Healthcare in Brazil: after the storm, a field of opportunity

  1. use your insurance network;
  2. use private healthcare network and pay out of pocket;
  3. use Brazil’s public healthcare system (called “SUS”), funded by taxpayers.
  1. Use your insurance network — To have insurance, you probably need to be rich and/or employed. If you earn more than 5x the minimum wage, you have an 86% chance of being insured (the probability drops exponentially once you get below the minimum wage). Geography is also a factor: 60% of the insured population lives in the Southeast region (São Paulo and Rio de Janeiro states, mainly). Your plan coverage is also dependent of your employer’s negotiation with the insurer (usually larger employers have more insured lifes, therefore, more negotiation leverage). The payor’s pocket size (yours directly or your company’s) is another variable correlated with your insurance network quality/coverage.
  2. Use private healthcare networks and pay out of pocket — Anyone can use the private network of health providers… they just have to pay for it. Out of pocket health expenses are an option for both uninsured population that can pay for their health necessities and for those with insurance that have a preference for specific “out of the network” providers. Those expenses represent around 27% of all healthcare spending, that means roughly $50 billion/year.
  3. Use Brazil’s public healthcare system (called “SUS”) — SUS embraces the whole Brazilian population for emergencies (the protocol for urgent care, such as traffic accidents, is to use a public ER) and 160 million people (or around 80% of the population) for all health related care. It’s a beautifully designed system of universal healthcare, responsible for approximately 40% of all healthcare spending in Brazil. But SUS is overwhelmed and it can fail to deliver quality care in a reasonable period of time. Patients can wait months for a doctor consultation and years in line for surgery.

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Parceiro dos melhores founders na América Latina. Por aqui, compartilhamos os principais aprendizados de empreendedores(as) investidos(as) e de nossa rede.

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Parceiro dos melhores founders na América Latina. Por aqui, compartilhamos os principais aprendizados de empreendedores(as) investidos(as) e de nossa rede.

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