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The regressive nature of health family expending in Brazil

The regressive nature of health family expending in Brazil . André Medici. Objetives and Data. Evaluate health expenditure in Brazil from 1987 to 1996 by: income level nature of expenditures Basic Data: Household Expending Surveys (POF) 1987/8 and 1995/6

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The regressive nature of health family expending in Brazil

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  1. The regressive nature of health family expending in Brazil André Medici

  2. Objetives and Data • Evaluate health expenditure in Brazil from 1987 to 1996 by: • income level • nature of expenditures • Basic Data: Household Expending Surveys (POF) • 1987/8 and 1995/6 • State Capitals and Metropolitan Regions • Brazilian Institute of Geography and Statistics (IBGE)

  3. Health Expenditure Distribution in Brazil • Brazilian Health Expenditures - 1997

  4. Public System Utilization (SUS) by educational level

  5. Percapita Income x Gini Coeficient - 1996 Gini Coefic. Percapita Income

  6. Health and Education Expenditures as a Share of the Family Expenditures: 1996 (in monthly minimun wages) Minimum wage in constant prices is around US$82 in 1988 and 1996

  7. Health expenditure as a share of the family expenditures by income level (in minumun wages) 1987-1996

  8. Cb - Gini index of family expending considering health Cn - Gini index of family expending without health Suits: varies -1 (totally regressive) to 1 (totally progressive)

  9. Health family expending by 3 mayors cathegories: 1996

  10. Annual percapita families health expenditures by Deciles (Metropolitan Regions of São Paulo and Recife, 1996)

  11. Main conclusions • Health Expenditures increased as a share of family expending between 1987/8 and 1996; • The increase was more intensive in low income families • Family health expending is regressive. Educational expending is progressive • Pharmaceuticals are the bigger family expending cathegorie (specially among poorest families where represent more than 70% of health expenditures). • Health Plans presented high increase in family health expenditures. (Failures in public coverage during the early stages of SUS?). Health Plans are most representatives in North and Northeast States, where poverty is higher.

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