Policy feedback, varieties of federalism, and the politics of health-care funding in the United States, Mexico, and Canada

IF 1.4 Q2 POLITICAL SCIENCE

Politics & Policy Pub Date : 2024-01-24 DOI:10.1111/polp.12575

Daniel Béland, Gregory P. Marchildon, Anahely Medrano, Philip Rocco

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引用次数: 0

Abstract

Long before the COVID-19 pandemic, health-care spending became a key policy issue across the OECD. Comparing recent institutional trends in public health-care financing in three federal countries—Canada, the United States, and Mexico—this article explores the political struggles over fiscal federalism in health care related to both vertical and horizontal imbalances that can generate regional tensions and pit subnational governments against one another and, especially, against the national government. Grounded in a historical institutionalist perspective, the article shows how different institutional legacies shape current conflicts over federal health-care funding in these three highly dissimilar federal countries. Such an analysis stresses the role of policy feedback in social politics and the enduring “varieties of federalism” in North American public health-care funding. More specifically, the article shows how the distinct nature of policy feedback effects in the United States, Mexico, and Canada helps explain why the two former countries recently witnessed major changes in intergovernmental relations over fiscal federalism for health care while the latter did not.

Bode, Ingo, and Jorge E. Culebro Moreno. 2018. “Paradoxical Internationalization: Regulatory Reforms in the Mexican Health-Care System through the Lens of European Experience.” Politics & Policy 46(4): 678–710. https://doi.org/10.1111/polp.12268.

Lauby, Fanny, and Christopher J. McKinley. 2023. “Factors of Early COVID-19 Prevention Policy Engagement in France and the United States.” Politics & Policy 51(5): 830–48. https://doi.org/10.1111/polp.12556.

Luccisano, Lucy, and Amy Romagnoli. 2007. “Comparing Public Social Provision and Citizenship in the United States, Canada, and Mexico: Are There Implications for a North American Space?” Politics & Policy 35(4): 716–51. https://doi.org/10.1111/j.1747-1346.2007.00082.x.

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美国、墨西哥和加拿大的政策反馈、联邦制的多样性以及医疗资金的政治性

早在 COVID-19 大流行之前，医疗保健支出就已成为整个经合组织的关键政策问题。本文比较了三个联邦制国家--加拿大、美国和墨西哥--在公共医疗保健融资方面的最新制度趋势，探讨了医疗保健领域与纵向和横向不平衡相关的财政联邦制的政治斗争，这些不平衡会引发地区紧张局势，使国家以下各级政府相互对立，尤其是与国家政府对立。文章立足于历史制度主义视角，展示了在这三个高度不同的联邦制国家中，不同的制度遗产是如何形成当前有关联邦医疗资金的冲突的。这种分析强调了政策反馈在社会政治中的作用，以及在北美公共医疗拨款中经久不衰的 "各种联邦制"。更具体地说，文章说明了政策反馈效应在美国、墨西哥和加拿大的不同性质如何有助于解释为什么前两个国家最近在医疗保健财政联邦制问题上的政府间关系发生了重大变化，而后者却没有。2018."Paradoxical Internationalization：从欧洲经验看墨西哥医疗保健体系的监管改革"。政治与政策》46（4）：https://doi.org/10.1111/polp.12268.Lauby, Fanny, and Christopher J. McKinley.2023."法国和美国早期参与 COVID-19 预防政策的因素》。Politics & Policy 51(5)：https://doi.org/10.1111/polp.12556.Luccisano, Lucy, and Amy Romagnoli.2007."Comparing Public Social Provision and Citizenship in the United States, Canada, and Mexico：Are There Implications for a North American Space?" Politics & Policy 35(4).Politics & Policy 35(4)：716–51. https://doi.org/10.1111/j.1747‐1346.2007.00082.x.

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来源期刊

Politics & Policy POLITICAL SCIENCE-

CiteScore

2.50

自引率

23.10%

发文量