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Inequality and the Politics of Social Policy Implementation: Gender, Age and Chile’s 2004 Health Reforms

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  • Ewig, Christina
  • Palmucci, Gastón A.
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    Abstract

    Regarding scholarship on the political determinants of inequality, little attention has been paid to policy implementation. We examine the 2004 Chilean health reforms that sought to regulate private insurers, and measure their effects on gender and age inequality. We find that reforms intended to decrease these inequalities largely failed. Analysis of this failure demonstrates the importance of the politics of implementation. When reforms threaten profits, private providers may act to undermine reforms in the implementation process. Given the widespread emergence of private providers in social policy systems, understanding their stakes in implementation is key to more effective, equality-enhancing reforms.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0305750X12001556
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    Bibliographic Info

    Article provided by Elsevier in its journal World Development.

    Volume (Year): 40 (2012)
    Issue (Month): 12 ()
    Pages: 2490-2504

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    Handle: RePEc:eee:wdevel:v:40:y:2012:i:12:p:2490-2504

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

    Related research

    Keywords: Latin America; Chile; health reform; political determinants of inequality; implementation; social policy;

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    1. Thomas, John W. & Grindle, Merilee S., 1990. "After the decision: Implementing policy reforms in developing countries," World Development, Elsevier, vol. 18(8), pages 1163-1181, August.
    2. Doyal, Lesley, 2000. "Gender equity in health: debates and dilemmas," Social Science & Medicine, Elsevier, vol. 51(6), pages 931-939, September.
    3. Mark Gradstein & Branko Milanovic, 2004. "Does Libertè = Egalité? A Survey of the Empirical Links between Democracy and Inequality with Some Evidence on the Transition Economies," Journal of Economic Surveys, Wiley Blackwell, vol. 18(4), pages 515-537, 09.
    4. Crosby, Benjamin L., 1996. "Policy implementation: The organizational challenge," World Development, Elsevier, vol. 24(9), pages 1403-1415, September.
    5. Brinkerhoff, Derick W., 1996. "Process perspectives on policy change: Highlighting implementation," World Development, Elsevier, vol. 24(9), pages 1395-1401, September.
    6. Giovanni Andrea cornia, 2009. "Income Distribution under Latin America’s New Left Regimes," Working Papers - Economics wp2009_16.rdf, Universita' degli Studi di Firenze, Dipartimento di Scienze per l'Economia e l'Impresa.
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