The Lancet   |  March 6, 2010

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In Thomas Tsai’s World Report (Jan 9, p 109),1 Leonardo Cubillos posits a conflict between a “data-driven process” of health policy making and a right to health enforced by Colombian courts on the basis of individual cases. Although court orders have certainly resulted in the payment of substantial costs, most merely enforced benefits that health maintenance organisations should have been providing under the obligatory insurance plan (Plan Obligatorio de Salud [POS]).

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