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Cooperatives and health. Carlos E.
Serrano Rodríguez *

The cooperative organization is part of the social economy of a country and as such contributes to human development and social development partners and the communities in which they are based. For one side are distinguished by its partnership dimension, to be established and controlled by a group of persons united voluntarily to solve common problems or needs, and secondly, has an entrepreneurial dimension in that it has to operate and grow in a market or particular and open environment, which operate demand productivity, profitability and competitiveness necessary to ensure social and business continuity.

Its essence is human and social because they are responsible for producing and supplying goods and services and quality assurance to its members, as well as the communities in which they operate. Contribute to local development, especially in marginal and rural areas that have the highest rates of poverty, facilitating access to basic services like housing, education, health, water and electricity, and promoting rural development or community as it presents a long-term investment that leads to greater stability in the interests and and commitments of associates and communities.

Regarding employment generation, create and maintain jobs particularly in economic sectors or geographical regions where conventional companies would struggle to create a value that would allow them to operate profitably, and also help to preserve jobs and existing, to allow producers to unite forces to save and plan their businesses.

Thus, there is a close relationship between the competitive and financially sound a cooperative venture with the generation of a more prosperous in the geographical area of \u200b\u200binfluence and the country. Its advantage for it, is based on the type of social relations of production characterized by the subordination of capital to the individual and the community and not the person to capital, allowing for equitable distribution of wealth combining efficiency social economic rationality as a principle of economics socialDurante the past four decades, with different emphasis, but with presence in various economic sectors and throughout the national territory, cooperatives have been one of the few sectors business partner, which by its territorial roots, have developed social and collective expressions of social participation mechanisms, enabling access to factors production, in a self-managed and collectively, minimizing problems of exclusion and concentration, promoting private initiatives by the private will of partners and associates. Increasingly united capital have a greater impact on the economy, although it does not like certain areas of interest.

One of the problems faced by cooperatives is referred to the multiplicity of interests that arise in the environment, characterized by a set of latent pressure groups and powerful in pursuit of business profits are sparing no resources to damage the image of the associative organization. Today batteries are inching toward health cooperatives, public affairs area in which they move many interests, which even if it has not imported much damage to social security institution in the country, the less they matter recognize the success of community health service, expressed in the Ebais, which was an innovative way to address the need for public health. If

well after an operation time of Ebais, the service has fallen on hard times or has become a repeat of the inefficiency of the Fund for its distortions planned, this does not justify removing the target service for a purely financial. On the contrary we must strengthen, improve, extend schedules and specialty care to avoid dating one year term (as if the disease could be expected). Remember that clinics and hospitals are overwhelmed box and people are dying from lack of attention, which has facilitated the presence of "screens" and corruption. Many of the criticisms that were made to the service are based on inadequate terms reference of contracts and lack of performance indicators and the regulation and control by the Fund. Management should improve quality and control and demand more efficiently, using the Public Procurement Act and the option of direct contracts, but not destroy the good that has been achieved through the social economy. Private medicine has its resources to grow, but it should do so by destroying the Fund and health cooperatives.
* Carlos E. Serrano Rodríguez, is Professor at the School of Public Administration, researcher and professor of the Master of Public Administration University of Costa Rica.
Posted in The Free Press, February 6, 2007, page 17 of the print edition and online edition at: http://www.prensalibre.co.cr / 2007/febrero/06/opinion04.php


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