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

Christina Ewig, Gastón A. Palmucci

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)2490-2504
Number of pages15
JournalWorld Development
Volume40
Issue number12
DOIs
StatePublished - Dec 1 2012

Keywords

  • Chile
  • Health reform
  • Implementation
  • Latin America
  • Political determinants of inequality
  • Social policy

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