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Journal of Medical Ethics 2008;34:e13; doi:10.1136/jme.2007.022715
Copyright © 2008 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.

Electronic pages

Global medical ethics

Inequalities and healthcare reform in Chile: equity of what?

Correspondence to:
Dr Jaime Burrows, Centre for Professional Ethics, Research Institute for Law, Politics and Justice, Keele University, Keele ST5 5BG, UK; j.e.burrows.oyarzun{at}ilpj.keele.ac.uk

ABSTRACT

Chile has achieved great success in terms of growth and development. However, growing inequalities exist in relation to income and health status. The previous Chilean government began to reform the healthcare system with the aim of reducing health inequities. What is meant by "equity" in this context? What is the extent of the equity aimed for? A normative framework is required for public policy-makers to consider ideas about fairness in their decisions about healthcare reform. This paper aims to discuss the main features of the Chilean healthcare reform and their implications for such a normative framework.


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