Acknowledgements; Contents; List of Figures; List of Tables; Chapter 1 The World Bank, Development, and Health; Introduction; The Puzzle; Global Governance and the Changing Shape of Neoliberalism; The World Bank as Policy Advisor; The Washington Consensus: Word and Deed; A Paradigm Shift? Human Rights, Poverty Reduction, and a Possible Post-Washington Consensus; The World Bank and Health; Tools of Influence: Loans, Conditionality, and Structural Adjustment; Ends and Means: Policy Paradigms, Goals, and Instruments in Health Sector Reform; Paradigmatic Goals: Equity and Efficiency

Policy Instruments in Health Sector ReformDecentralization and Deconcentration; Separation of Functions; Performance-Based Financing; Privatization and Private Sector Involvement; Primary Health Care Approach; Targeting; Health, Development, and the State in Latin America; Regional Context; Latin American Health Systems in Historical Perspective; State Capacity and Autonomy in Health; Case Selection; Outline of the Book; References; Chapter 2 Neoliberalism and the World Bank's Changing Approach to Health; Banking in Health: The 1975 Health Sector Policy Paper

World Bank Direct Lending in Health: 1980 Health Policy PaperDebt Crisis and Structural Adjustment: World Bank Interventions; Structural Adjustment "with a Human Face"? The Social Dimensions of Adjustment; The 1993 World Development Report: Individualism, Human Capital, and DALYs; The Late 1990s, Early 2000s: Health Outcomes and Systems; The 2004 World Development Report: Pursuing Accountability and a Pro-growth, Pro-poor Agenda; 2005 and Beyond: Back to Basics in Health?; References; Chapter 3 The State of Health in Latin America: Trends and Correlates of Health Expenditures; Introduction

BackgroundExtending Welfare State Theories to Latin America; Development and Comparative Health Systems; Globalization, Neoliberalism, International Financial Institutions, and Health Spending; Convergence in Health; Previous Research on Social and Health Spending in Latin America; Data and Measures of Health Expenditures; Health Spending Per Capita; Total Health Spending as a Percent of GDP; Public Spending on Health as a Percent of GDP; Private Spending on Health as a Percent of GDP; Public Health Expenditure as a Percent of Total Health Expenditure

Spending on Health as a Percent of Total Government SpendingTrends in Spending; Regression Sample and Method; Expectations; Economic and Demographic Conditions; Political Structure; Economic Globalization; World Bank Loan Conditionality; Regression Results; Economic and Demographic Conditions; Political Structure; Economic Globalization; World Bank Loan Conditionality; Conclusion; Appendix A; References; Chapter 4 Argentina: Mixed Outcomes While Coping with Crisis in a Planner State; Government Autonomy and Capacity in Health in Argentina: The Planner State