Abstract

PEREZ Y SOTO DOMINGUEZ, Alejandro; FLOREZ PINILLA, Katherine  and  GIRALDO GARCIA, Fernando. Health Regulation in Colombia: A Problem of Captured Information. Pap.polit. [online]. 2017, vol.22, n.1, pp.105-125. ISSN 0122-4409.  https://doi.org/10.11144/javeriana.papo22-1.rscp.

Based on Austrian Economic Theory, problems were identified in the Health Care Model, known as “Managed competition”, related to the current crisis in the Health Care System in Colombia. The objective of this article is to analyze the theoretical basis and reasons for such failures. For its development a meta-theoretical approach was used in which the assumptions of a theory (managed competition) from another (Austrian) as a form of criticism and feedback needed to improve the theoretical constructions and especially their practical applications in the field of public policy. The article shows that these problems are derived from inadequate methodological assumptions that impede the coordination, competitiveness and efficiency of the service-providing companies. These methodological assumptions are divided into three: anthropological assumptions, assumptions about the man-environment relationship and assumptions about regulation. From these three assumptions, the existence of kidnaped or captured information and four regulatory problems were identified: 1) Static organization of the agents in the system infrastructure; 2) Biased regulator; 3) Segmentation and noncorrespondence of product with demand; and 4) Discrimination of prices by payment capacity: adverse selection, corruption and free riders. It is concluded that a change in the health system demands an institutional design based on assumptions closer to the behavior of the agents of the system.

Keywords : regulation; methodological assumptions; epistemological assumptions; health economic; Colombian health system.

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