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Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act

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A maintenance culture, which means that what is built is maintained, does not yet exist in Latin America. There is no reason to expect social funds to ensure maintenance better than any of the other ministries. If this culture is instituted, then projects will be sustained, both by the ministries and by the social funds. Citizen participation is emphasized greatly to achieve sustainable out- comes of projects. There is nothing like money to sustain a project. The idea that money is being transferred to the municipalities, that the mu- nicipalities can pay workers for maintaining projects, as in the case of Bolivia, is an important catalyst