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17

The need to build on recent progress

• The policy and planning domain is negatively
  correlated with the M:I ratio. This means that
  the more advanced countries in policy and
  institutional aspects are also those where
  health system outcomes are relatively
  better and vice versa.


• There is no clear association between
  total healthcare spending (out of GDP) and
  overall scores. Similarly, there is no clear
  relationship between the income level of the
  country and the overall score. For example,
  the top two ranked countries, Brazil and
  Colombia (upper-middle-income), are in a
  lower income level than Uruguay and Chile
  (high-income). That said, Bolivia, the only
  lower-middle-income country in the group,
  is at the bottom of the ICP too.

What has changed in recent years?

In 2017 The Economist Intelligence Unit

published the Latin America Cancer Control

Scorecard, a first attempt at comparing

cancer preparedness in the 12 countries, with

a focus on policies reducing inequality.^31 The

methodology of this new study is not directly

comparable. However, two movements can be

identified when looking at compatible areas

of analysis. One is Argentina’s jump on the

dimension of cancer planning, driven by its

new national cancer plan, and the second is

Bolivia’s improvement in access to treatment

with the recent introduction of Sistema

Único de Salud, which pledges the gradual

attainment of free and universal healthcare

through public health institutions.^32

Chart 2: Correlation between the M:I ratio and ICP score

Source: Cancer Today 2018, EIU calculations.

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0.

0.

0.

0.

0.

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0.0 10 .0 20 .0 30 .0 40 .0 50 .0 60 .0 70 .0 80 .0 (^90).
Mortali
ty to incidenc
e r
atio
Overall score
Bolivia
Paraguay
Ecuador
Panama
Mexico
Peru
Costa Rica
Uruguay
Colombia
Brazil
Argentina
Chile
Paraguay
(^31) The Economist Intelligence Unit, Cancer control, access and inequality in Latin America: A tale of light and shadow, 2017.
(^32) Ministerio de Salud, Sistema Único de Salud - Preguntas Frecuentes, 2019.