| This work investigates the establishment of the health system by a multinational corporation (Central Romana) in the Dominican Republic during the period from 1910 to 1930. It analyzes if this system was adapted to: the geographical conditions of the place, the employees (mainly migratory), the work division between the field and the factory, and to the services' dynamics offered by the company to their employees. It demonstrates a life scheme organized under the plantation model with a medical service governed under the tropical medicine concepts. Meanwhile, La Romana municipality tried to develop mechanisms to participate in the health system of the Central Romana. By this way, the local government established a relationship with this company to access the private health system for the whole population, because of the lack of budget. |
