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Explaining Uneven Social Policy Expansion in Democratic Chile

Published online by Cambridge University Press:  21 May 2018

Rossana Castiglioni*
Affiliation:
Associate professor in the Escuela de Ciencia Política, Universidad Diego Portales.

Abstract

This article analyzes the uneven expansion of social policy, using evidence from Chile. It explicates the Chilean case to understand differences between two specific areas of social policy: pensions and healthcare. Most macroexplanatory factors, which the literature proves are crucial for cross-country analysis, are left constant. Instead, it focuses on accounting for differences in the scope of expansion across sectors. It carries out a hypothesis-generating type of case study and relies on inductive process tracing. The goal is to generate hypotheses that may be useful for theory building in the realm of intersectoral dynamics of social policy expansion. The findings suggest that three explanatory factors combine to account for such differences: policymakers’ perceptions of the budgetary constraints and fiscal costs of producing (or failing to produce) a reform; the composition, cohesion, and ideas of technical teams; and the relative power of nongovernmental, prowelfare actors in relation to market stakeholders.

Type
Research Article
Copyright
© 2018 University of Miami 

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References

Anria, Santiago, and Niedzwiecki, Sara. 2016. Social Movements and Social Policy: The Bolivian Renta Dignidad. Studies in Comparative International Development 51, 3: 308327.Google Scholar
Arellano, José P. 1985. Políticas sociales y desarrollo: Chile 1924–1984. Santiago: CIEPLAN-Alfabeta.Google Scholar
Arenas de Mesa, Alberto. 2010. Historia de la reforma previsional chilena. Santiago: OIT.Google Scholar
Arza, Camila, and Chahbenderian, Florencia. 2014. Pensiones básicas en América Latina. Working paper no. 89. Buenos Aires: Centro Interdiscipliario para el Estudio de Políticas Públicas (CIEPP).Google Scholar
Baba, Kaori. 2015. Power and Institutional Change: Re-Reforms of Latin American Pension Systems in a Comparative Perspective. Comparative Political Studies 48, 14: 18471878.Google Scholar
Beach, Derek, and Pedersen, Rasmus Brun. 2013. Process-Tracing Methods: Foundations and Guidelines. Ann Arbor: University of Michigan Press.CrossRefGoogle Scholar
Bennett, Andrew. 2004. Case Study Methods: Design, Use, and Comparative Advantages. In Models, Numbers, and Cases, ed. Detlef F. Sprinz and Yael Wolinsky-Nahmias. Ann Arbor: University of Michigan Press. 1955.Google Scholar
Bennett, Andrew, and Checkel, Jeffrey T.. 2015. Process Tracing: From Philosophical Roots to Best Practices. In Process Tracing: From Metaphor to Analytic Tool, ed. Bennett and Checkel. New York: Cambridge University Press. 338.Google Scholar
Biblioteca del Congresso Nacional de Chile (BCN). 2004. Historia de la Ley. Ley Nº 19.966. www.leychile.cl/Navegar/scripts/obtienearchivo?id=recursoslegales/10221.3/502/1/HLpercent2019966.pdf. Accessed March 27, 2016.Google Scholar
Biblioteca del Congresso Nacional de Chile (BCN). 2008. Historia de la Ley Nº 20.255. www.leychile.cl/Navegar/scripts/obtienearchivo?id=recursoslegales/10221.3/588/1/HL20255.pdf. Accessed January 9, 2017.Google Scholar
Biblioteca del Congresso Nacional de Chile (BCN). n.d. Plan GES o AUGE. Website. www.bcn.cl/leyfacil/recurso/plan-ges-(ex-auge)Google Scholar
Biblioteca del Congresso Nacional de Chile (BCN). Reforma previsional: pensiones solidarias. Website. www.bcn.cl/leyfacil/recurso/reforma-previsional-pensiones-solidariasGoogle Scholar
Borzutzky, Silvia. 1990. Chile. In Social Welfare in Latin America, ed. John Dixon and Robert Scheurell. London: Routledge. 5372.Google Scholar
Brooks, Sarah. 2009. Social Protection and the Market in Latin America: The Transformation of Social Security Institutions. New York: Cambridge University Press.Google Scholar
Castiglioni, Rossana. 2005. The Politics of Social Policy Change in Chile and Uruguay: Retrenchment versus Maintenance, 1973–1998. London: Routledge.Google Scholar
Castiglioni, Rossana. 2012. Social Policy Reform and Continuity Under the Bachelet Administration. In Comparative Public Policy in Latin America, ed. Jordi Díez and Susan Franceschet. Toronto: University of Toronto Press. 247271.CrossRefGoogle Scholar
Colegio Médico de Chile (CM). 1998. Políticas de salud para Chile. Mimeograph. Santiago: CM.Google Scholar
Coleman, William, Atkinson, Michael, and Montpetit, Eric. 1997. Against the Odds: Retrenchment in Agriculture in France and the United States. World Politics 49, 4: 453481.CrossRefGoogle Scholar
Cook, María Lorena, and Bazler, Joseph C.. 2013. Bringing Unions Back In. ILR Working Paper 166. Ithaca: Cornell University.Google Scholar
Dávila, Mireya. 2005. Health Reform in Contemporary Chile. Master’s thesis, Department of Political Science, University of North Carolina, Chapel Hill.Google Scholar
Erazo, Álvaro. 2011. La protección social en Chile. Santiago: CEPAL.Google Scholar
Ewig, Christina. 2015. Reform and Electoral Competition: Convergence Toward Equity in Latin American Health Sectors. Comparative Political Studies 49, 2: 184218.CrossRefGoogle Scholar
Ewig, Christina, and Kay, Stephen. 2011. Postretrenchment Politics: Policy Feedback in Chile’s Health and Pension Reforms. Latin American Politics and Society 53, 4: 6799.CrossRefGoogle Scholar
Fairfield, Tasha, and Garay, Candelaria. 2017. Redistribution Under the Right in Latin America: Electoral Competition and Organized Actors in Policymaking. Comparative Political Studies 50, 14: 18711906.Google Scholar
Falleti, Tulia, and Mahoney, James. 2015. The Comparative Sequential Method. In Advances in Comparative-Historical Analysis, ed. Mahoney and Kathleen Thelen. New York: Cambridge University Press. 211239.Google Scholar
Fuentes, Claudio. 1999. Partidos y coaliciones en el Chile de los 90: entre pactos y proyectos. In El modelo chileno: democracia y desarrollo en los noventa, ed. Paul Drake and Iván Jaksic. Santiago: LOM. 191222.Google Scholar
Garay, Candelaria. 2016. Social Policy Expansion in Latin America. New York: Cambridge University Press.Google Scholar
García, Daniel. 2006. Arthur: “AFP de Banco Estado desalentaría entrada de competidores.” El Mercurio, Economía y Negocios, July 17. www.economiaynegocios.cl/noticias/noticias.asp?id=16188Google Scholar
González F., Fernando. 2003. Implementación del Plan AUGE en pacientes con IRC. Revista Médica de Chile 131, 5: 545551.Google Scholar
Hagopian, Frances. 2016. Escaping the Inequality Trap, But How? Paper prepared for the 24th World Congress of the International Political Science Association, Poznań, Poland, July 23–28.Google Scholar
Huber, Evelyne. 2011. Política, políticas públicas, pobreza y desigualdad. In Cátedra Norbert Lechner, ed. Manuel Vicuña. Santiago: Ediciones Universidad Diego Portales. 169189.Google Scholar
Huber, Evelyne, and Stephens, John. 2012. Democracy and the Left: Social Policy and Inequality in Latin America. Chicago: University of Chicago Press.Google Scholar
Huepe, Mariana, and Larrañaga, Osvaldo. 2010. El sistema de pensiones solidarias. In Las nuevas políticas de protección social en Chile, ed. Larrañaga and Dante Contreras. Santiago: Uqbar Editores. 157187.Google Scholar
Huneeus, Carlos. 2000. El régimen de Pinochet. Santiago: Sudamericana.Google Scholar
Immergut, Ellen M. 1992. The Rules of the Game: The Logic of Health Policy-Making in France, Switzerland, and Sweden. In Structuring Politics: Historical Institutionalism in Comparative Analysis, ed. Kathleen Thelen and Sven Steinmo. New York: Cambridge University Press. 5789.Google Scholar
Infante, Antonio, and Paraje, Guillermo. 2010. Reforma de salud. In Las nuevas políticas de protección social en Chile, ed. Osvaldo Larrañaga and Dante Contreras. Santiago: Uqbar Editores. 77118.Google Scholar
Kay, Stephen. 1998. Politics and Social Security Reform in the Southern Cone and Brazil. Ph.D. diss., University of California, Los Angeles.Google Scholar
Lenz, Rony. 2007. Proceso político de la reforma AUGE de Salud en Chile. Serie Estudios Socio/Económicos no. 38. Santiago: CIEPLAN.Google Scholar
Levitsky, Steven, and Roberts, Kenneth. 2011. Latin America’s “Left Turn”: A Framework for Analysis. In The Resurgence of the Latin American Left, ed. Levitsky and Roberts. Baltimore: Johns Hopkins University Press. 128.CrossRefGoogle Scholar
Levy, Jack S. 2008. Case Studies: Types, Designs, and Logics of Inference. Conflict Management and Peace Science 25: 118.CrossRefGoogle Scholar
Madrid, Raúl. 2002. The Politics and Economics of Pension Privatization in Latin America. Latin American Research Review 37, 2: 159182.Google Scholar
Mainwaring, Scott, and Torcal, Mariano. 2000. The Political Recrafting of Social Bases of Party Competition: Chile in the 1990s. Working paper no. 278. Notre Dame: Kellogg Institute, University of Notre Dame.Google Scholar
Maldonado Valera, Carlos F., and Palma Roco, Andrea F.. 2013. La construcción de pactos y consensos en materia de política social. El caso de la reforma previsional en Chile, 2005–2008. Serie Políticas Sociales 183. Santiago: CEPAL.Google Scholar
Mardones, Rodrigo. 2007. Chile: todas íbamos a ser reinas. Revista de Ciencia Política 27: 7096.Google Scholar
Martínez-Franzoni, Juliana, and Sánchez-Ancochea, Diego. 2016. The Quest for Universal Social Policy in the South: Actors, Ideas and Architectures. New York: Cambridge University Press.Google Scholar
Mesa-Lago, Carmelo. 1994. Changing Social Security in Latin America. Boulder: Lynne Rienner.Google Scholar
Ministerio de Salud (MINSAL). 2004. Reforma de la salud en Chile. Santiago: MINSAL.Google Scholar
Ministry of Finance. 2006. Fondo de Reserva de Pensiones (Pension Reserve Fund). www.hacienda.cl/fondos-soberanos/fondo-de-reserva-de-pensiones.htmlGoogle Scholar
Montecinos, Verónica. 1998. Economists in Party Politics: Chilean Democracy in the Era of the Markets. In The Politics of Expertise in Latin America, ed. Miguel Centeno and Patricio Silva. London: Macmillan. 126141.Google Scholar
Muller Silva, María Eugenia. 2004. El Plan Auge y la estrategia comunicacional del gobierno. Thesis, Escuela de Periodismo, Universidad Diego Portales.Google Scholar
Olavarría Gambi, Mauricio. 2011. Política de salud en Chile. Revista Venezolana de Gerencia 16, 55: 353374.Google Scholar
Pierson, Paul. 1994. Dismantling the Welfare State? Reagan, Thatcher, and the Politics of Retrenchment. New York: Cambridge University Press.Google Scholar
Pierson, Paul. 1996. The New Politics of the Welfare State. World Politics 48, 2: 143179.Google Scholar
Pribble, Jennifer. 2013. Welfare and Party Politics in Latin America. New York: Cambridge University Press.Google Scholar
Roberts, Kenneth M. 2008. Is Social Democracy Possible in Latin America? Nueva Sociedad 217, 9–10: 7086.Google Scholar
Silva, Eduardo. 1996. The State and Capital in Chile: Business Elites, Technocrats, and Market Economics. Boulder: Westview Press.Google Scholar
Silva, Eduardo. 2015. Social Movements, Protest, and Policy. European Review of Latin American and Caribbean Studies 100: 2739.Google Scholar
Silva, Patricio. 2009. In the Name of Reason: Technocrats and Politics in Chile. University Park: Penn State University Press.Google Scholar
Tansey, Oisin. 2007. Process Tracing and Elite Interviewing. PS: Political Science and Politics 40, 4: 765772.Google Scholar
Weyland, Kurt, Madrid, Raúl, and Hunter, Wendy. 2010. The Policies and Performance of the Contestatory and Moderate Left. In Leftist Governments in Latin America: Successes and Shortcomings, ed. Weyland, Madrid, and Hunter. Cambridge: Cambridge University Press. 140180.Google Scholar