The CCSS, known locally as la Caja, is Costa Rica's universal public health insurer and provider, established in 1941 as a social security system for wage earners and expanded through the 1960s and 1970s to cover rural populations, farmers, and independent workers. Funded primarily through a payroll tax, it delivers comprehensive care with no deductibles or premiums based on age or pre-existing conditions, mandates free treatment for mothers, children, indigenous people, the elderly, and people with disabilities, and by 2024 extended services to more than 95 percent of the country's population.
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Source larepublica.net: La Caja Costarricense del Seguro Social los origenes de una Institucion estrategica en el pais
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1. larepublica.net: La Caja Costarricense del Seguro Social los origenes de una Institucion estrategica en el pais
larepublica.netParagraph on the creation of the fund by Law 17 of 1 November 1941
El 1º de noviembre 1941, por Ley Nº 17, se creó la Caja Costarricense de Seguro Social destinada a aplicar el Seguro Social Obligatorio y a incrementar el voluntario; el obligatorio contemplaba cubrir los riesgos de enfermedad, invalidez prematura, vejez, muerte y paro involuntario; y comportaba además una participación de las cargas de maternidad, familia, viudedad y orfandad.
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La Caja Costarricense del Seguro Social es hoy una institución sagrada, en la estructura del Estado costarricense, que hay que defenderla de las amenazas que constantemente la asedian, desde adentro y desde afuera, por debilitarla y por reducirle su papel estratégico en la atención de la salud de todos los costarricenses.
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