Chile has been in the forefront of major new issues related to health systems and inequality. First, most Chilean observers were surprised by the massive social protests in October 2019 that challenged the view that Chile was progressing in reducing poverty and increasing equal access to health care for the poor and vulnerable populations. Some of the lessons from Chilean protests may be appropriate for the current Black Lives Matter protests around the world. The protests led to a process for a Constitutional Convention and this year is also a presidential election.
Secondly, in the face of the COVID 19 pandemic, Chile has gone through periods when it seemed to have applied the best practices for containing Covid-19 and for high vaccination rates but these periods were followed by increasing cases and hospitalizations.
Thirdly, Chile has been an innovator of health sector reforms and has been a model for several countries around the world. We will have interviews many participants in the health system, including current and past Ministers of Health, to get their views on the protests, Covid 19 situation and the broader options for health reform. We will also attempt to observe Chile’s initiatives in primary care including an important public private partnership and the development of a family medicine approach to community health care.