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Abstract

From 1970 until the end of the military dictatorship, doctors in Chile became deeply entangled with the state in their efforts to secure and expand their professional authority and power. Working both collectively through their professional association, the Colegio Médico de Chile (COLMED,) as well as individuals, doctors played a significant role in the end of the Unidad Popular administration of Dr. Salvador Allende’s government, as well as in supporting the military forces’ dictatorship. While their efforts to safeguard their control over the medical field were ultimately unsuccessful, their actions ultimately led to the establishing of a new private system as well as a severely defunded public system, which despite expectations, continued to improve many macro health indicators. In spite of their role in the regime change, the medical body, just as many other right-wing civilian supporters, has long been excluded from narrative regarding the rise and establishment of the military dictatorship. Utilizing the medics as a case study of the right wing’s civilian support from the professionals’ class, I explore the history of the medical body’s interactions with the state through the UP government to the military dictatorship, examining the doctors’ motivations from a historical and class perspective. Using oral history interviews with medics and health workers active during this period, as well as publications from the COLMED’s Vida Medica magazine, I delve into why the junta’s reforms failed to worsen macro health indicators in public health despite massive defunding and fragmentation of the system. Using the thesis of Jael Goldsmith’s work on the PNAC, I conclude that doctors’ reluctance to change, even when in support of the junta’s regime, ultimately prevented public health from succumbing to the reforms.

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