<P> The right to health care is guaranteed in the Venezuelan Constitution . Government campaigns for the prevention, elimination, and control of major health hazards have been generally successful . Immunization campaigns have systematically improved children's health, and regular campaigns to destroy disease - bearing insects and to improve water and sanitary facilities have all boosted Venezuela's health indicators to some of the highest levels in Latin America . The availability of low - or no - cost health care provided by the Venezuelan Institute of Social Security has also made Venezuela's health care infrastructure one of the more advanced in the region . However, despite being the most comprehensive and well funded in the region, the health care system has deteriorated sharply since the 1980s . Government expenditures on health care constituted an estimated 4.1 percent of gross domestic product in 2002 . Total health expenditures per capita in 2001 totaled US $386 . Per capita government expenditures on health in 2001 totaled US $240 . </P> <P> In April 2017 Venezuela's health ministry reported that maternal mortality jumped by 65% in 2016 and that the number of infant deaths rose by 30% . It also said that the number of cases of malaria was up by 76% . The ministry had not reported health data in two years . Venezuela is suffering from acute shortages of food and medicines . </P>

Which of the following are part of the largest health care delivery systems in the us