In Chapter 4 (Health system reform and the rise of litigiousness in Brazil and Colombia) I argue that the institutional arrangements of health systems are a key variable to explain why in countries like Colombia and Brazil the judicialization of health care became an extended phenomenon among patients, litigants and judges, while in others - even in countries that share with Brazil and Colombia similar judicial mechanisms for the protection of rights - the rates of litigiousness have remained moderate or low.
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