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Social Rights and Economics: Claims to Health Care and Education in Developing Countries

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  • Gauri, Varun

Abstract

The author analyzes contemporary rights-based and economic approaches to health care and education in developing countries. He assesses the foundations and uses of social rights in development, outlines an economic approach to improving health and education services, and then highlights the differences, similarities, and the hard questions that the economic critique poses for rights. The author argues that the policy consequences of rights overlap considerably with a modern economic approach. Both the rights-based and the economic approaches are skeptical that electoral politics and de facto market rules provide sufficient accountability for the effective and equitable provision of health and education services, and that further intrasectoral reforms in governance, particularly those that strengthen the hand of service recipients, are needed. There remain differences between the two approaches. Whether procedures for service delivery are ends in themselves, the degree of disaggregation at which outcomes should be assessed, the consequences of long-term deprivation, metrics used for making tradeoffs, and the behavioral distortions that result from subsidies are all areas where the approaches diverge. Even here, however, the differences are not irreconcilable, and advocates of the approaches need not regard each other as antagonists.

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Bibliographic Info

Article provided by Elsevier in its journal World Development.

Volume (Year): 32 (2004)
Issue (Month): 3 (March)
Pages: 465-477

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Handle: RePEc:eee:wdevel:v:32:y:2004:i:3:p:465-477

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Web page: http://www.elsevier.com/locate/worlddev

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  8. Psacharopoulos, George, 1993. "Returns to investment in education : a global update," Policy Research Working Paper Series 1067, The World Bank.
  9. Pritchett, Lant & Woolcock, Michael, 2004. "Solutions When the Solution is the Problem: Arraying the Disarray in Development," World Development, Elsevier, vol. 32(2), pages 191-212, February.
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  13. Dutilh Novaes, Hillegonda Maria & Luna, Expedito J.A. & Goldbaum, Moises & Kilsztajn, Samuel & Rossbach, Anaclaudia & de la Roca Carvalheiro, Jose, 2002. "The potential demand for an HIV/AIDS vaccine in Brazil," Policy Research Working Paper Series 2940, The World Bank.
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  15. John Luke Gallup & Jeffrey D. Sachs, 2000. "The Economic Burden of Malaria," CID Working Papers 52, Center for International Development at Harvard University.
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Cited by:
  1. Jorge Martinez-Vazquez & Andrey Timofeev, 2006. "Regional-Local Dimension of Russia's Fiscal Equalization," International Center for Public Policy Working Paper Series, at AYSPS, GSU paper0616, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.
  2. Elisa Giuliani & Chiara Macchi, 2013. "Multinational Corporations’ Economic And Human Rights Impacts On Developing Countries: A Review And Research Agenda," Discussion Papers 2013/158, Dipartimento di Economia e Management (DEM), University of Pisa, Pisa, Italy.
  3. Marek Hudon, 2009. "Should access to credit be a right?," ULB Institutional Repository 2013/14210, ULB -- Universite Libre de Bruxelles.
  4. Nelson, Paul J., 2007. "Human Rights, the Millennium Development Goals, and the Future of Development Cooperation," World Development, Elsevier, vol. 35(12), pages 2041-2055, December.
  5. Bruno Boidin, 2005. "Droit à la santé et coopération internationale : les déficiences institutionnelles," Mondes en développement, De Boeck Université, vol. 129(1), pages 75-92.
  6. Bert Hofman & Susana Cordeira Guerra, 2004. "Ensuring Inter-regional Equity and Poverty Reduction," International Center for Public Policy Working Paper Series, at AYSPS, GSU paper0411, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.

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