The Politics of Priority Setting in Health: A Political Economy Perspective

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Title: The Politics of Priority Setting in Health: A Political Economy Perspective
Authors: Hauck, KD
Smith, PC
Item Type: Working Paper
Abstract: Many health improving interventions in low-income countries are extremely good value for money. So why has it often proven difficult to obtain political backing for apparently common-sense interventions such as vaccinations, treatments against diarrhoeal disease in children, and preventive policies such as improved access to clean water, or policies curtailing tobacco consumption? We use economic models of public choice, supported by examples, to explain how powerful interests groups, politicians or bureaucrats who pursue their own objectives, or voting and institutional arrangements in countries have shaped health priority setting. We show that it may be perfectly rational for policy makers to accommodate these constraints in their decisions, even if it implies departing from welfare maximizing solutions.
Issue Date: 3-Sep-2015
URI: http://hdl.handle.net/10044/1/26515
Publisher: Center for Global Development
Copyright Statement: © 2015 The Authors
Keywords: health
priority setting
politics
vaccinations
Publisher URL: http://www.cgdev.org/publication/politics-priority-setting-health-political-economy-perspective-working-paper-414
Appears in Collections:Imperial College Business School
Faculty of Medicine
Epidemiology, Public Health and Primary Care



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