¡Aseguramiento universal! ¿garantía de acceso a servicios de salud?

Abstract

Since Law 10 of 1990 and Law 100 of 1993, substantial changes have been made to the Social Security and Health System, adopting insurance as one of the primary strategies to guarantee health care and the Mandatory Health Plan – POS as a prioritization mechanism. Services that the population could access according to the affiliation regime (contributory, subsidized, special, or NOT affiliated with the territorial entities). By the year 2000, the entire population should be affiliated and the plans of both regimes would be gradually unified. Since 1995, the average increase in the number of insured persons has been 1.98% (it was higher in the early years), reaching 94.66% by 2018, but the increase in universal affiliation, has exposed barriers to effective access to health services, so citizens turn to the action of guardianship as a mechanism by which judges protect the right to health, seeking to ensure its effective enjoyment. For this reason, this study seeks to determine whether universal insurance coverage is a guarantee of emotional access to health services.