Abstract
Social insurance spread from Europe to the developing countries, especially in Latin America, after World War I. In these countries, however, the percentage of persons insured is typically small, so that “inequities” are created relative to the larger non–insured populations. Nevertheless, the social insurance device is justified because of its effects in upgrading the overall health service resources and promoting the general economic development of the predominantly agricultural countries. Moreover, social security programs are in the long run not obstructive to but promotive of Ministries of Health and their services.

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