Social policy expansion, democracy and social mobilization in Latin America: Healthcare reform in Brazil and Mexico

Ricardo Velázquez Leyer, Juan Pablo Ferrero

Research output: Contribution to journalArticle

1 Citation (Scopus)
154 Downloads (Pure)

Abstract

This article studies how and under what circumstances different socio-political formations are more likely to trigger and shape distinct modes of institutional reform and transform the structures of the state in greater or lesser degree. The focus is on health care reforms in the context of political liberalization: the Sistema Único de Saúde in Brazil and the Seguro Popular de Salud in Mexico. Both are part of the wave of welfare policy expansion observed in Latin America in recent decades and undertaken in the national contexts of transitions towards pluralistic democratic systems, but which at the same time represent opposite reform models: a universalistic model in Brazil and the layering of insurance programs in Mexico. Applying a comparative perspective, we seek to establish similarities and differences in the contexts under which the reform processes were undertaken and in the social and political arrangements that generated and drove them. Differences in the types of democratic transitions, the formation of cross-class coalitions and the institutional legacies from the populist regimes suggest that while in Brazil the process of democratization occurred together with the formation of an "initiative capacity," the absence of this in Mexico resulted in the reproduction of a segmented and unequal system.

Original languageEnglish
Pages (from-to)117-134
Number of pages18
JournalJournal of Iberian and Latin American Research
Volume22
Issue number2
DOIs
Publication statusPublished - 21 Sep 2016

Keywords

  • Brazil
  • Democracy
  • Healthcare reform
  • Latin America
  • Mexico
  • Social mobilization
  • Social policy

Fingerprint Dive into the research topics of 'Social policy expansion, democracy and social mobilization in Latin America: Healthcare reform in Brazil and Mexico'. Together they form a unique fingerprint.

  • Profiles

    Cite this