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AN ANALYSIS OF EQUITY IN BRAZILIAN HEALTH SYSTEM FINANCING
Affilliation
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Agência Nacional de Saúde Suplementar. Rio de Janeiro, RJ, Brasil.
Agência Nacional de Saúde Suplementar. Rio de Janeiro, RJ, Brasil.
Abstract
Health care in Brazil is financed from many sources taxes on income, real
property, sales of goods and services, and financial transactions; private insurance purchased
by households and firms; and out-of-pocket payments by households. Data on
household budgets and tax revenues allow the burden of each source except firms insurance
purchases for their employees to be allocated across deciles of adjusted per capita
household income, indicating the progressivity or regressivity of each kind of payment.
Overall, financing is approximately neutral, with progressive public finance offsetting regressive
payments. This last form of finance pushes some households into poverty
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