SISBEN
The System for the Selection of Beneficiaries of Social Programs (El Sistema de Seleccion de Beneficiarios para Programas Sociales), the national system of identification of beneficiaries for social subsidy, classifies the people according to their socio-economic level into 6 strata, being stratum 1 homeless people and extreme poverty and stratum 6 the highest level of affluence.
Most of the social subsidies and public health programs are focused in the 1 and 2 strata. So, the fraudulent expedition of low level SISBEN carnets is a major problem in the healthcare system, since the regional politicians are often accused of providing these carnets to not really poor people in exchange for votes. This wrong identification of beneficiaries prevents the real poor people from receiving the subsidies designed for them.
Read more about this topic: Health Care In Colombia