In Argentina, the provision of health care is divided into three components: a highly decentralized universal public sector, funded from general taxation; a constellation of compulsory collective insurance schemes, financed by contributions withdrawn from the salaries of workers in the formal labor market; and a system of private insurance companies used primarily by the middle and upper classes. Regarding the delivery of medical services, the configuration is mixed, as the weight of public and private providers is roughly equal. This complex structure, which derives from the historical development of particular institutions, produces high costs and unequal access to care according to a person’s geographical residence, occupational status, and purchasing power.
Giuseppe M. Messina
Marcos Chor Maio, Robert Wegner, and Vanderlei Sebastião de Souza
Race is a fundamental theme in the sciences and social thought of 20th-century Brazil. The republican regime, inaugurated in the country in 1889, was already born troubled by questions concerning the viability of the nation, which, from the viewpoint of European scientific theories on race, was doomed to fail due to the high contingent of black and indigenous people, and its racial mixture. The solution proposed by the country’s scientific and political elites was characteristically the theory of whitening, which, without breaking completely from scientific racism, established its own path for nation building. The 1910s were marked by the growth of the sanitarist movement led by the medical elite, the country’s leading scientific community at the time, which shifted the explanation for the country’s ills from its racial constitution to parasitic diseases. The eugenics movement emerged in Brazil closely connected to the sanitarist movement and was dominated in the 1920s by a Lamarckian conception of heredity, seeking to improve the “Brazilian race” through social medicine. This eugenics framework did not signify the absence of more racial interventionist proposals, however, such as the sterilization of the “unfit” and immigration restrictions. The latter proposition acquired the force of law under the 1934 Constitution and was maintained under the 1937 Constitution, which lasted throughout the Estado Novo. Nevertheless, the first Vargas government (1930–1945) invested in strengthening the image of a country with harmonious race relations and the identity of the Brazilian as miscegenated, an idea sustained by the social thought and intellectual production of the period. Following the end of the Estado Novo dictatorship and the Second World War, Brazil became a field for research on race relations promoted by UNESCO. The project’s starting point was the notion that the country could provide an example of harmonious race relations for a world traumatized by war and the Holocaust. The research findings, though, pointed to the existence of racial prejudice and discrimination. From the 1950s, research in the social sciences and the black movement deepened the investigation and the denunciation of racial inequalities in Brazil. Concurrently, research in the genetics of human populations insisted that the Brazilian population was characterized by racial mixture and biological diversity. After the 1970s, during the military dictatorship still, the black movement emphasized negritude as an identity and denounced racial democracy as a myth that concealed inequality. In this context, the sociology of race relations began to affirm race as one of the determinant variables of class structure in Brazil. In the 1990s, some sectors of the black movement and the social sciences asserted that antiracism should strengthen race as an identity and the black/white polarization. At the same time, in dialogue with the tradition of social thought and with modern research on the human genome, other intellectuals highlighted miscegenation as characteristic of the Brazilian population and advanced the need to combat prejudice and discrimination. The clashes of the 20th century eventually resulted in affirmative actions and quota policies being implemented by the Brazilian government from the 2000s.
Olival Freire Junior
Twentieth-century science and technology in Brazil were marked by the building of new institutions of higher education, research, and research funding as well as by the professionalization of scientific practice in the country. Most of these changes were state driven and state funded, while some support came from foreign philanthropic foundations and states and, on a smaller scale, from the private sector. The mid-20th-century was when most activity took place, for instance the founding of the University of São Paulo, as a reaction of the state of São Paulo to national political changes in 1930, and the establishment of funding agencies such as Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), as initiatives of the federal government. Throughout the century the institutionalization of science moved from a strictly pragmatic model toward the acknowledgement of science as the professional activity required for the production of new knowledge. In Brazil the development of science has been marked by a succession of ups and downs closely following economic cycles and political times, albeit not perfectly synchronously. Therefore, a major brain drain began in 1960 during a democratic regime, and the 1964 military dictatorship restrained civil rights while supporting science from 1970 on. Chronological limits in this history are not turning points. On the one hand, as the 21st century began Brazilian academia suffered further ups and downs closely related to political and funding crises, which have worsened since President Jair Bolsonaro assumed office in 2019. On the other hand, the huge impact of the 20th-century changes in Brazilian academia should not detract from the production of science and technology in previous centuries.