Health institutions and power in Latin America Academic Article uri icon


  • Introduction. 2.—Republican Protomedicatos. 3.—Professional interregnum. 4.—Ministries and social security. 5.—Deficiencies and achievements in the Post-War period. 6.—Ethnicity. 7.—Considerations on external influence. 8.—Situation at the end of the 20th century. Abstract This essay sketches the fundamental characteristics of state medicine and public health in Central America, with an emphasis on the 20th century. The picture is variable, given the distinct configurations of political regime, ethnic division, and social conflict, some of them quite extreme. A high degree of historical continuity is noted in the way these factors have influenced the formation or deformation of public health and state medicine systems. Although external agents have had a strong presence in the health sector of most Central American countries, the paper argues that the historical forces that determine the nature …

publication date

  • January 1, 2005