EQUITY, LAW AND SOCIAL JUSTICE IN THE CONTEXT OF COLOMBIAN HEALTH SYSTEM

The present work is the result of a perspective exercise that aims to reflect from the conception of human rights to the consequences of a health system centered more on the treatment of diseases that ultimately becomes inefficient. This study is a perspective paper about equity, justice and rights...

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Veröffentlicht in:Value in health 2017-05, Vol.20 (5), p.A70
Hauptverfasser: Garzón-Orjuela, N, Moreno, L, Gonzalez, K, Eslava-Schmalbach, J
Format: Artikel
Sprache:eng
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Zusammenfassung:The present work is the result of a perspective exercise that aims to reflect from the conception of human rights to the consequences of a health system centered more on the treatment of diseases that ultimately becomes inefficient. This study is a perspective paper about equity, justice and rights in the context of the Colombian Health System, going from a philosophical conception of first- and second-order rights, to finally characterize the current Health System to which the Colombian population is “exposed”. With real examples it is shown that Colombia fails at being a welfare State, focusing in first-order rights more than in secondorder rights. This work demonstrates not-favorable outcomes on collective rights of the Colombian population, partly due to the lack of morality of its implicit actors, to the fragile structure for a true regulation of the health system, and corruption in health, among other causes. With all of these issues, there is no space for a true social justice, leading to a worsening status of health inequities. The importance of this work is to generate and to promote new policy efforts to change the current weak and unstable Colombian health care system that could finally lead to an improvement of social justice and inequities in health.
ISSN:1098-3015
1524-4733
DOI:10.1016/j.jval.2017.05.005