Public versus private healthcare delivery systems of Argentina have vast differences in the nature of their structures and the quality and objectives of their care. We started off the morning visiting Sanatorio Mater Dei, which was unlike any other hospital we have seen thus far. Sanatorio Mater Dei was founded by Germans, and has a legacy dating back to some of the earliest nurses in Argentina, the catholic Sisters of Schoenstatt. They serve the Palermo area, mostly specializing in pediatrics, maternal, and neonatal services. While they complete 60-70 surgeries per day, they do not do transplant services. Some things that stood out about Sanatorio Mater Dei was their overall dedication to human dignity taking precedence over luxury. This aligns with their financial situation, as they are private but a non profit organization, meaning that their money is reinvested into the institutions, removing the presence and motivations of shareholders altogether. This translated directly into their healthcare, as they were committed to promoting equity over profits. Out of the 170-221 births that occur monthly in this hospital, they are dedicated to keeping the Cesarean rate below 60%, as low as possible. Other hospitals and even countries have rates of Cesarean sections above 90%, due to the fact that it is more expensive. This means that it is more profitable for the hospital, despite the patient outcomes. This hospital is committed to following proper procedure in low risk births to ensure the best for the patient’s wellbeing. This hospital had extremely modern and clean facilities and technology, but was also very expensive without insurance. The next hospital we visited was public, which was the Hospital Fernandez funded by the municipalities. Founded in 1939, this hospital has endured through the years. This hospital is an essential pillar of the community, especially during times of Covid, where they expanded their ICU to accommodate patients, and with much ingenuity adapted external ventilators for the patients in respiratory distress. This hospital was committed to serving local, vulnerable, residential populations regardless of where they live. The concentration of wealth in the hands of a small fraction of people in areas like Recoleta also sway the balance of public versus private healthcare in the sense that several high level private institutions are jockeying for position while public and primary care systems are neglected altogether.



