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Desinard Alves, joint with Christopher Timmins Social Exclusion and the Two-Tiered Healthcare System of BrazilSocial Exclusion And the Two-Tiered

By Healthcare System Of Brazil, Denisard C. O. Alves and Christopher Timmins


In Brazil there exists a two-tiered system of healthcare acces. Those with sufficient means have access to a private system of healthcare that provides quality treatment on demand, while the remainder of the country relies on an overburdened system of public clinics and hospitals. Households survey data are used to determine wich soiodemographic groups rely on this public healthcare system. Current demographic trends suggest that the public healthcare infrastructure will become more and more heavily used in the coming decades. A stylized model of healthcare choice is estimated, and its parameters are used to conduct counterfactual simulations of the welfare implications of this increased congestion, and of policies to offset it, like private healthcare subsidies. The authors gratefully acknowledge the financial support of the Inter-American Development Bank. Ignez Tristao and Fabiana Tito provided outstanding research assistance. Helpful comments and advice were received from Paul Schultz, Chris Uldry and all participants of the Yale University Development Lunch and the IDB seminars associated with this research initiative. 1

Year: 2013
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