Social Sector Reform in Latin America and the Role of Unions
AbstractThis paper analyzes the reaction of teachers` and doctors` unions to a series of social sector reforms in the region, including administrative decentralization, provider payment mechanisms, and the introduction of performance evaluation and private provision. It combines the literature of economics and political science to understand the conditions that shape different patterns of union behavior and their effect on policy implementation. The paper suggests that the main conditions influencing union behavior in the health sector are related to the structure of the market (size and level of competition) due to the predominance of the private-public mix in its employment. In education, where the public sector is the main employer, political alignments and the organizational features of teachers` associations also play an important role in explaining the behavior of providers` organizations. Considering the exogenous character of most of these variables, the paper concludes by making some policy suggestions to align the objectives of unions and policymakers through regulatory reforms.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Inter-American Development Bank, Research Department in its series Research Department Publications with number 4275.
Date of creation: Jul 2001
Date of revision:
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Dranove, David, 1988. "Demand Inducement and the Physician/Patient Relationship," Economic Inquiry, Western Economic Association International, vol. 26(2), pages 281-98, April.
- Mariano Tommasi, 1995.
"Why Does it Take a Nixon to go to China?,"
UCLA Economics Working Papers
728, UCLA Department of Economics.
- Hoxby, Caroline Minter, 1996. "How Teachers' Unions Affect Education Production," The Quarterly Journal of Economics, MIT Press, vol. 111(3), pages 671-718, August.
- Richard B. Freeman, 1985.
"The Effect of the Union Wage Differential on Management Opposition and Union Organizing Success,"
NBER Working Papers
1748, National Bureau of Economic Research, Inc.
- Freeman, Richard B, 1986. "The Effect of the Union Wage Differential on Management Opposition and Union Organizing Success," American Economic Review, American Economic Association, vol. 76(2), pages 92-96, May.
- S. Baranzoni & P. Bianchi & L. Lambertini, 2000. "Market Structure," Working Papers 368, Dipartimento Scienze Economiche, Universita' di Bologna.
- Oliver D. Hart, 1987.
"Incomplete Contracts and the Theory of the Firm,"
448, Massachusetts Institute of Technology (MIT), Department of Economics.
- Melnick, Glenn A. & Zwanziger, Jack & Bamezai, Anil & Pattison, Robert, 1992. "The effects of market structure and bargaining position on hospital prices," Journal of Health Economics, Elsevier, vol. 11(3), pages 217-233, October.
- Mailath, George J & Postlewaite, Andrew, 1990. "Asymmetric Information Bargaining Problems with Many Agents," Review of Economic Studies, Wiley Blackwell, vol. 57(3), pages 351-67, July.
- Pablo Egaña & Alejandro Micco, 2011. "Labor Market in Latin America and the Caribbean: The Missing Reform," Working Papers wp345, University of Chile, Department of Economics.
- Ariel Fiszbein, 2005. "Citizens, Politicians, and Providers : The Latin American Experience with Service Delivery Reform," World Bank Publications, The World Bank, number 7371, March.
- Daniel Maceira, 2007.
"Economía política de las reformas de salud: Un modelo para evaluar actores y estrategias,"
68978, Inter-American Development Bank.
- Daniel Maceira, 2007. "Economía política de las reformas de salud: Un modelo para evaluar actores y estrategias," IDB Publications 55738, Inter-American Development Bank.
- Maria Victoria Murillo & Mariano Tommasi & Lucas Ronconi & Juan Sanguinetti, 2002. "The Economic Effects of Unions in Latin America: Teachers' Unions and Education in Argentina," Research Department Publications 3156, Inter-American Development Bank, Research Department.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Luis Daniel Martinez).
If references are entirely missing, you can add them using this form.