The Politics of Healthcare Expansion
Policy Reform and Political Parties in Latin America
Format:Paperback
Publisher:Cambridge University Press
Publishing:31st Aug '26
£34.00
This title is due to be published on 31st August, and will be despatched as soon as possible.

Examines whether political parties' commitments to healthcare reform processes in Latin America matter for their adoption and quality.
This book provides a vital analysis of healthcare reform, political parties, and policy change in Latin America. It is an ideal resource for scholars, students, and policy professionals focused on political science, public policy, social policy, public health, and Latin American studies.Combining compelling field research with sharp analysis, The Politics of Healthcare Expansion unravels why efforts to expand equitable healthcare so often fall short – and why some succeed. Through comparative case studies from Chile, Mexico, and Peru, this book reveals how political party commitment, or the lack of it, shapes the design, implementation, and sustainability of healthcare reform. Moving beyond ideology, it demonstrates the crucial role of programmatic party engagement and analyzes the impact of technocrats and external actors when political parties are weak or disengaged. With timely lessons highlighted by the region's COVID-19 experience, this book offers rigorous insights and practical implications for anyone seeking to understand or influence social policy reform in emerging democracies.
'In this important new book comparing Peru, Chile, and Mexico, Ponce de Leon demonstrates that good healthcare outcomes are possible if those running the nation's major political parties want it for their people. It is a major contribution to the study of Latin American health care systems, but also more generally to our understanding of policy reform, implementation, and political parties.' Frank R. Baumgartner, University of North Carolina, Chapel Hill
'Built on rich interview and archival research in Chile, Mexico and Peru, in this book Zoila Ponce de León takes us beyond explanations of what determines expansionary health reforms, to identify the factors that lead to high quality implementation of these reforms. In so doing, Ponce de León moves the study of the politics of social policy reform forward, to better understand the political factors behind good policy implementation.' Christina Ewig, University of Minnesota
'This excellent book greatly enriches our understanding of the quality of health care reforms in the Global South by focusing on the central role of the commitment of programmatic parties to an expansion of access to quality health care. It challenges the view that policy-making by apolitical technocrats is superior by demonstrating that the technocratic path in the absence of committed programmatic parties leads to lack of protection of access and of sustainable funding.' Evelyne Huber, University of North Carolina, Chapel Hill
ISBN: 9781009788441
Dimensions: unknown
Weight: unknown
200 pages