期刊
WORLD DEVELOPMENT
卷 40, 期 12, 页码 2490-2504出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.worlddev.2012.05.033
关键词
Latin America; Chile; health reform; political determinants of inequality; implementation; social policy
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. (C) 2012 Elsevier Ltd. All rights reserved.
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