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

Christina Ewig and Gastón A. Palmucci

World Development, 2012, vol. 40, issue 12, 2490-2504

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.

Keywords: Latin America; Chile; health reform; political determinants of inequality; implementation; social policy (search for similar items in EconPapers)
Date: 2012
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Citations: View citations in EconPapers (4)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:wdevel:v:40:y:2012:i:12:p:2490-2504

DOI: 10.1016/j.worlddev.2012.05.033

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