Inequality and the Politics of Social Policy Implementation: Gender, Age and Chile’s 2004 Health Reforms
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.
If 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.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
References listed on IDEAS
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.:
- 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.
- Timmons, Jeffrey F., 2010. "Does Democracy Reduce Economic Inequality?," British Journal of Political Science, Cambridge University Press, vol. 40(04), pages 741-757, October.
- Blackburn, Stephen & Espinosa, Consuelo & Tokman, Víctor E., 2004. "Alternativas para reducir la discriminación y la segmentación por riesgo en el sistema de salud chileno," Financiamiento para el Desarrollo 152, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
- 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.
- Gradstein. Mark*Milanovic, Branko, 2002. "Does Liberte = Egalite ? A survey of the empirical links between democracy and inequality with some evidence on the transition economies," Policy Research Working Paper Series 2875, The World Bank.
- repec:cup:apsrev:v:53:y:1959:i:01:p:69-105_00 is not listed on IDEAS
- Doyal, Lesley, 2000. "Gender equity in health: debates and dilemmas," Social Science & Medicine, Elsevier, vol. 51(6), pages 931-939, September.
- Giovanni Andrea Cornia, 2010. "Income Distribution under Latin America's New Left Regimes," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 11(1), pages 85-114.
- 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.
- Brinkerhoff, Derick W., 1996. "Process perspectives on policy change: Highlighting implementation," World Development, Elsevier, vol. 24(9), pages 1395-1401, September.
- Crosby, Benjamin L., 1996. "Policy implementation: The organizational challenge," World Development, Elsevier, vol. 24(9), pages 1403-1415, September. Full references (including those not matched with items on IDEAS)
When requesting a correction, please mention this item's handle: RePEc:eee:wdevel:v:40:y:2012:i:12:p:2490-2504. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.