Access to quality healthcare varies across the national territory inside Latin American countries, with some subnational units enjoying higher-quality care than others. Such territorial inequality is consequential, as residents of particular regions face shorter life spans and an increased risk of preventable disease. This article analyzes trajectories of territorial healthcare inequality across time in Argentina, Brazil, and Mexico. The data reveal a large decline in Brazil, a moderate decline in Mexico, and low levels of change followed by a moderate decline in Argentina. The article argues that two factors account for these distinct trajectories: the nature of the coalition that pushed health decentralization forward and the existence of mechanisms for central government oversight and management.

This article explores the tension between multicultural legal reforms and the liberal state-building project in present-day Mexico. Specifically, it traces the process by which the Mexican state challenged and eventually forced changes to customary restrictions on women in public life in some indigenous communities in the southern state of Oaxaca. The study argues that the act of formalizing autonomy for indigenous communities, in the context of Mexico’s homogenizing neoliberal state, had the unanticipated effect of exposing exclusionary practices to state scrutiny, which eventually forced those communities to recognize women’s political rights. Thus the effort to protect indigenous practices facilitated the territorial and juridical expansion of the Mexican state into formerly autonomous areas of the countryside.

Theories of the rise of the modern state hold that central rulers make land property “legible” to extract revenue, leading landholders to oppose state registration. This study revises this logic and argues that when land ownership is disputed, landholders use inscription into state records to secure legal property rights. To minimize resulting tax liabilities, propertied interests may exploit opportunities to manipulate land valuations, which determine the tax burden. The argument is substantiated using historical tax and cadastral records from Colombia. Difference-in-differences analyses of two critical attempts at land reform, led by the Liberal Party, show that land property registration spiked disproportionately in threatened Conservative municipalities, where tax revenues lagged behind nonetheless, due to systematic undervaluation of property. The study concludes that landholders’ selective subversion of state building may disrupt the assumed link between legibility and taxation and spawn territorially uneven patterns of state capacity that mirror domestic conflict lines.

What causes stark differences in living standards between subnational units? What can countries do to lessen such variations? This article argues that there is an aspect of national policy frameworks that impacts subnational provision of social services: the sensitivity of policy to the particularities of place. Place-sensitive policies make adaptations to the way social services are organized and provided across a country, so that they are better equipped to deal with the different characteristics of places and better support their well-being. When policies are place-sensitive, subnational provision is facilitated in poor, rural, and marginal locations in a country. In contrast, place-blind policies employ a one-size-fits-all approach that excludes people in vulnerable areas and aggravates inequalities in social service provision and social outcomes. By studying the Colombian case, this article demonstrates that a key placeblind feature of its healthcare model disproportionately affects small localities.

The objective of this article is to explain the territorial variation in indigenous political representation at the subnational level in Peru. The Peruvian state introduced a weak indigenous electoral quota, and its effects have varied across provinces. This article presents a typology that combines descriptive and substantive dimensions of political representation. Using a subnational comparative method, the four cases studied illustrate distinct dynamics. The article argues that these differing dynamics are explained by a combination of sociostructural variables (i.e., political articulation and cohesion of indigenous organizations as a result of a conflict) and individual variables (i.e., candidates’ political capital). This article demonstrates how, even in an institutionally adverse environment that does not feature ethnic parties, both descriptive and substantive indigenous political representation can be achieved, and that these two dimensions are not necessarily related. The article is based on fieldwork and interviews with key provincial political actors.

Decentralization has triggered widespread use of the subnational comparative method in the study of Latin American politics. Simultaneously, it has created challenges for this method that deserve careful attention. While subnational governments after decentralization can often be treated as potentially autonomous policy jurisdictions, their autonomy is also subject to new constraints and incursions, which may limit scholars’ ability to treat them as relatively independent units. By taking stock of the vibrant literature that has emerged in recent years, this article explores three major challenges that complicate the use of the subnational comparative method. Two are vertical in nature: how to theorize national causes of subnational variation, and how the varied linkages between subnational governments and transnational actors can be conceptualized in work that compares subnational units. The third challenge is horizontal, referring to interactions between governments at the same subnational level that can either enhance or subvert autonomy.