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Abstract
Este artículo está destinado a ilustrar los alcances de la ley 100 de 1993 en cuanto a la cobertura
del seguro de salud. Se presentan los cambios más importantes en este aspecto, destacándose el
aumento de la cobertura como un efecto automático de la reforma y su posterior estancamiento.
Se concluye que la dinámica de la cobertura es dependiente del mercado de trabajo y de las
políticas de ajuste fiscal, de manera que es muy difícil lograr la incorporación de más personas
a la seguridad social si se mantiene la tendencia de una mayor informalidad de la población
ocupada y se recortan o congelan los recursos para afiliar y atender a la población pobre o, no
se realizan ajustes sobre el sistema para facilitar una mayor afiliación y contar con otros mecanismos
para garantizar la protección social en salud.
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