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Public investment on health and voter responses: Evidence from the mass vaccination during COVID-19

Masaki Takahashi, Reo Takaku, Toyo Ashida and Yoko Ibuka

European Journal of Political Economy, 2025, vol. 89, issue C

Abstract: This study examines the effect of COVID-19 vaccination on political support by leveraging Japan’s age-based vaccination rollout, which prioritized people aged 65 and older. Using a fuzzy regression discontinuity design, we found that vaccination increased favorable opinions of vaccination progress and infection control measures by 27.4% and 14.7%, respectively. These favorable opinions extended to positive perceptions of other infection control measures, ultimately fostering trust in the government. In addition, the effect of vaccination was heterogeneous: it was more pronounced among individuals with chronic diseases, women, those of lower socioeconomic status, and those with higher levels of interpersonal trust. In contrast, low trusters became more dissatisfied with how the Tokyo Olympics and Paralympics in 2021 were managed, without showing an increase in positive opinions of the government.

Keywords: Mass vaccination; Political support; Interpersonal trust (search for similar items in EconPapers)
JEL-codes: D72 H51 I18 (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:eee:poleco:v:89:y:2025:i:c:s0176268025000783

DOI: 10.1016/j.ejpoleco.2025.102718

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