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[Correspondence] The challenges of restructuring health care in Venezuela

I read with great interest The Lancet’s Editorial (April 7, p 1331)1 on the collapse of Venezuela’s health-care system. However, although the worsening of the Venezuelan health-care crisis is evident and the newly released data2 of the Encuesta Nacional de Hospitales 2018 are calamitous, the current humanitarian crisis in Venezuela and the collapse of its health-care system are actually a consequence of years of inadequate and weak health policies, the dismantlement of health-care institutions, and the reduction in epidemiological surveillance activities that started during the period of Hugo Chavez’s presidency, or even before.