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Showing posts from September, 2025

Healthcare in El Salvador 2025

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The healthcare delivery system in El Salvador has three tiers, depending on how care is paid for.   At the bottom of the tier is the public hospital system.  This system, administered by the Ministry of Health provides free or very low cost healthcare to Salvadorans of limited means who do not have employment in the formal economy. The next system is the social security hospital system (ISSS) which is a system of care for persons who work in the formal economy and who pay into the system along with their employers to receive healthcare and pension benefits from the government. The third tier is the private healthcare system. This is healthcare provided by private hospitals or doctors in private clinics whose charges are paid by the wealthy who can afford private health insurance. The country’s national healthcare plan is deemed a national secret and is not available to the public.   So we can only look at where the government is operating openly.  ...

Catching up

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Some of the leading stories from El Salvador over the last month.                  The Foreign Agents Law is now in effect.  This law requires organizations or individuals to register as "foreign agents" if they receive funds from abroad to finance activities in Salvadoran society.  Organizations like human rights groups Cristosal and FESPAD and transparency and good governance group Citizen Action have confirmed receiving the "foreign agent" label.  Absent being granted an exemption, all foreign agents must pay a 30% tax on funds received from abroad and must refrain from activities which the government believes disturb the social order.   Cristosal has left the country, FESPAD is closing , and Citizen Action says it will attempt to continue operating despite the 30% tax. Cristosal releases new report on corruption in prison system.  Despite being labelled a foreign agent and moving its operations outside of E...

Fr. José María Tojeira, S.J. (1947-2025)

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Sad news from El Salvador with the sudden  death  yesterday of Jesuit Father Jose Maria ("Chema") Tojeira. He died while on a trip in Guatemala City.   Born in Spain, as a young Jesuit Tojeira came to Central America in 1969, first in Honduras, before coming to El Salvador during the civil war.  He was a fellow Jesuit of those massacred at the UCA in 1989, and continued in El Salvador until the time of his death as an outspoken voice for social justice and human rights.  Among other positions he served as rector of the UCA and later headed the University's human rights office. “Fr. Chema witnessed to the courageous love illuminated through the Gospel—standing with the vulnerable, searching tirelessly for truth after the murders of the UCA martyrs, and cultivating communities rooted in the love of Christ and the inherent dignity of all,” said Christopher Kerr, executive director of the Ignatian Solidarity Network .  Here is a 2015 video profile of his ...