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I am a sociologist who has researched health-care policy in El Salvador, including the expansion of health-care services to the poor by the left-of-centre Farabundo MartĂ­ National Liberation Front (FMLN) government.

As an admirer of this government’s goals and achievements in health care, I am struck by a contradiction: It has made genuine efforts to reduce maternal mortality but during most of its nine years in office, it has failed to challenge a law that may actually increase it.

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