Today was less of an experiential day and more of a day filled with lecture style learning. We had many lectures to demonstrate and educate us on the different types of private insurance stakeholders, such as private and union payers. We had lectures at Austral University. The first lecture was from the medical director at OMINT, which illuminated the inner workings of the country’s most prominent prepaid insurance “prepaga.” OMINT is one of the most popular insurance companies, and funds clinics like Clinica Bazterrica. The director spoke about how within the system of Argentina, healthcare is a constitutional right and is the responsibility of the provinces to provide. To provide a small overview, in total, 16% of Argentina is covered under private insurance like OMINT, and 48% covered by social security or the obras sociales. However, there is a crossover of 9% double coverage. One thing he said that stood out to me was, “according to law 26682 article 2, private healthcare companies are considered to have the objective of prevention, protection, providing treatment and rehabilitation services. While 16% of Argentina’s population is covered by private insurance like OMINT, it produces 20% of the cost burden to Argentina’s healthcare expenses. This cost burden, among other logistical challenges of accessing the private healthcare you are paying for, poses the question of the efficacy of this legal definition in practice. In contrast, the following speakers we heard from were from an NGO by the name of AMTENA, who were committed to providing life saving care to rural salta. Unions in Argentina contribute a lot to social welfare, though NGOs are usually operating independently. This presentation was very touching as they showed pediatric patients who needed surgeries but did not have access, like a child with a club foot and a cleft palate. This was a bit emotional as my younger sister was born with a cleft lip and palate, and it reminded me of the care that she needed when she was a baby. The quality and impact of private healthcare can be strong, however the barriers to access make it difficult to access this care, and the market becomes narrower and narrower.



