Coalitions of the Well-being

How Electoral Rules and Ethnic Politics Shape Health Policy in Developing Countries

Nonfiction, Health & Well Being, Medical, Social & Cultural Studies, Political Science, Social Science
Cover of the book Coalitions of the Well-being by Joel Sawat Selway, Cambridge University Press
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Author: Joel Sawat Selway ISBN: 9781316290354
Publisher: Cambridge University Press Publication: June 26, 2015
Imprint: Cambridge University Press Language: English
Author: Joel Sawat Selway
ISBN: 9781316290354
Publisher: Cambridge University Press
Publication: June 26, 2015
Imprint: Cambridge University Press
Language: English

Why do some developing countries have more efficient health systems and better health outcomes? Contrary to existing theory that posits the superiority of proportional representation (PR) rules on public-goods provision, this book argues that electoral rules function differently given the underlying ethnic structure. In countries with low ethnic salience, PR has the same positive effect as in past theories. In countries with high ethnic salience, the geographic distribution of ethnic groups further matters: where they are intermixed, PR rules are worse for health outcomes; where they are isolated, neither rule is superior. The theory is supported through a combination of careful analysis of electoral reform in individual country cases with numerous well-designed cross-country comparisons. The case studies include Thailand, Mauritius, Malaysia, Botswana, Burma and Indonesia. The theory has broad implications for electoral rule design and suggests a middle ground in the debate between the Consociational and Centripetal schools of thought.

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Why do some developing countries have more efficient health systems and better health outcomes? Contrary to existing theory that posits the superiority of proportional representation (PR) rules on public-goods provision, this book argues that electoral rules function differently given the underlying ethnic structure. In countries with low ethnic salience, PR has the same positive effect as in past theories. In countries with high ethnic salience, the geographic distribution of ethnic groups further matters: where they are intermixed, PR rules are worse for health outcomes; where they are isolated, neither rule is superior. The theory is supported through a combination of careful analysis of electoral reform in individual country cases with numerous well-designed cross-country comparisons. The case studies include Thailand, Mauritius, Malaysia, Botswana, Burma and Indonesia. The theory has broad implications for electoral rule design and suggests a middle ground in the debate between the Consociational and Centripetal schools of thought.

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