In 1991, the government of Carlos Menem signed a document with the IMF, which encouraged the integration of prepaid medicine companies to health insurers. The document was ratified by thegovernment of Fernando De la Rúa and had influence on many of the measures that were adopted until the first decade of the 21st century.

In practice, hospital conversion has failed to modify the behavior of the population, who go to the public hospital as a last alternative. To confront the DNU, the Government of Javier Milei has expressed its opposition, describing the reforms as anti-constitutional.