Based on policy-making models that blend the pluralist, neocorporatist, and
neopluralist approaches, the article examines decision-making patterns in
the health policy arena in XXth century Chile. During this period, Chile's
political development saw three characteristic phases: liberal democracy, m
ilitary dictatorship, and "neo-democracy". Accompanying these phases, the a
rticle analyzes how health policies have been shaped and what forms of inte
rest mediation physicians have employed since 1924, when Laborers Social In
surance was implemented. Lastly, it offers some hypotheses regarding the de
cision-making and organizational formats prevalent in the health care secto
r during the 1990s.