Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)

The Broad Front Left Coalition came to power in 2005 with the promise of building a National Integrated Healthcare System in the context of a broader institutional environment that was quite resistant to the proposed reforms. An analysis of the healthcare reform process attempted by the government u...

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Main Authors: Freigedo, Martín, Fuentes, Guillermo, Rodríguez Araújo, Martín
Format: Article
Language:Spanish
Published: Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador 2015-09-01
Series:Íconos
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Online Access:http://revistas.flacsoandes.edu.ec/iconos/article/view/1517
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author Freigedo, Martín
Fuentes, Guillermo
Rodríguez Araújo, Martín
author_facet Freigedo, Martín
Fuentes, Guillermo
Rodríguez Araújo, Martín
author_sort Freigedo, Martín
collection DOAJ
description The Broad Front Left Coalition came to power in 2005 with the promise of building a National Integrated Healthcare System in the context of a broader institutional environment that was quite resistant to the proposed reforms. An analysis of the healthcare reform process attempted by the government using the Advocacy Coalition Framework demonstrates that the promoter coalition was characterized by unstable agreements between the various actors in the coalition over the coalition’s core beliefs and project. This can be interpreted as a product of a conjuncture characterized by crisis. Once it was clear that the reform process guaranteed the survival of each actor, the existing political differences inside of the coalition and between the political and secondary aspects were overcome, but these differences could have put the breaks on the reformist impulse and brought about a new period of stasis or ‘freezing’. To confirm this hypothesis, this result could be explained by the sequence of implementation of the reforms, which at the same time brought with it political viability, strengthened actors that had been weakened in the reform process and reconstructed historical veto points.
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institution Kabale University
issn 1390-1249
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language Spanish
publishDate 2015-09-01
publisher Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador
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spelling doaj-art-cccdf7d8a76440378a5b086d7e1eba322025-02-02T08:46:20ZspaFacultad Latinoamericana de Ciencias Sociales, Sede EcuadorÍconos1390-12492224-69832015-09-011953466610.17141/iconos.53.2015.1517 Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)Freigedo, Martín 0Fuentes, Guillermo1Rodríguez Araújo, Martín2Universidad de la República de Uruguay Universidad de la República de Uruguay Universidad de la República de Uruguay The Broad Front Left Coalition came to power in 2005 with the promise of building a National Integrated Healthcare System in the context of a broader institutional environment that was quite resistant to the proposed reforms. An analysis of the healthcare reform process attempted by the government using the Advocacy Coalition Framework demonstrates that the promoter coalition was characterized by unstable agreements between the various actors in the coalition over the coalition’s core beliefs and project. This can be interpreted as a product of a conjuncture characterized by crisis. Once it was clear that the reform process guaranteed the survival of each actor, the existing political differences inside of the coalition and between the political and secondary aspects were overcome, but these differences could have put the breaks on the reformist impulse and brought about a new period of stasis or ‘freezing’. To confirm this hypothesis, this result could be explained by the sequence of implementation of the reforms, which at the same time brought with it political viability, strengthened actors that had been weakened in the reform process and reconstructed historical veto points.http://revistas.flacsoandes.edu.ec/iconos/article/view/1517Healthcare reformpromoter coalitionsinstitutional changeUruguayveto players
spellingShingle Freigedo, Martín
Fuentes, Guillermo
Rodríguez Araújo, Martín
Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)
Íconos
Healthcare reform
promoter coalitions
institutional change
Uruguay
veto players
title Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)
title_full Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)
title_fullStr Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)
title_full_unstemmed Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)
title_short Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)
title_sort constructing a coalition to break the frozen landscape the achievements and limits of healthcare reform in uruguay 2005 2014
topic Healthcare reform
promoter coalitions
institutional change
Uruguay
veto players
url http://revistas.flacsoandes.edu.ec/iconos/article/view/1517
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