In 2000 the total population in Argentina was estimated at 37 million. Argentina is divided into 23 provinces and a federal district, Buenos Aires, the Capital Federal.

Resources for Health services in Argentina were US$ 22.700 million in 1999 of which US$ 5,400 million were for public hospitals, US$ 8,300 million for Obras Sociales and Pami, US$ 2,300 in Pre-paid services, US$ 6,700 direct payment for beneficiaries.

Health expenditures as percentage of GDP were 7.4% in 1997 and 9.7% in 1999.

The public sector has an annual budget of US$ 13.012 million, representing 1,9% of GDP. The GDP per capita is US$ 8,514. Health expenditures per capita amounted to US$ 675 in 1997 and US$ 826 in 1999.

The compulsory portion of health care has two components: the government-administered component is financed through tax revenue (on a pay-as-you-go basis) and guarantees a standard minimum benefit according to principles of redistribution and insurance; the private component is geared toward savings and security, and takes the form of individual member-capitalized savings plans or company-managed plans that are funded by joint employee and employer contributions, fully and individually capitalised and regulated by the government (i.e., fully funded plans).

The voluntary plans are identical in all respects to the fully funded plans with the exception that they are capitalised exclusively by the beneficiary.

The health services system is composed of four main sub sectors: the public Hospital sub-sector (i.e., government-provided financing and services), the Obras Sociales (employee-benefit plans formerly run by unions and now organized by professional category), the private sub-sector (Pre-Paid voluntary insurance plans based on actuarial risk) and Insurance companies which cover a marginal sector of the economy. There is a strong bias toward curative care, with emphasis on hospital services. Although national, provincial, and municipal policies all define primary health care as their basic strategy, most of the jurisdictions that have adopted this strategy approach it in the form of "programme's" to be carried out at the primary care level.

The Obras Sociales plans are a system of compulsory social insurance that includes other benefits in addition to health care. Their financing comes from employer (5% monthly of salary) and employee (3% monthly) contributions. The Government is expediting deregulation of the sector in order to foster competition between the Obras Sociales plans and private (pre-paid) health insurance companies, encouraging beneficiaries to take an active role in choosing their Obras Sociales plan, and guaranteeing that all plans afford the basic benefits package of main services, diagnoses, and treatments for subscriber and dependants (PMO) as required by law. Benefits for primary and secondary care have a small co-payment (US$ 5 or US$10 for doctor's visits) but in-patient care and complex surgery/ procedures are free of charge. There is a 50% cover for drugs.

These Obras Sociales used to be linked to economic activities. Therefore each industry had its own OS as they vary in their level of quality of service and their services depend on salary scales and contributions. Nowadays members can choose any OS if they deem it to provide better care. By law, OS are not allowed to impose waiting periods, pre-existing conditions or exclusions. There are approximately 260 Obras Sociales providing care to 16 million members.

There are also Obras Sociales not associated to trade unions which offer care to middle and senior management who earn over US$2,000 monthly. These OS are financed like regular OS. The difference lies in the quality of service due to higher revenues. There are 24 institutions of this type in Argentina covering approximately 950,000 members. They have the same obligations as the trade union OS.

Except for those included under special programmes, the public sub-sector does not cover drugs for out-patient care. The public sub-sector of Obras Sociales plans defray a percentage of members' drug costs and fully subsidise all the uncommon, high-cost drugs included in the PMO (Plan Medico Obligatorio).

Pre-paid medicine companies also cover 50% of beneficiaries' drug costs. It is estimated that 8% of the population covered by the OS would also contribute to Pre-paid (PP) medicine. Pre-paid companies amount to 2,200.000 beneficiaries and operate very much any company providing private health insurance.

The only institution, which provides health care for the retired/elderly, is PAMIs, which are privately owned but managed by the government. The level of care and financing is inadequate. Pamis cover approximately 4,500.000 people.
In 1992 there was an average of only one physician for every 367 residents, and a ratio of 1 nurse for every 4 physicians and 5.4 nurses per 10,000 of the population, levels in this category were also considered insufficient. In 1999 there were 24.9 physicians for 10,000 of the population.

The number of available beds was 1,55.749 in 1995, with 54% in the public sub-sector, 2.8% in the Obras Sociales sub-sector, 43% in the private sub-sector. In 1996 there were 824 self'- managing public hospitals, offering a total of 62,402 beds (almost 75.3% of the country's public beds). In 1999 there were 44.8 hospital beds per 1,000 of the population.

In the private sub-sector, the two main subgroups are: professionals who provide independent care services to members of Obras Sociales or private, pre-paid plans; and health care facilities that are contracted by Obras Sociales plans.

Argentina health is not administered as insurance, as is the case with most foreign countries.

Pre-paid medical insurance originated as cover for independent workers. The popular perception is that pre-paid medicine rates very highly, as everybody would like to afford a particular plan. Pre-paid cover has a higher rate of usage than Obras Sociales and the Pre-paid client demands good service and is not willing to pay co-payments. PPs do not need sanction from any government body to operate; they exist to satisfy supply and demand.

Regarding outside cover, there is an international network only for emergencies providing free-of- charge care for accidents and for not pre-existing conditions for up to 180 days abroad. It includes repatriation of mortal remains due to accidental death. There are various plans on offer.

Expatriates are not covered unless they choose one of the pre-paid institutions. The level of care and quality is similar to that in their home countries.

DIRECTORY OF HOSPITALS & CLINICS

Clinica Bessone
Paunero 1648/86
San Miguel
Argentina
Tel: + 54 381 4667 2040

Clinica Del Sol
Av Coronel Diaz 2211
Buenos Aires
Argentina
Tel: + 54 11 4821 1000

Hospital Aleman
Av. Pueyrredon 1640
Buenos Aires
1118
Argentina
Tel: + 54 11 4821 1700
Fax: + 54 11 4805 6087
Email: mterrera@hospitalaleman.com
Website: www.hospitalaleman.com

Read the whole list of hospitals on Allo' Expat Argentina.

Keeping Fit in Buenos Aires!

How to eat right, fit exercise into your day and avoid the foreigner 15

Arriving in Buenos Aires can be like arriving as a freshman to college. Promises of big parties, all night affairs and schmorgasborg-style eating that seem too good to be true eventually become reality. It’s all fun and games until somebody puts on 25 pounds. Here are a few ideas to help you enjoy Buenos Aires without needing to buy overpriced new jeans because you popped the zipper on your old ones.

How to eat cow and not look like one!
Buenos Aires cuisine is delicious, but really fattening. From steak with all the juicy fat attached to plump empanadas to salads made of mayonnaise and potatoes, it’s hard to stay trim while enjoying the local delicacies.

Here are 10 tips on how to eat and enjoy in Buenos Aires:

1. Order lean cuts of meat, such as bife de lomo, and avoid too much choripan (chorizo sandwiches). Yes, those are chunks of fat if you were trying to convince yourself otherwise.
2. When invited to an asado, bring vegetables that are tasty when grilled, such as pumpkin, corn, sweet potato and bell peppers.
3. When invited to an asado, bring a big salad with a homemade dressing.
4. Shop at organic markets to support small organic businesses and eat healthy! My favorite is the Galpon Organico located by the Subte B Federico Lacroze at 4171 Federico Lacroze Ave. (and Corrientes Ave.) Be sure to plan ahead, though, they’re open Wed. 9am-1pm and Sat. 9am-3pm
5. Don’t order pizza or empanadas to your house – just don’t make it an option. Don’t keep the magnets on your fridge, no matter how cute the delivery boy is. If you’re craving empanadas go to Cumaná, El Sanjuanino or 1810 Cocina Regional and make it worth it!
6. Share entrees when eating out. Buenos Aires restaurants are (in)famous for their big serving sizes.
7. When you need monedas (coins) to catch the bus, go to a fruit stand and buy a few apples or bananas instead of buying an alfajor cookie at a kiosko.
8. Drink mate! Enjoy this traditional tea drink that’s also a great digestivo!
9. Remember what dulce de leche is made of.
10. Order a café or cortado instead of café con leche (most cafes don’t have reduced fat milk)

Exercising porteño Style!

Porteños love to look good and stay fit. This is proven by a phenomenon I call “that hot chick turned around and she had the face of a 70-year-old.” You’ll be walking down the street and spot a trendy looking young girl from behind. She’s trim and has all the right accessories. She looks like she was born on a Stairmaster and has beautiful shiny hair. All of a sudden, girlfriend turns around. The combination of wrinkles and botox is shocking, but damn! She takes good care of her body. She fills me with hope for the future and a desire to work out.

The men and women of Buenos Aires are very concerned with their appearance, take pride in their bodies and thanks to them, Buenos Aires is full of gyms.

From mega-fashion Megatlon to the rinky-dink Average Joe’s style gym, everyone can find one that fits their style. My style was the overpriced Sport Club (190 pesos per month) until I decided I’d never achieve the buns of the girl with the steal tush implants, so now I’m heading to the dive gym on the corner (65 pesos a month). Most gyms that have a pool are slightly more expensive. Just splurge during summer months. Don’t pay for the pool access during winter, you won’t use it. Those looking JUST to use the pool can also sign up for exclusive pool use at many gyms.

Tip: Many big gyms have “promotional plans” where if you pay with a debit or credit card you have a reduced price. Any special like this has a catch, so always read your contract carefully. I learned this lesson when I signed up at Sport Club a few months ago. Instead of the regular 350 peso a month membership I signed up for the 190 peso a month deal. Soon I realized it wasn’t for me and when I went to quit, the manager said that my contact was for 12 months and to quit I’d have to pay 2-months worth of membership. Turns out, if you drag it out enough, use the word abogado (lawyer) and one other reasonable excuse they’ll waive the fee. This isn’t a country where taking someone to court is a solution, so don’t give up all your money at first. Quitting the gym shouldn’t be an express kidnapping.

Finish reading this usefull article on LandingPad BA.

BA Basics: Conversions: Weight, Temperature, and Seasonal Climate Changes

One of the joys of adjusting from life in the US to life here in Buenos Aires is learning how to convert our screwy imperial units of measure (pounds, degrees Fahrenheit, feet and miles) into those handy metric units (grams, kilograms, degrees Celsius, meters and kilometers). Since at first this task can be just a bit perplexing, here are a few quick hints to making these adjustments yourself:

Weight (1 pound = 450 grams)
You will most frequently need to be familiar with the conversion between pounds and grams while visiting your local fiambrería (deli meat seller), carnicería (butcher) or verdulería (vegetable seller). Ordering meats and vegetables are the easiest, as you can just request “dos pechugas” (two chicken breasts), or “tres zanahorias” (three carrots), and be on your merry way. Ordering deli meat is a little trickier, however, as the density of the meats varies by type. As a rule of thumb, I typically buy 100 grams of dense salted meats, such as salami, but opt for 200 grams when ordering the more common sandwich companions, including cheese, ham or turkey. These portions are just right, as they are enough to sustain me through several lunches, but won’t last too long and go feo.

Weight (1 kilogram = 2.2 pounds)
When I moved into my first apartment here in Buenos Aires, I was also pleasantly surprised to see a scale in the bathroom. Only problem? It weighed me in kilograms. If you are watching your weight while you’re here, this simple conversion is handy to keep in the back of your mind.

Temperature (°C = (°F -32) x 5/9)
The conversion between degrees Celsius and Fahrenheit is not only the measure that you will most frequently encounter, but also the one that can be the most perplexing. As you can see, the formula for making this conversion is a doozy!

Thanks to a dear Argentine friend that I met while still in the US, I now know a simpler way to get a ballpark figure for the conversion: just take the temperature in Celsius, double it, and add 30. This figure will always be slightly off from the exact temperature reading, but it works in a pinch.

Weather, Seasons and Average Temperatures
If you don’t already know, the seasons south of the equator are the opposite of those to the north. That means, that when it is summer in the northern hemisphere, it is winter in the south, and vice versa.

Read the rest of the article on LandingPad BA.

Book Review: ‘Che Boludo: A Gringo’s Guide to Understanding the Argentines’

By James Bracken, Ediciones Continente, 30 pesos, 61 pages Reviewed by Stephen Page

On a recent sunny spring day, while wandering the streets of Buenos Aires, searching for a café where I could sit outside at a table and sip an espresso while looking at the passers-by (a popular Argentine custom), I detoured into a bookstore.

On the very first shelf I came to, I found a pocket-sized book titled Che Boludo, with the subtitle: A Gringo’s Guide to Understanding the Argentines.

I opened the book and discovered it was a dictionary of sorts, filled with words I had never read before. The words were contemporary Argentine slang, and the definitions were in English. “What a great find,” I thought.

After a decade of living in Argentina, I have been missing some of the slang while talking with friends, or at Sunday family get-togethers (they don’t teach Argentine slang at US universities, or in most of the Castellano classes offered in Buenos Aires). I was growing tired of repeatedly asking, “What? What does that mean?”

The title of the book translates to, “Hey Idiot!” or “Hey Buddy!” or “Hey Friend!”—depending on to whom you’re talking and your tone of voice. “Boludo” literally means “one with big testicles,’which does not mean “ballsy” or “brave,” but instead denotes a lack of cerebral functions. In Argentina, the young as well as the old use slang. You might hear an elderly man with a cane standing on the street corner waiting for the green crossing light mutter “¡miercoles!”—which translates to “shit” or “Goddamnit” or “hell”; you might hear a sophisticated woman in a fur coat call her husband’s new secretary a “puta” (whore) or a “babosa” (horny woman) even if she knows bystanders are listening to her; you might hear a teenager say to his brother, “No me hinchés las pelotas,” which means, connotatively, “don’t be a pain”—but denotatively means, well . . . you’ll have to read the book to know that one.

The book also contains drawings of the more popular hand gestures Porteños use—gestures that have risqué yet non-offensive meanings.

To read more go to The Argentine Post

Che Malambo Traditional Dance

It's a very Argentine dance, not from Buenos Aires though. Look at their feet. They imitate how the gauchos used to dance.




For more videos go to Youtube.