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Party System Nationalization and the Provision of Public Health Services

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  • Hicken, Allen
  • Kollman, Ken
  • Simmons, Joel W.

Abstract

In this paper, we examine consequences of party system nationalization. We argue that the degree to which party systems are nationalized should affect the provision of public benefits by governments. When political competition at the national level occurs between parties that represent specific sub-national constituencies, then the outcomes of policy debates and conflicts can lead to an undersupply of nationally focused public services. We test our argument using data on DPT and measles immunization rates for 58 countries. We find that low party system nationalization is a barrier to improvements in these health indicators. Specifically, a substantial presence of regionalized parties hinders states’ convergence toward international heath standards.

Suggested Citation

  • Hicken, Allen & Kollman, Ken & Simmons, Joel W., 2016. "Party System Nationalization and the Provision of Public Health Services," Political Science Research and Methods, Cambridge University Press, vol. 4(3), pages 573-594, September.
    • Handle: RePEc:cup:pscirm:v:4:y:2016:i:03:p:573-594_00
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    Cited by:

    1. Sarah Shair-Rosenfield, 2022. "Decentralization, intergovernmental coordination, and emergency response in East and Southeast Asia: lessons from combatting the COVID-19 pandemic," Working Papers. Collection A: Public economics, governance and decentralization 2209, Universidade de Vigo, GEN - Governance and Economics research Network.
    2. Makarin, Alexey & Piqué, Ricardo & Aragón, Fernando, 2020. "National or sub-national parties: Does party geographic scope matter?," Journal of Development Economics, Elsevier, vol. 146(C).
    3. Tracy Beck Fenwick & Lucas González, 2021. "Undermining Governors: Argentina’s Double-Punishment Federal Spending Strategy," Publius: The Journal of Federalism, CSF Associates Inc., vol. 51(2), pages 283-306.
    4. Ignacio Lago, 2022. "Making countries small: The nationalization of districts in the United States," Working Papers. Collection A: Public economics, governance and decentralization 2201, Universidade de Vigo, GEN - Governance and Economics research Network.

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