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Chile: On Tensions and Silences in Health Sector Reform, Where Are Gender and Rights?
06/12/2011
Based on concerns regarding the lack of civil society participation in the construction of proposed changes to the healthcare system that are currently being developed by government-appointed committees of experts and likewise troubled by the focus of these proposals and their possible impact on gender equality, Chile’s Observatorio de Equidad de Género en Salud (Observatory on Gender Equity in Health) organized a workshop seminar entitled "Tensiones y silencios en la Reforma de la Salud. Género y derechos ausentes" (Tensions and Silences in Health Sector Reform. The Absence of Gender and Rights), which was held on December 6 in the old Hospital San José.

The Latin American and Caribbean Women’s Health Network was directly involved in the Technical Group and also took part in the Observatory’s Civil Society Forum.

Frente Amplio de Defensa de la Salud Pública, Zona Sur The event aimed to share information about these proposals and encourage reflection on their implications for gender equity in order to construct arguments and deliver informational materials that would enable organizations that are members of the Observatory and civil society organizations in general to continue this discussion in their own regions, with their own networks. In addition, the event sought to develop strategies in response to the proposed reform that actually threatens gender equality.

At the conclusion of the seminar, the participants adopted a declaration that, among other things, maintains that the aforementioned initiative jeopardizes the right to health of Chilean women and men and worsens inequalities in health, weakens the state's role as the guarantor of the population’s right to health (by promoting a state that protects and subsidizes the growth of institutions that profit from providing healthcare) and excludes the public from this debate, which concerns them directly.

Chile is a paradigmatic example of the development and implementation of sectoral reforms in the region that have progressively weakened the state's role as the guarantor of rights, promoting the privatization of basic services – such as health, education and social security – and widening the gap between those who have the resources to "buy" these assets on the market and those who lack these resources. These reform models have been implemented in other countries, resulting in the same trend towards privatization that increases inequality.

The full text of the final, Spanish-language declaration can be downloaded below. The photo shows one of the protests organized by the Frente Amplio de Defensa de la Salud Pública, Zona Sur (Broad Front for the Defense of Public Health, Southern Zone).

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Phone: (56-2) 223 7077 | Fax: (56-2) 223 1066 / secretaria@reddesalud.org