
Revista Latinoamericana de Ciencias Sociales |
Vol. III, núm. I, pp. 95 - 120
The particularist, clientelist and corporatist aspects were clearly shaped by the format of
the political system. The state of war in Colombia and the political hegemony of the PRI would
continue to define social welfare schemes, with less political-institutional fragmentation and a
residual presence of the institutional left. Multi-challenged poverty and the exponential growth of
informal work, combined with the productivism vision of the State, profoundly mark these
welfare regimes.
BOLIVIA AND VENEZUELA: THE FAMILY-PROTECTIONIST EVOLUTION
Compared to the 1990s, Bolivia began to stand out in terms of tax effort and social
investment in the social protection and education sectors, compared to other countries with low
GDP per capita (Cecchini et al., 2014). In 1996, the country began its process of reforming its
social security system (Cruz-Saco, 2002). As would happen in Colombia and Mexico, this reform
would end up separating health from the contributory pension system. However, the Bolivian
social security reform would follow a model identical to that of Chile, with the total replacement
of the public pension system by a private system, with the State maintaining minimum pensions
and primary health care. Bolivia would be the only country to universalize its pension system,
including military and police personnel in the new general system, as well as to establish the
Bonosol for non-contributory social pensions (Filgueira, 2005; Mesa-Lago, 2012; Mcguire, 2011).
With support from the World Bank, the first social emergency fund in Latin America was
launched in 1987, which later gave way to microcredit schemes and social investment funds
(Mcguire, 2011). However, its scope was limited (Mcguire, 2011). It would be in 1996, with the
creation of the Bonosol, a program established as compensation for the privatization of public
companies, that Bolivia achieved, twenty years later, a non-contributory coverage well above the
Latin American average (Mesa-Lago, 2012; Mcguire, 2011; Rofman, 2005).
The reforms in the health sector would follow the reforms in the social security system
initiated by the Sanchéz de Losada government, with little or residual integration of the different
coverage schemes, with less decentralization and small population coverage (Mesa-Lago, 2012).
Due to its “family” nature, the system would end up including a greater concern for families with
dependent parents and siblings (Mesa-Lago, 2012). In Bolivia, the structural reforms met with an
institutional reaction with the election of President Evo Morales of the MAS. Contrary to the
cases of Argentina, Mexico and Colombia, where institutional continuity was generated from
political splits within the traditional party elite that managed the liberalization process, in Bolivia
the reaction occurred through the gradual fragmentation and erosion of the competitive
structure of the party system. The Morales governments (2006-2019) managed to increase
pension coverage, especially through the Bonosol reform (Arza, 2013). With the renationalization
of the hydrocarbons sector, his first government not only increased coverage but also benefits
through the Renta Dignidad, lowering the eligibility age and granting two types of subsidies: one
for non-contributory pensioners and the other, of a supplementary nature (Arza, 2013).
Through the new constitution, Bolivia institutionalized the Unified Health System, a
tripartite system between the public sector, the private sector and the social security system,
increasing public spending and focusing on primary care.
Breaking the punto fijo political system, Hugo Chávez won the 1998 presidential elections
(Mainwaring, 2012). As in Bolivia, the political and institutional reaction came from the left, since