Type | Book Section - Social policy architectures and universal outputs in four countries |
Title | More than just democracy: The building of pro-universal social policy in the South |
Author(s) | |
Publication (Day/Month/Year) | |
URL | http://live.udesa.drupal7.ws2.tooit.com/sites/default/files/paper_franzoni_ancochea.pdf |
Abstract | In the previous chapter we demonstrated the importance of promoting social policies that deliver universal outputs. Yet this is easier said than done: How can countries in the South build these policies? Much of the political economy literature answers this question by focusing on a small number of “star” countries that managed to establish large social states and accomplished wide levels of social incorporation.1 The literature links these broad outcomes to the role of democracy (more is better), partisan ideology (the need for strong left-wing political parties) and the influence of collective actors (unions and other social movements). These macro-explanations miss important pieces of the story. On the one hand, they downplay the diverse ways in which policies favourable to universal outputs have been pursued and the significant problems that these “star” cases have faced to reach and sustain universal outputs. On the other hand, even if democracy and political ideology are important preconditions, they cannot explain why pro-universal policies are shaped in certain ways and how they evolve over time. Democratic pressures may, for instance, trigger higher spending in health services for the poor, but do not determine the selection of funding sources and means to deliver services, nor whether benefits set the poor apart from the non-poor. In this chapter and the next we focus on the role of policy architectures as an analytic device to study pro-universal policies in the South. We define policy architectures as the combination of policy instruments addressing entry, funding, benefits, delivery and “outside” options of specific social programs. The policy architecture is the blueprint of a program as defined not just by individual instruments but the interaction between the various instruments set in place to cope with each of the five defining components. |
» | India - World Health Survey 2003 |