Status and Challenges
of Social Protection Policies in Latin America
By ENRIQUE VASQUEZ AND ENRIQUE MENDIZABAL
People without social insurance in Latin American countries include large
numbers of unemployed created during economic reforms of the 1990s, the growing
work force in the informal sector, and other poor and vulnerable groups such
as women and the elderly. This article assesses various types of socail protection,
insurance and pension programs which operate in the region, weighs their effects
on the groups which face the greatest social risk, and seeks ways to provide
"spring boards,"not just "safety nets." The authors-both
researching social policy and human development with the Universidad del Pacifico
in Lima, Peru-are Enrique Vasquez, Professor of Economics, and Enrique Mendizabal,
Economist.
SOCIAL RISK AND POVERTY
When people need help in preventing or dealing with social
riskand economic vulnerability and cannot obtain that help from market mechanisms,
government programs such as unemployment insurance, health insurance, income
maintenance, or pensions attempt to fill the gap. Social insurace "necessarily
involves redistribution from taxpayers in general to people at social risk in
particular. "a new broader definition is that social protection is "human-capital-oriented
public interventions to assist individuals, house-holds, and communiites better
manage risk , and to provide support to the incapacitated poor"
In Latin America, widespreda social exclusion occurred as a result of the structural
adjustment and market-economy policies introduced during the 1990s. Mostly designed
by organizations like the World Bank and International Monetary Fund, the main
concern of these policies was macroeconomic and fiscal stability. To compensate
for the social cost of these economic reforms, Latin American governments embarked
on a wide ragne of state interventions to protect the most vulnerable. In the
end, neither the economic nor the social policies worked out properly. Goverments
failed to provide social security systems that could eliminate the social risk
and economic vulnerability which accompanied the shocks so common in the region.
The current state of social protection in most Latin American countries resembles
that of European countries before the Second World War. But this does not mean
that Latin America should take the same path as Europe did after the war. Instead,
it should learn from its own painful experience and develop social protection
policies suited to its needs and the problems of the most vulnerable in the
region: poor workers in the informal sector , adolescents, children and the
elderly.
Social expenditure in the Latin American region is less than 10 per cent of
GDP, while in industrial countries it ranges from 16 per cent in the United
States to 30 per cent or more in continental Eupope. In fact, this comparison
understates the gap, because most Latin American countries include educationin
their expenditure on social protection;industrial countries do not , since they
already guarantee education access for the great majority of the school -app
pop- ulation as a human -capital investment. Services are far from universal
for Latin Americans(Ganza, Leon and Sanuma, UNDP-UNICEF,1999). Furthermore,
public agencies incharge of implementing social policies have very limited effectiveness
and efficiency. In some cases like Peru, the basic problem is not only limited
resources, but also and most important, the quality of the social management
(Vasquez, 2000)
In industrial countries, as many as five categories of risks are covered by
social protection systems: old age, health, employment, income and family. The
first two risks are covered by social security instruments which are more or
less close "substitutes to market insurance", while unemployment,
income and family risks are covered by pure social insurance.
Old age insurance and pension systems, which are compulsory in industrial ocuntries,
have become extremely complex,. Debate centers on whether pension systems should
remain pay-as -you-go, because proportionately smaller working populations in
industrial countries make it increasingly difficult to coverthe elderly whose
populationshare is growing. In Latin America, on the other hand, debate has
centered on whether pension systems should be privately or publicly funded,
as wellas whether they should remain pay-as -you-go or move to individual accounts.
Health insurance. Industrial countries have made considerable progress in the
postwar period in establishing quast -uni-versal health insurance schemes. There
is no consensus onwhether they should be a public or private responsibility,
and it is generally accepted that their performance is not satisfactory. The
United States remains the only industrialcountry without some kind of national
health insurance system.
Rapidly increasing health care expenditures have led some countries to seek
better control of the sometimes excessive prices charged by service providers
and to assure patients' rights to service. Thos means a two-tier price structure,
with hagher tariffs for those able to pay, and reduced tariffs of free service
for lowincome families or individuals, but in no case is treatment denied. Health
maintenance organizations(HMOs) have become a popular private model, not only
in industrial countries lick the United States, but also in Latin America. However,
this is not a solution for countries with high levels of informal-sector employment,
which has no provision for an HMO health insurance plan. The private option
should focus on helping to increase coverage for those currently uncovered and
no just compete for those already covered.
Unemployment insurance systems, as experience shows, are incomplete unless they
are associated with low-income social insurance to reduce the risk of individual
or family income fallingbelow an unacceptable level.. otherwise, some proportion
of individuals with no job or noaccess to the formal labor sector could not
claim any unemployment benefits. With the rise of unemployment in Latin American
countries during the 1990s, this happened frequently. In particular, young workers
without prior experience found it almost impossible to get a becent wage and
adequate job. Hence, "in some instances, minimum income guarantee schemes
have to be set up precisely to respond to this kind of situation". This
form of safety net -unemployment and low-income insurance working together-has
proven very effective.
Income maintenance programs, on the other hand, have generated a different kind
o fdebate. Ensuring a strict minimum income level might, in some circumstances,
"significantly reduce labor incentives" and result in a 'poverty trap'.
If the benefits are relatively higher than a formal wage, labor becomes more
expensive and individuals may prefer to remainunemployed-or be employed at wages
below the legal minimum, thus benefiting from the program. This negative byproduct
of a well-intentioned program has become an economic burden for States, which
have enacted various reforms to avoid it . some of these include earned-income
tax credits in the United States and United Kingdom, where individuals who work
a minimumu number of hours and remain below some gross income limit receive
a negative income ta as an incentive. This increases the participation rate
of the target population without increasing the income risk. And efficient tax
and revenue system is required to ensure its sustainability and transparency.
Social protection systems affect both the supply and demand sides of the labor
market, since" social protection contributes to an increase in the cost
of labor and therefore to a fall in employment." This is especially relevant
in countries with a minimum wage policy where the contribution necessarily comes
from the employer, while in countries with no minimum-wage policy the contribution
comes from employees, thus reducing their net salaries. Since 1990, the European
Commission's recommended policy has been that social security contributions
from low wages should be reduced "so as to increase the demand for unskilled
workers" and thus reduce upemployment among those at higher social risk
-poor, unskilled individuals.
Reaons for economic nisecurity in Latin America
Economic insecurity creates social risk and the need for social protection.
It is important to understand the origin and causes of economic insecurity in
latin America in order to assess different ways of managing it . three of its
causes are the trauma of the 1980s, high macroeconomic volatility, and inadequate
response by social and political institutions.
The 11980s debt crsis created a deep depression in Latin America, leaving the
region with high unemployment rates, weak social insurance institutions and
weak social insurance institutions and weak publicy provided safety nets. Real
income declined around 20 per cent in countries like Argentina, Chile, Mexico
and Venezuela, while in Brazil it dropped only 10 per cent. On the other hand,
Peru's decline was about 35 per cent, comparable to the United States in the
great depression of the 1930s. Comparing the 1930s great depression and the
1980s debt crisis helps to explain the rise of economic insecurity in Latin
America. Both events produced a negative perception of free market instruments
for social security among the most vulnerable individuals. For the U.S.in the
1930s, the next logical step was the creation of the "welfare State"
with strong public social insurance institutions. latin America in the 1980s,
however, lost confidence not only in its private sector as a prime suspect in
causing the debt crisis, but also and mainly in an out-of-control public sector.
The response at the time was a leap into the free market. Most countries in
the region had externally imposed trade restrictions, public enterprises, fiscal
deficits and microeconomic mismanagement. Instead, governments thereafter adopted
policies aimed at free trade and financial liberalization, privatization of
publicly run companies, and deregulation -for which most of the weakly industrialized
economies of the region were no prepared. The result: the complete annihilation
of the Pervuian midle class, high devaluation risks in Ecuador, Brazil and Argentina,
high unemployment rates in Brazil, financial and economic crisis in Mexico,
Brazil and Peru, and macroeconomic volatility in the region.
Entering the 1990s, Latin America found itself in, unprepared for, a highly
volatile environment driven mainly by erratic capital flows. Newly opened economies
left the region's macroeconomic policy and growth potential dependent on the
"fancies of short-term foreign investors ". most governments shifted
efforts towards attacting foreign capital to fill the void left by capital sources
which had fled. Eventually, therir macroeconomic policy divorced itself from
the real economy, social expenditure suffered the most in relative terms, social
risk and vulnerability increased, and so did economic insecurity.
Weak social and political institutions were responsible for, and further weakened
by economic insecurity in the region. The late 1980s and early 1990s served
as killing fields for democratic institutions, labor unions and politica parties.
Trade unions were unable to develop strategies for dealing with job insecurity,
both caused by and contributing to their loss of members and political power.
Ironicallly, the very institutions which should have responded to the basic
social needs of the population, but could not respond, found their constituencies
so weakened that there was almost no protest from the people most affected.
Furthermore, the "washington consensus view of development policy, sharply
constrained by the 'requirements' of global economic integration, has prevented
the emergence of an alternative (of at least complementary) vivsion of economic
reform driven by local concerns and national aspirations." These policy
'guidelines', 'recommended'by international economic and financial agents, drove
most countries to a stalemate in economic growth , which they now have to face,
along with rising unemployment rates, few international rewseves, high exchange
rate volatility, and an unavoidable dependence on foreign capial.
Dealing with social risks
How do governments and individuals respond to the rise of economic insecurity
and social risks? More important , when should governments respond, and when
should they leave individuals and the private sector to deal with risks? How
do individuals or families behave when confronted with risk?
Three approaches to social insurance by individuals have been identified by
Gill and Ilahe(2000):market insurance (i.e. unemployment insurance), selfinsurance
(i.e.precautionary savings) and self-protection (i.e. investment in human capital
). Arguably, precaution is preferred and there fore social insurance, provided
by the public sector, should concentrate on mechanisms for self-protection.
For example , when market insurance does not exist for certain risks or does
not cover the poor and extreme pooe, the government should step in to provide
it . unemployment insurance, for instance, is offered by governments as a substitute
for market insurance, for instance, is offered by governments as a substitute
fo rmarket insurance, which does not guarantee ndividuals a stable wage. The
United States uses employer experience ratings and /or indi-vidual unemployment
history to fix unemployment insurance premiums.
Self-insurance, on the other hand, implies that the individual seeks instruments
or assets that will maintain or increase their value in the event of a negative
shock. However, individuals may not have the necessary information to make the
right decision or lack access to good instruments, such as diversified financial
assets. As a result , they may self-insure using bad instruments, such as land,
which can lose value after a negative financial shock. In this case, the government
could step in to promote the development of stronger financial markets, for
example, prudentially regulating the the capital market in cluding banking deposits,
deposit insurance, non-bank financial intermediaries-or forstering the market
for long-term public bonds.
Finally, self-protection involves the use of some type of asset that will lower
the probability of risk. Investment in human capital, i.e. education, reduces
the probability of unemployment. Therefore, government policies to improve educational
access and quality will be and important component of xocial protectionand may
help to substantially reduce the risk of future economic downturns. However,
this approach provides poor collateral since individuals cannot borrow against
their knowledge or skills in case they lose jobs. Because no market exists for
human capital, private agents are induced to seek a more easily collateralized
form of capiatal . in latin America, this form of social protection is usually
the only possible one for the poor and the unemployed who have no access to
government programs or fully-funded pension systems based on earmarked payroll
taxes.
Education and health
Arguably, the most important human capital initiatives are educationand health.
For developing countries, improved educational access is important as a strategy
for eradicating poverty across generations, especially in rural areas, which
are shor on proper educational services. When families cannot reduce their social
risk through education for children, they seek to enhance their protectionby
breeding more children as a source of chea labor for economic slumps and as
a "househod safely net "for the parents'old age.
Health care should be universally covered by social insurance. If resources
are scarce, increased health couverage should be given priority, even over pension
benefits, which in any case typically go in large share toward health care for
the retired elderly. Fortunately, public health insurance is still the most
important way of financing health services for the population; HMOs and private
insurance are only accessible to those with the means and who have formal employment.
Workers in the informal sector, for instance, would not have access to HMO coverage.
In the latin American region, public health insurance is typically provided
by at least two health care systems:"one provided by social insurance,
which mainly covers the salaried labor force, pensioners and family dependants
of both; and another by the Ministry of Health, which offers public health care
to the non-insured poor and low-income population". Only Cuba has a universal
standardized sys-tem, offered by the Ministry of Health.
Private health insurance is provided by either voluntary contributions(which
are extremely low in the region)or ear-marked payroll deductions. Hence, private
insurance is only accessible to "formal workers" and wealthy individuals
who can voluntarily contribute towards a healthe insurance plan. Few alternatives
for reducing or dealing with healthe risks are available to workers who are
not part of the formal workforce and to their families and dependants.
Some general policy recommendations are derived from this:
First, it is clear that the availability of all three forms of insurance instruments
will improve individual and family welfare, thus reducing social risk and economic
insecurity.
Second, demand for social insurance does not decrease with economic development
and improvement of welfare, nor is the clamor fo rbetter social insur-ance "an
indication of worsening economic circumstances". On the contrary, as societies
develop, they require more and better public goods and services, including social
insurance.
Third, financial market strengthening should be considered the central element
of any social policy since it can augment the availability of the three forms
of insurance. Hence, governments ought not to divorce their social protection
policy from macroeconomic and microeconomic policies.
Fourth , governments should seek new and better alternatives for the most vulnerable
people, whose sole social protection mechanisms are based on the family, the
community and their own personal capital accumulationmechanisms.
Even when fiscal adjustments are crafted so that the poor experience minimum
effects from cuts, there is no way to know the extent of such effects in advance.
In Latin American countries it is usually nonsocial spending that is protected
from cuts. As a powerlessminority, the poor have no political influence over
the allocation of public spendingand their share of the benefits. Evidence shows
that public spending on social protection is procyclical: duringrecessions,
when there are more poor people, less is spent on them. Brown and Hunter (1999)
found that Latin American democracies are more likely to protect social spending
during a recession, while authoritarian regimes tend to reduce social spending
during a crisis andexpand it afterwards .
Fiscal adjustments in the region have not been in the best in terests of the
poor. This suggests that the safety nets supposedly provided by social spending
did not live up to expectations. Specific public insurance programs, well-targeted
social funds and poverty relidf efforts have therefore thaken the spotlight
in social policy recommendations for social protection in the region. Among
the different options put forward in the region should be mentioned social funds
and targeted conditional transfer programs, nad unemployment and health insurance.
Social funds
While social funds vary from country to country, some characteristics remain
constant. Among the most important operational characteristics they share are
that social funds:
? Promote, finace and implement small social projects, but do not participate
in the maintenance or operation of such projects.
? Help establish the formal parameters to support investments benefiting the
poor.
? Enjoy some kind of operational autonomy, even though they are part of the
public sector.
? In a highly centralized government, however, such autonomy might be subordinated
to the central government's own policy desires.
In 1987, the world's first social fund was created in Bolivia-Fondo Social de
Emergencia, since then, their number has increased ocnsiderably and, today,
almost all countries in the Latin American region have one. All of them sharem
certain objectives and trends from which various lessons may be obtained.
The main objectives of most social funds include improving the infrastructure
for the provision of social services, such as sanitation, roads, bridges, schools
and health centers. In the absence of an emergency-such as a natural disaster
-unemployment is typically the prime objective of social funds in the initial
stage . Other objectives include:community development , commonly reachedby
a "learning-by -doing" process where the social funds finance projects
promoted, managed and implemented by the communities; improved delivery of basic
social services, with emphasis on training service providers; and support for
decentralization of social protection -as is the case for social funds in Chile,
Honduras and Bolivia.
Among the most important general trends observed in social funds worldwide is
that they are becoming more integrated into countries' overall social and economic
efforts. In the absence of strong social and political institutions, as in most
Latin American countries, this might become a force against the development
of an efficient welfare state. As social funds pay more attention to popular
participation, the individuals and families who benefit tend to ask for more
social services- such as health and nutuition survices, occupational education,
etc. Peruvian experience in FONCODES has shown that popular participation has
positive impact on the results of the projects implemented by the fund. Participation
of beneficiaries helps correct mistakes in the desing and focus of projects
and make them more effective,implying that the poor are better at deciding what
is best for them.
Some other trends include increasing decentralization of social funds and demand
for more imcome-generating subprojects. These trends arise not from the search
fo rbetter management and operation of social funds, but from the wider politica
and economic environment which favors, for example, more popular participationand
more emphasis on microfinance in many deviloping countries.
Some lessons about what works and does not work in sociaa funds should be carefully
considered when Latin American governments are formulating social policy. In
general, they have done well inadjusting rap9idly to changing circumstances,
promoting community participation to enhance sustainability, and targeting poor
communities -though more effort is needed with the poorest nad marginalized
groups. Compared to other public sector agencies, they have done well in achievingcost
efficiency and accountability and in generating trust among communities toward
the public sector-though in some countries corruption and public funds embezzlement
is common.
Not all lessons have been positive. The most important deficiencies include
poor performance in microcredit programs; poor beneficiary rates and gaps in
coverage for the "poorest of the poor";inability to integrate with
collaborative programs inother public institutions, so as to improve efficiency;
incosistency with the social policy framework, which confuses beneficiaries
and detracts fro capacity buklding; inadequate impact indicators; and inability
to provide assistace with mass impact, especially with regard to unemployment.
For example, the Peruvian social fund, FONCODES, has experienced mixed outcomes
in education, and very high degrees of leakage (50 per cent) and gaps in coverage
(68 per cent) in nutrition programmes.
Even so , social funds in Latin America have proven to be a cost-efficient way
of relieving social risk and economic insecurity, with few exceptions. While
their deficiencies can be easily corrected some critics mainti=ain that social
funds do not accomplish what is expected, do not reach the poor, build infrastructure
that is not staffed or maintained, do not produce long term impact, etc. While
this is true for some coumtries in the region, their true potential should not
be overlooked. If well administered, social funds could represent one of the
main sources of social insurance for the poor and vulnerable. If well targeted,
social funds could reduce social risk by buildingthe capacity to manage risk.
Beyond social funds: a universal social protection system?
While social funds are indeed good safety nets, the poor and the unemployed
need more than that: they need a "springboard" out of their risky
and vulnerable situation. One such springboard in the long term, for instance,
could be high-quality education, which breaks the chain of poverty carried generation
after generation. The uneducated poor represent one of strongest problems that
all social protection systems facein the region. Poor education levels may be
the main cause of low income, lack of access to social protection services,
and lack of political power to press for government intervention.
Beyond the safety net myopia of social funds, expanded coverage is the big issue.
A good social protection system would have the potential to bring in previously
exclded groups, such as the unemployed, women, the elderly, people with disabilities
and workers in the informal sector. Do social funds have the right toools to
identify and incorporate those who remain uncovered/ evidence tends to suggest
that a better alternative is needed.
Social security in industrial countries is universal, and employment and contribution
to a fully funded system are not required for inclusion. These pay -as-you-go
(PAYG) systems obtain their funds from general revenue and do not need criteria
to establish eligibility for benefits. However, in Latin America, universal
programs hav emany political and practical difficulties.
First, they are fiscally unsustainable. Individuals have many incentives to
avoid paying and ge "a free ride " in the use of services. Since universality
means using general revenues to finance social protectionwith uniform benefits
regardless of income, people who contribute more are likely to oppose such a
redistributive system-hence the shift towards HMOs and private insurance. Even
when fully funded systems are fiscally sustainable and include efficiency standards
in their practice, they have the "side effcet of creating a class of uninsured".
This happens when insurance companies, seeking high returns, try to reduce risk
and avoid insuring the elderly, women in reproductive ages and disabled individuals
whose levels of dependency are extremely high. This practice, known as "cream
skimming", implies that in the absence of universal public insurance only
the rich would be protected. In Chile, a poorly regulated public/private mix
with the stete acting as 'lender of last resort' ended in a dual model: private
insurers covered the yound and rich, while the state took care of the other
65 per cent of the population.
Private market insurance is an opeion only for those who have the means to afford
it and toose who are given no choice by their employees. HMOs, for instance,
coverthe entire workforce of a given institution, giving employees no option
but to accept the payroll deduction as a contribution that entitles them to
health benefits provided by the insuance company . according to many physicians,
this practice damages the quality of the health care service provided. It is
also out of reach for those employed in the informal sector or selfemployed,
whose only alternatives are public insurance, selr-insurance and self-protection.
In the Latin American context, this means that uncovered individuals and families
will seek self-insurance and self-protection inside the traditional social protection
system -their families and communities.
Social protection must therefore be led by the public sector and complemented
by private initiatives that help increase coverage , not only in social insurance
(protecting against negative events), but also in wider social protection. The
government must administer resources and programs that provide poor and vulnerable
families with a minimum decent standard of living. One of the most innovative
programs implemented in the region to satisfy these basic needs are the targeted
conditional transfer (TCT) programs.
Targeted conditional transfer (TCT) programs
Basically, TCT programs in Latin America involve cash grants to poor families
with young children on the condition that they keep their children on the condition
that they keep their children in school and, in some cases, visit health centers.
They represent a shift in social policy away from subsidies (mainly food and
fuel) to income transfer programs targeted to the poor that require certain
conditions from the beneficiaries. TCT programs do not cover workers in the
informal sector, seasonal and self-employed workers, though they could cover
the unemployed if carefully designed to avoid creating incentives to remain
unemployed. Representative programs in the region include Bolsa Escola in urban
Brazil, PETI in rural Brazil, and Progresa in Mexico, the first being a decentralized
institution, while the others are managed by the federal government.
These TCT programs have five main objectives. First, to achieve an increase
in educational attainments and substantial health improvements for young school-age
children, which would reduce future poverty. Second, to reduce shortterm poverty
by targeting grants to the poor. Third, to decrease child labor by requiring
a minimum school attednance by children in beneficiary households as an explicit
or implicit objective. Fourth, to provide income support to poor families acting
as a safety net against adverse shocks that could throw them deeper into poverty.
Finally, to achieve integral development of child education and health by providing
supply-side financial support to schools and health centers. These programs
are badly needed in Latin America. They address educational, health and nutrition
indicators which are particularly low for the poor in the region, especially
for children, the most vulnerable group. They bring together supply and demand
in a rational way so that, for example, the number of schoolrooms is increased
in line with hegher school attendance. Political acceptance, support and sustainability
are high, though fiscal sustainability, on the other hand, is sadly not secure.
The effectiveness and success of TCT programs can be measured by looking at
three of their main objectives:
(1) targeting the poor. At the design stage, the poorest regions of the country
are selected in federally administered programs, and decentralized programmes
target the municipalities where the conditions for their interest groups- the
poor, rural child workers, etc. -are the worsst. Actual selection of beneficiaries,
however, differs substantially . in urban Brazil, Bolsa Escola rates various
aspects of the beneficiaries' living standards, while PETI in rural Brazil looks
for per capita income lower than half the minimum wage and for working childrenof
school age (7-14). Kprogresa in Mexico requires beneficiaries to have total
family income less than the cost of a standard food basket and uses a specific
index to score the household's characteristics. Others like Honduras' PRAF-BID
II simply include all families in the chosen poorest municipalities.
Successful outcomes of Bolsa Escola hav ebeen attributed in part to the rating
system. Other less successful programs, mostly the decentralized ones, have
been unable to serveas mech as 43 per cent of their potential beneficiaries,
mainly for financial reasons. Centralized programs like Progresa, on the other
hand, show low gaps in coverage rates, 14-16 per cent, but high leakage rates,
of about 35 to 38 per cent.
(2) Increasig human capital. The programs have had successful outcomes in both
education and health/nutrition. Substantial positive ffects in both fields were
observed among the beneficiaries of the Progresa program in Mexico. Bolsa Escola
had success in bolstering school attendance, but its program does not include
the health component.
(3) Reducing child labor. These results were not as positive. Progresa reduced
paid child labor by 25 per cent among children aged 12-13, but the results fo
rchildren aged 14-15 were substantially negative; in fact, the incidence of
paid child labor significantly increased.
From these experiences, it is possible to put forward some policy recommendations
for TCT programs in Latin America.
First, involvement by municipalities helps achieve efficient operations. Programs
should be decentralized, with a local share in funding as well as federal or
central government financing.
Second, TCT programs should not be seen as substitutes for social funds, other
social protection policies or education related interventions.
Third, it is important to determine in advance a fair and clear grant amount
that families will receive. The question is whether to award grant amount that
families will receive. The question is whether to award grants on a per child
or per family basis. Grants on a per family basis means that families with more
children may not satisfactorily increase their income and reduce their social
risk. On the other hand, grants on a per child basis could be an incentive to
have more children, which would increase both the total costs of household social
services and the social risk.
Fourth, TCT programs could be designed to work as safety nets to those living
inpoverty and high unemployment risk.
Finally, all programs should provide explicit financial support to guarantee
a minimum service quality, thus augmenting the role of the "supply side."
However, the key question in the entire debate on social protection reform is
: are TCT programs fiscally sustainable in the long run? To succeed, they need
long term commitments by public authorities; that would require political as
well as fiscal stability, which are far from possible in the region. Seekingfiscal
stability through loans or aid from the World Bank or International Monetary
Fund means accepting economic, trade and fiscal policies that are beyond the
scope of social policy. Funding is thus a crucial issue to resolve before it
is safe to consider TCT programs as alternatives to a universal public insurance
system.
Social risk mangement: an option?
The World Bank has introduced the concept o fsocial risk management (SRM) into
its defintion of social protection. SRM involves using prevention strategies,
mitigation strategies and coping strategies to "manage" risk and thus
decrease economic insecurity. Prevention and mitigation strategies are to be
put into practice before a negative shock occurs. Prevention strategies include
economic and macroeconomic policy, public health policy, and educationand training
strategies, among others. Mitigation strategies, on the other hand, seek to
protect against variations in income -for example, by diversifying its sources,
and by providing informal or formal insurance. Social funds play na important
role in providing such insurance to the poor and vulnerable. Finally, coping
strategies seek to reduce the impact of a shock once it has occurred. For example,
an individual could relieve the situation by drawing on savings, unless a lifetime
of poverty has progibited an accumulationof assets that could offset a sudden
loss of income.
By no means an alternative to social protection, SRM can help individuals manage
risk and vulnerability by strategies that avoid the consequences of being uninsured
or partially insured.
The instruments used ofreach strategy will vary among individuals and families.
These can be informal/personal arrangements, such as marriage, mutual community
support and real state assets; formal/market based arrangements, such as financial
assets and insurance contracts; and formal/ publicly mandated or provided arrangements,
such as rules and regulations, protection of property rights, social insurance,
transfers and public works. The following table summarizes the interaction between
strategies and arrangements under the concept of SRM and the mechanisms available
for individuals to deal with risk.
As shown in the table above, the absence of market-based and publicly provided
social insurance has a negative social effect. Risk coping, which by far is
the most popular way of dealing with risk, induces households to send children
to work, thus augmenting their vulnerability and economic insecurity. The implication
is that filling this void should have high priority for the government.
The aim of the SRM approach is to change households and governments from the
usual coping strategy they adopted in response to shocks, economic insecurity
and probable risk, towards a risk management strategy that prevents or at least
mitigates against negative effects. Preventing problems is preferable to coping
with them, and cheaper, but until now social funds have mainly contributed to
coping. Turning those funds in the direction of SRM is similar to designing
TCT programs which try to reduce the probability of future risk and to mitigate
it in the mid term. Using the SRM approach, social funds should target according
to vulnerability and not only poverty. The ones who suffer the most during economic
crises and budget cuts are not only the poor, but also those above the poverty
line who have no permanent income, are unskilled, have large young families
and lack access to market based insurance. Furthermore, there should be more
community -participation in projects to develop organizational capacity, conduct
training, offer legal assistance, provide preventive health services, and generate
income.
Another look at the table shows that several personal and market based methods
of risk coping leave individuals and families in worse situations than before.
A family's vulnerability is increased if it sends its children to work, sells
real or financial assets, or borrows money from banks or neighbors. Public instruments
in this case only alleviate the problem in the short term, serving as a safety
net when they should act as a springboard. Under consideration in Peru is a
solution to this apparent flaw in the SRW scheme-creation of a social protection
net, omnipresent and designed to satisfy individual needs and prevent, mitigate
and cope with specific risks.
PENSION REFORM
Background
Old-age insurance or pensions seek to secure a minimum standard of living for
the elderly after they leave their jobs. Three alternatives for dealing with
old-age pensions are : (i) A universal social security system which obtains
its funds from general revenue and covers everyone without any qualifying criteria;(ii)
a contributory social security system-or fully funded system-which is funded
by earmarked payroll taxes as required contributions towards pension benefits
in the future; and (iii) resourcesof the family and the community, which remains
the most traditional system in the region to deal with risk and social protection.
During the 1990s there was a shift from the first to the second alternative
in Latin American countries. This change, initially promoted by Chile, called
for the elimination of the publicly run pension system (PPS) to be replaced
by a fully funded new private pension system (PrPS). However, most countries
in the region did not drop the first alternative and created a multi-pillar
system; the first being the public "universal' security system, and the
second the private contributory social security system. In many cases, an informal
third pillar also exists in the form of private investment in land, homes, tools
or education.
However necessary was the reform, the shift towards a private system increased
the number of "uninsured and partially insured individual who have contributed
little or nothing in their working years and may be left in poverty in old age".
This newly created group does no exist in countries where" they have universal
flat (uniform) or very broad means tested old-age security benefits". It
consists mainly of the following:
n Individuals who worked mainly inside the household (primarily women).
n Individuals with disabilities which have kept them from workin gin the formal
sector.
n Individuals who worked mostly in the informal sector where contributions are
no tcollected.
n Self-employed individuals. Farmers in particular are very likely to live in
poverty or extreme poverty, and have little or no access to social insurance
or pension systems.
Furthermore, the new system raises a new issue: the coverage problem which results
when private pension providers seek to reduce risk and therefore avoid the most
"difficult groups". These groups include, for instance, farmers, self-employed
workers and disabled individuals, whose contribution is not mandatory and would
require large pension benefits in old age. Instead of developing incentives
to promote their participation, private providers engage in "cream skimming,"
the same practice as in health insurance (disussed above). This consists of
leaving the high-risk poor portion of the elderly without insurance and only
covering those with higher incomes and lower vulnerability and poverty risks.
This raises the question of whether private insurance concepts contribute to
the welfare of the most vulnerable and difficult groups. Most of the Latin American
population is unemployed, employed in the informal sector or sel-employed, and
not part of the "formal"workforce. Therefore, it is safe to say that
moving away from a universal system only increasesthe number of the uninsured.
Even if private pensions in all their variations did cover all formally employed
workers, they would not provide for those in the informal sector, including
women workers in the househole and sporadic owrkers, since they are not contributory
programs based on earmaked payroll taxes.
Pension reform in Latin America
"Young or old, Social Security affects eveyone. And virtually everyone
believes that it won't be there for future generations like it has been in the
past". That belief in itself indicates there are reasons for pension reform.
Chile's reform took place over a decade before other Latin American countries
and set the standards for changes made in the PPS of Colombia, Mexico and Peru.
These reforms, including Chile's, are still very recent, and real results have
not yet been observed. It is thus difficult to know how well the new private
pension systems are covering the poor and most vulnerable people.
Broadly speaking, during the first half of the 1990s, the PPS in most Latin
American countries found themselves on the verge of financial breakdown. In
Peru, for instance, hyperinflation and price distortions sent the real value
of the system's assets plunging, while simultaneously the overall obligations
of the system expanded as a result of the popular policies adopted udring the
1980s. Following Chile's experience, new pension systems were put into practice
with three main objectives: first, to establish a solid private pension system
that would create indivedual accounts and provide workers a reasonable pension
after retirement, directly proportional to their contributions. Second, to generate
a considerable investment fund through which the new system would contribute
to the devilopment of the financial and capital markets, as well as increase
domestic savings. Third, to eliminate inefficiency in the use of resources by
the PPS, in which all retired workers receive the same pension regardless of
their contributions.
Developing countries, unlike industrial countries, have a large young workforce
that could easily finance retirement pensions for the elderly. However, this
workforce is mostly unemployed or in the informal sector. Therefore, reform
should aim at increasing the number of people contributing to the system by
providing incentives such as individual accounts.
Lessons of reforms
Colombia. The Colombian pension reform of 1993 is unlike the reforms in other
countries such as Chile or Peru. In Colombia, a system of competiton was established
between the existing pay as you go (PAYG) system and a new fully funded system
(FFS), similar to the privately run Chilean system. Competition means that affiliates
may choose between the FFS and the PAYG, based on their own assessment of expected
future returns in either system. To maintain certain stability, affiliates must
wait three years to switch between systems and six months within the FFS. In
any case, the PAYG system ends up operating as a last resort option for workers
who would otherwise take the risk that a higher than average portfolio return
implies.
The system of competition immediately increased th econtribution rate and effectively
reduced the benefits by delaying retirement age by two years. This reduced fiscal
expenditure by about 1 per cent of GDP annually. However, the fiscal costs of
the transition are still too high, in part because of additional concessions
to public servants, delay in making new retirement conditions effective, and
the costs of operating the PAYG system as insurance against a loss in the FFS,
which induces high mobility between the systems.
Following the reform, pension contributions increased from 6.5 to 14.5 per cent
of earnings. The PAYG system which seems inefficient, and one of the causes
of the reform, was kept"basically for those who were risk averse and preferred
to have defined benefits as an alternative to a defined benefits as an alternative
to a defined contribution system. Thus, the defined benefits system remained
public and the defined contribution system, private, although switching is allowed
between them."
An important aspect of the reform is that competition between the PAYG system
and FFS added to the last resort quality of PAYG and forced the FFS to ensure
at least a minimum expected return thus promoting efficiency and caution. Lower
than expected returns would not only have considerably negative effects on the
private pension administrators, but also on the affiliates and the economy as
a whole.
The Colombian pension reform needs a series of "second generation"
reforms to address the fiscal burden mentioned before. First, concessions granted
to special groups of public servanted to special groups of public servants should
be elimiated. Second, retirement two years later for both male and female workers
should be made effective sooner than the 20-year period established. Third,
the retirement age should be further increased by three years (60/65, female/male),
in accordance with the rise in life expectacy. Finally, high payroll taxes need
to be substituted by regular taxes to avoid damaging effects on employment and
international competitiveness, since the current payroll deductions only create
incentives for informal employment.
Mexico. The 1995 Mexican pension reform was prompted by demographic tendencies,
PPS financial health, and evasion. Though Mexico, like most developing countries,
has the demographic advantage of a large young workforce, the 1990s seemed the
right time for reforms to avoid future problems-especially given rapidly decreasing
child mortality and birth rates, and increasing life expectance. The strongest
reason for reform, however, was the severe financial disequilibria in the public
system, which predicteda deficit o faround 141 per cent of GDP in current value
(1994)for a horizon of 75 years. Finally, evasion was high mainly because of
the lack of proportionality between contributions and benefits, tempting employees
to declare lower salaries or cross over to the informal labor sector.
The Mexican pension reform was built around three pillars: a first public run
pillar with a redistribution objective; a second private run pillar based upon
mandatory contributions capitalized in individual accounts; and a third pillar
of voluntary savings. The second pillar involves active management of individual
accounts, pension funds and withdrawal mechanisms by private agents. This pillar
creates a direct relation between ocntributions and pension benefits, thus eliminating
the incentives for evading contributions. On the second pillar rests all the
structure of the pension system.
The reformed Mexican system has unique interaction between public and private
agents, unlike the Colombian (competition) and Chilean (fully private) systems.
It was designed to:
n Augment equity, efficiency and sustainability of the pensionsystem.
n Build the foundations of a financially stable pension system
n Limit the fiscal impact.
n Strengthen the development of the financial system and reduce its volatility
by increasing private financial intermediaries and instruments available.
n Increase domestic long term savings and overall aggregate savings.
Peru. During the first half of the 1980s, the Peruvian PPS began to show clear
signs of financial weakness. Rising unemployment rates reduced the mumber of
contributors, while new retired workers claimed their pension benefits every
day . this created a heavy burden on the system. It was not able or not interested
to increase returns on pension fundinvestments. It was on the verge of financial
breakdown by the start of the 1990s and was draining resources from other areas
of the budget. Hyperinflation, low employment and high informal employment prompted
its reform. Whether the reform was the right one is not very clear.
As in Colombia and Mexico, the public system created too many incentives for
evasion and was unable to produce a strong sustainable fund that would not be
affected by demographic, economic and political changes. In 1993, Peru created
a private system like Chile's in addition to the public system, with contributors
owning individual accounts and receiving pension benefits proportional to their
contributons and the return on pension fund investments. However, contributions
in the Peruvian system are made entirely by the employee, while in Chile they
are shared with the employer.
In 1995, Peru made a series of modifications and "second-generation"
reforms in the private system in order to elimiate existig differences between
the two systems. Among the most important changeswere measures to promote the
affiliation of independent workers, eliminate imperfections in taxation affecting
the development of the private system, level the costs in both systems, guarantee
a minimum pension benefit (similar to those in Colombia and Mexico), and promote
voluntary savings in the private system in 1996, more modifications were made
to reduce inefficiency in the systems arising from the high incidence of evasion.
The financial crisis and the "El nino"in 1998 helped intensify the
existing problems. Also, the backfire by creating insecurity and instability
in the system.
One of the most important problems, which the governmenthas not yet addressed,
is the high commission that private agents chargeto affiliates. At 3.8 per cent,
it is the highest in the region compared with 3.5 per cent in Colom bia, 2.89
per cent in Chile and 2.6 per cent in Uruguay. Whatever the reason, high commissions
also create aversion to the system and this contributes toward reduced coverage.
Another limitation is the lack of financial instruments to generate future returns
to the pension funds (aside from the ban on investing in foreign assets). This
is important because 70 per cent of the private system affiliates are under
35 years of age, meaning that pension benefits will not be paid in the short
term. Long term financial instruments or ivestments are rare in Peru, mainly
because of political instability.
Another limitation is that the "Classifying Commission" determines
which assets and bonds the private agents can and cannot invest in . Present
debate centers on proposed reforms in these investment limitations. In view
of the current economic recession in the country, private agents will be used
to inject fresh long-term investment into the economy and to invest in the real
estate and construction industries as part of a government program for housing
facilities for poor families.
Human effects of the reform: forgotten again?
Private pension systems have extended all over Latin America. Argentina(1994),
Bolivia(1997), Colombia (1993), Chile (19810, El Salvador (1997), Mexico (1995),
Peru(1993) and Uruguay (1996) adopted new systems such as the ones discussed
in this section. In all cases, privately managed pension funds are the most
influential force on the domestic capital markets. However, this entails investment
risks, individual longevity risks, and demographic risks.
The investment risks can be systematically decreased by diversifying pension
fund portfolios, but inflation and exchange risks cannot be avoided. Individual
longevity risks -some individuals require more resources because of unexpected
logevity- can bbe managed if affiliates with surplus income voluntarily save
more than private pension providers require. The demographic risk is that a
group will have different than expected longevity, requirig establishment of
State guarantees or reinsurance with domestic or foreign pension funds or insurers.
These risk reductions should be coupled with transparent investment strategies,
accountability, and clear reform legislation that will last enough to gain the
trust of the affiliates, provide incentives forworkers to join the privae system,
and broaden it pension fund.
How well are the new private pension systems covering themost vulnerable and
poor?unlike the reforms in social insurance, pension reforms have apparently
not yet created a new group of uninsured. Since they cover only dependent workers
(employees), private pension systems under the reforms have not solved the situation
regarding unemployed individuals and those employed in the informal sector,
or the needs of women who work at home and make no contributions to any pension
system. In 1997, only 49.4 per cent of the economically active population in
Lima(Peru's capital city )was employed in the private formal sector. Latin America's
large informal sector. Latin America's large informal sector and unemployment
rates require a pension system that covers more than half of all workers.
In the year 2000, seven years since Peru's reform, less than 30 per cent of
the working population, including 18.9 per cent of the formal workforce, was
covered by some sort of pension insurance. It could be argued that, in Peru,
the public and private systems compete for the same socially included population,
and therefore coverage is low. However, if the PPS was to be eliminated as in
the Chilean pension reform, a larger group of uninsured could appear. The informal
sector would need to be canalized towards the formal sector and sporadic and
seasonal workers would need a special contributory system I order to ensure
decent old age benefits.
Reports show that in the entire region, except Chile, not even half the formal
labor force has been affiliated to the new systems mandated by the reforms.
Not even in Chile are all workers (including those in the informal sector )affiliated
to some kind of old-age pension scheme.
A solution seems to be a multi-pillar system. The first pillar, the pps, would
ensure retirement benefits for the unemployed by providing temporary low wage
jobs in activities of social interest. The PPS would be able to benefit from
the management skills and investment port folios of the second pillar, the private
pension system, and produce higher returns in its pension funds. Such a soulution
may eliminate the competition system and turn it into a "collaboration
system" between public and private pension providers, more or less like
the reformed Mexican pension structure where both systems interact.
Vulnerable groups
The reforms have not secured coverage for all. Indeed they have created a new
class of uninsured among the most vulnerable and poor-mainly informal workers,
women and the elderly, but also other groups which are also victims of discrimination
such as the disabled, people with AIDS, etc.
The same fiscal unsustainability that prompted the reforms damagedthe formal
labor sector inmany Latin American countries. International investment and free
trade augmented unemployment and forced many formal workers into the informal
sector. Informal workers, under a fully funded system, do not apply for pension
benefits when old and are entirely uninsured. Some of these workers are employed
on and off in the formal sector and contribute to the private pension system
albeit sporadically. Private pension providers promote voluntary contributions,
yet where these providers exist, voluntary coverage for self-employed owrkers
is the lowest for the region -Chile (11 per cent) , Peru( 4 per cent), and Mexico(1per
cent). This is not an alternativeto increase coverage of the self-employed.
Women remain largely uninsured in Latin America. Their work, mainly inside their
own households, is not remunerated, and they usually "lack the labor force
participation that would entitle them to contributory benefits, and even if
covered, they are usually only 'partially' insured because their levels of education,
wages and years of service were low". Furthermore, women own little property
and hence are highly vulnerable to an old age of poverty.
Undercurrent systems, when marriages break up, most women are left without a
decent income or pension, especially when such a break occurs at an older age,
although a series of measures could be taken "to extend the implicit family
contract into old age".
Finally, the edlerly, whose welfare is the main purpose of pension systems,
are one of the most vulnerable groups. Time of service requirements prevent
most elderly from seeking better pension benefits in the private system and
hence are left in the public one. When pension reform leads to a multi pillar
sustem, the elderly may receive public pension benefits. However, if the reform
leaves only a private system these elderly contributiors to the former PPS would
find themselves unimsured by the private system when it seeks to reduce their
client risks.
CONCLUSIONS
A new word should be present in all policy discussions dealing with social protection
and pension reform: uninsured. Uninsured persons result from a mixture of causes,
including social exclusion, crea skimmin gand permissive incentives for free
riding. Poor countries can not sustain large uninsured poulations in the long
run because they will eventually require support from old-age or health benefits,
no doubt at a cost to taxpayers which drains scarce budget resources.
In designing solutions to this problem countries in the Latin American region
should be guided by two basic financial facts:
(1) contributory social security and pension programs are a fiscal necessity.
(2) A large dose of redistribution between the richer and the poorest is inevitable.
Any other approach would be financially unsustainable and would not succed in
providing social protectionand pension coverage for the poor.
Over time, economic development and increased female participation in the labor
force will result in greater social protection coverage. However, to move proactively
on increasing coverage, measures are required on a national basis that involve
both rich and poor people, and both the public and private sectors:
? To protectthe poor, a national health care system or integrated social insurance
health systems should be established.
? For the rich, it should be made possible to obtain additional coverage or
betterprotection through different providers , but without fiscal subsidy.
? Private and public sector insurance and pension systems should work together
to develop new services and products that would increase coverage. Free market
competition is of no use when half the country's population does not have the
purchasing power to access insurance.
? When embarking on new social protection or pension reforms, the principal
focus naturally has to be placed on achieving increased coverage for the poor
and vulnerable populations, and on providing a springboard for all those who
are currently excluded, not juxt short term relief and a simple safety net.
To those ends, experience in the region leads to some suggested guidelines:
? Coverage should extend not only to workers in the formal sector-market-based
and public -but also to informal sector workers and the unemployed.
? Though the current exclusion of the poor and the extreme poor needs urgent
attention,rent, food or fuel subsidy programs should be avoeded since they do
not build up or strengthen social, economic or political capabilities.
? One approach is to encourage associations or cooperatives of low-income individuals,
families and groups which can facilitate, and provide incentives for, affiliation
with insurance and pension systems.
? A longer term approach is to give priority to children's education, since
in later life that improves income and access to social insurance and protection.
This priority is reflected in targeted onditional transfer (TCT)progrmas which
provide income support to poor familie on condition that children attend school;
however, TCT programs can experience unsustainable costs and serious shortcomings
in coverage.
? It is almost impossible for independent workers to contribute voluntarily.
Low-income workers have relatively short life expectancy, so it may make more
sese for them to use their meager incomes to survive at present rather than
saving for a distant future when they may not be alive.
However, social protection not only involves insurance, but also realtes to
the range of national programs and projects, which are directed at eradicaitng
poverty. It is important that these programs draw on the best available experience
ofr their design and the best mix of parners for their execution.
Fiirst, as regards design, only a few reserch centers study social welfare on
a regional basis, and more such work is needed to draw on Latin American experience
and the lessons learned for the design of new social protection programs. Some
cross-country comparative analyses have been done by research netsorks, and
some studies have been conducted on health , education, poverty and social security
issues. But most studies confine themselvesto in-country research, and a lack
of financial resources affects their sustainability.
Second, as regards execution, one of the main ocnclusions from the analysis
of social policy in Latin America is that the private sector an dcivil society
organizations need to play a more leading role. They should be in charge of
executing thosesocial programs where they have competitive advantage, while
the State concentrates on monitoring and carrying out impact evaluations. Nong
overnmental organizations are big players in designing cost effective social
programs, but need to strengthen their relationships with public institutions;
the most innovative practices in the region relate to civil society participation
in such programs as locally administered community health, nutrition improvement
through "popular kitchens" and mothers'clubs, communnity banks for
micro finance, and local committees for conservation and the environment.
Mobilizing these research findings andthese broader partnerships could also
help strengthen lobbying efforts, develop political support, and attract international
cooperation, which can bring about the needed redirection and reinvigoration
of social policies. In the final analysis, better resourcing, design and execution
of social programs is essential if poverty eradication is to succeed among the
indigenous people in Ecuador, the landless in Brazil, women in Peru, and other
poor and vulnerable groups in Latin America.
N o t e s
1. bourguignon, F,. Social Security in Industrial Countries: Which lessons for
LAC countries?, LAC June, p.7.
2. jorgensen Steen Lau and Julie Van Domelen, Helping th ePoor Manage Risk Better:
The Role of Social Funds; p.3 in Lustin , Nora, "Shielding the Poor: Social
Protection in the Developing World", Brookings Institution/inter American
Development Bank, Washington, D.C., 2000, PP. 10, 15, 24-25.
3. Bourguignon, F., op . cit., pp. 16-17.
4. The 'trap' implies that in the event of a shock, individuals and families
who have chosen to reduce their labor hours to benefit from the income maintenance
programs, stand in a poosition of hegher social risk than those hold-ing a formal
job.Idem. pp. 20-21.
5. rodrik, Dani, Why is there so much economic insecurity in Latin America?
Harvard University, Cambridge, 1999, PP, 3-5.
6. Gill, Indermit S. And Nadeem Ilahe, Economic Insecurity, Individual Behaviour
and Social Security, The World Bank, Washington, D.C., 2000, P. 1. 15, 18.
7.Conning, Jonathan,Pedro Olinto and Alvaro Trigeros, Managing Economic Insecurity
in Rural El Salvador, first draft, 2000, p.23-24, 34.
8. Mesa-Lago Carmelo, Old-Age Security and Health Care for the Poor in Latin
America and the Caribbean, Inter-American Development Bank, Washington DC. 1994,
P.4
9. Ravallion, Martin, Are the Poor Protected from Budget Cuts? Theory and Evidence
for Argentina, The World Bank/ Universite Sciences
Sociales, Toulouse, 2000, P.1
10 Vasquez, Enrique, Enrique Mendizabal and Giovann Alarcon, Oferta y Demanda
de Servicios Sociales Focalizados en Ninos y Ninas en el Peru, Save the Children
Sweden/CIUP, Lima, 2000.
11 Brown, David S.and Wendy Hunter, Democracy and Social Spending in Latin America,
American Political Science Review 93(4): 779-90, 1999.
12 Ravallion, Martin, op.cit.p.3.
13 Jorgensen, Steen Lau Julie Van Domelen, op.cit.,pp.7-12.
14 Paxson, Christina and Norbert R.Schady, Do schools facilities matter? The
case of the Peruvian Social Fund (FONCODES), background paper for the Social
Funds, 2000 ESW, Washington, D.C., 2000, P. 29,table No.2.
15 Calculated from the "Encuesta Nacinonal de Niveles de Vida:ENNIV 2000"
by the authors.
16 Mesa-Lage, Carmelo, op.cit.
17 James, Estelle, op.cit.p.3.
18 Mesa -Lago, Carmelo, op.cit. pp.6-7.
19 Uthoff, Andras, Trends in Social Secutiry Reform and the Uninsured, Inter-American
Development Bank, Wahington D.C.M1999,P.7.
20 the world bank lo de springboard p.46.
21 Uthoff, Andras, Trends in Social Security Reform and the Uninsured, Inter-American
Development Bank, Wshington D.C., 1999,P.7.
22 Titelman, Daniel and Andras Uthoff, El mercado de la salud y la reforma a
su financiamiento, (mimeo) CEPAL, Santiago, 1999.
23 James, Estelle, op. cit .p.2.
24 Sedlacek, Guilherme, Nadeem Ilahi and Emily Gustafsson Wright, Targeted Condition
Transfer Programms in Latin America: An Early Survey, The World Bank, Washington
DC, 2000, PP. 1-13.
25 Leakage implies that some of the beneficiaries didn't belong to the potential
population, thus showing poor targeting.
26 Jorgensen, Steen Lau and Julie Van Domelen, op.cit, p.4-5, 21.
27 James, Estelle, Old-age protection for the uninsured what are the issues?
World Bank, Washington D.C., 1999,P.2-8.
28 Although its "universality" is doubtful since it is only aplicable
for formal dependant workers and still leaves behind those who participate in
the informal sector, are self-employed or remain unemployed.
29 Holzmann, Robert et al, Social Protection Sector Strategy: from Safety Nets
to spring board, The World Bank.
30 Uthoff, Andras, Trends in Social Security Reform and the Uninsured, Inter-American
Development Bank, Washington D.C.,1999 , P. 5.
31 James, Estelle, op. cit.p.15.
32 Jose Pinera, Former Chilean Labour Minister, credited with privatised Chile's
state pension system in 1981, Tuesday, June 18, 1996, Portland.
33 Munoz, Italo, La reforma del sistema privado de pensiones, in Abusada, Roberto,
Fritz Du Bois, Eduardo Moron and Jose Valderrama (Editors), "La reforma
incompleta: rescatando los noventa", tomo I, CIUP/IPE, Lima, 2000, p.451-452.
34 Clavijo, Sergio, Pension Reform in Colombia: Macroeconomic and Fiscal Effects,
Draft for Comments, IMF, 1997, PP.4-7 (table No.1), 28.
35 Administradoras de Fondos de Pensiones -- Pension Fund Administrators--in
the Chilean PPS.
36 Cerda, Luis and Gloria Gandolini, Mexico: la reforma al sistema de pensiones,
Mexico, D.F, 1997,pp.1-32.
37 Munoz, Italo, op.cit, p. 451-472.
38 Edwards, Gonzalo and Salvador Valdes, Jubilacion en los sistemas pensionados
privados , Documento de trabajo de la Pontificia Universidad Catolica de Chile,
1997, pp.1-4.
39 If an individual outlives those in hi/her age group, undistributed returns
could be redistributed to coverhis/her need for more resources.
40 Gestion, informe, enero 1999.
41 Moron, Eduardo, Estudio sobre el Sistema de Privado de Pensiones y Administradoras
de Fondos de Pensiones, informe final,Lima, 2000, P.2
42 Six years after the reform only 14.3% of the formal workforce was affiliated
in Colombia, 29.6 per cent after 3 years in Mexico, and 18.9 per cent after
7 years in Peru. Idem.p.6.
43 Having in mind the risk-adverse strategy that the PPS must hav eto ensure
minimum retirement benefit payments to its affiliates.
44 Mesa-Lago, Carmelo, Old-Age Security and Health Care for the Poor in Latin
America and the Caribbean, Inter-American Development Bank, Washingon D.C.,
1999, P.6.
45 Moron, Eduardo, Estudio sobre el Sistema de Privado de Pensiones y Administradoras
de Fondos de Pensiones, informe final, Lima, Lima, 2000,p.3.
46 James, Estelle, op. cit., pp.23-24.
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