SOBRE LA SALUD EN AMERICA LATINATABLE 3POPULATION UNDER THE LINE OFINDIGENCE AND POVERTY (%)NATIONAL AND BOGOTÁ 1997 – 2000NATIONALBOGOTÁLINE OFPOVERTY1997 1999 200050.332.456.346.359.849.6LINE OFINDIGENCE199718.16.1199919.613.2200023.414.9the behavior of the economy, and did not produce redistributiveimpacts.The coverage of the contributory regime, in thesame period, passed from 39.5% to 35.4%, and of thesubsidized regime, from 17.7% to 16.9%. Nevertheless,in the subsidized regime, equity problems wereevident at the time of assignation of subsidies; hence,while the percentage of subsidized poor populationdecreases from 27% to 20,3%, the percentage of subsidizednon-poor population augmented from 9.2% to13.4% (Table 5).In the face of services provision for the periodof 1993-2000, the percentage of people who felt sickTABLE 4CREATION AND DESTRUCTION OF EMPLOYMENT IN THE FORMAL AND INFORMALSECTORS SEVEN CITIES 1992–2000 AND THIRTEEN CITIES 2001–2003(THOUSANDS OF PEOPLE)PERÍOD FORMAL INFORMAL TOTAL % FORMAL % INFORMAL1992 – 19941463918576.0520.951994 – 1996675712454.2745.731996 – 1998142983124.3795.631998 – 2000- 254368113-224.67324.672001 – 20025723729419.3580.652002 – 20031429423660.1239.88and were taken care of diminished in all the quintiles(in this manner general care was reduced from 67% to51%). The inequalities between the richest and poorestquintiles are also evidenced; while the poor population,more vulnerable to illnesses, receives minor care,the quintiles with higher incomes concentrate majorcare.In 1993, within the first quintile 48% of the peoplewho felt sick were taken care of, while in the lastquintile, 80% were taken care of. By the year 2003, the102
Observatorio Latinoamericano de Salud.QUINTIL12345TOTALTABLE 5HEALTH INSURANCE1993, 1997, 2003AFFILIATED1993 1993 1993528.2831.349.6232.026.5692.407.5332.460.0388.772.0464.052.4754.296.5874.781.4504.634.5664.936.74122.701.8194.069.9714.589.4125.092.7946.052.6627.226.87527.031.714TABLE 6AFFILIATION BY REGIME,WITH COMPLEMENTARY PLANS OR HEALTHINSURANCE 2003RÉGIMEESPECIALCONTRIBUTORYSUBSIDIZEDTOTAL%AFFILIATION5.8657.0737.07100% WITH COMPLE-MENTARY PLANS ORINSURANCE9.1211.161.617.50TABLE 7INCOME DISTRIBUTION, HEALTH COVERAGE AND UTILIZATION OF SERVICES.BY POPULATION QUINTILESQUINTILESBY HOME12345TOTALINCOMETOHEALTH2.205.9210.4418.0563.38100AFFILIATED CONTRIBUTORYREGIME15.5616.1119.0322.2227.081003.177.8617.9329.6841.35100SUBSIDIZEDREGIME36.5930.1120.919.552.85100NON-AFFILIATEDAND WITHOUTINSURANCE27.8126.5821.4316.158.03100UTILIZATIONOF HEALTHSERVICES15.1316.8521.8023.8022.41100situation improved for the people who showed illness,so that 60% of the first quintile and 77% of the last onereceived care (Table 9).One of the main barriers to the access, for peoplewho do not seek professional care even if they aresick, is the lack of money. In the period 1994-2000, thepercentage of sick, who were not taken care of on accountof a lack of funds, increased from 43% to 62%. Bythe year 2003 it decreased to 39%, despite the fact thatthis continues to be the reason why people do not receivecare (Table 8). It is demonstrated that the currentsystem of social security in health does not contributeto the reduction of socioeconomic inequity; on thecontrary, the system maintains it.A further factor that expresses inequity throughoutthe health system is pocket expenditure . Accor-103
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PEOPLE’S HEALTH ASSEMBLY 2GLOBAL
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LATIN AMERICAN HEALTH WATCHAlternat
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"Our elders taught us that the cele
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12. Neoliberalism, Pesticide Use an
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1Alternative Health Report :A Tool
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Observatorio Latinoamericano de Sal
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Monopoly,Inequity and Health
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INFORME ALTERNATIVO SOBRE LA SALUD
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3The Right to Health and the Free T
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Institutionalizationof Violenceand
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Biodiversity:Destructionand Monopol
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Section II:THAT OTHER HEALTH POSSIB
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