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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