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List of Tables and Figures=ⅸ
Acknowledgments=xiii
List of Abbreviations and Acronyms=xv
1. Introduction:The Political Challenges of Social Sector Reform/Robert R. Kaufman;Joan M. Nelson=1
Part One. The Politics of Health Sector Reform
2. The Politics of Health Sector Reform:Cross-National Comparisons/Joan M. Nelson=23
3. Change Teams and Vested Interests:Social Security Health Reform in Mexico/Alejandra GonzSmall a, acute accentlez Rossetti=65
4. Ambitious Plans, Modest Outcomes:The Politics of Health Care Reform in Argentina/Peter Lloyd-Sherlock=93
5. A Sweeping Health Reform:The Quest for Unification, Coverage, and Efficiency in Colombia/Patricia RamSmall i, acute accentrez=124
6. Toward a Unified and More Equitable System:Health Reform in Brazil/Marta Arretche=155
7. Reinforcing a Public System:Health Sector Reform in Costa Rica/Mary A. Clark=189
8. Piecemeal but Innovative:Health Sector Reform in Peru/Christina Ewig=217
Part Two. The Politics of Education Sector Reform
9. The Politics of Education Sector Reform:Cross-National Comparisons/Robert R. Kaufman;Joan M. Nelson=249
10. Interests, Institutions, and Reformers:The Politics of Education Decentralization in Mexico/Merilee S. Grindle=283
11. Multiple Preferences, Variable Strengths:The Politics of Education Reform in Argentina/Javier Corrales=315
12. Education Reform in Colombia:The Elusive Quest for Effectiveness/Pamela S. Lowden=350
13. Federal Leverage in a Decentralized System:Education Reform in Brazil/SSmall o, circumflex accentnia M. Draibe=375
14. Empowering Parents while Making Them Pay:Autonomous Schools and Education Reform Processes in Nicaragua/Alec Ian Gershberg=407
15. Innovation and Frustration:Education Reform in Venezuela/Josefina Bruni Celli=438
Part Three. Conclusions
16. Conclusions:The Political Dynamics of Reform/Robert R. Kaufman;Joan M. Nelson=473
List of Contributors=521
Index=525
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Crucial Needs, Weak Incentives studies the politics of efforts to reform education and health services in Latin America in the 1990s. Both sectors were common targets of reform--education because of its economic importance, health care because of needs to reduce great inequities of access and opportunities to increase domestic savings presented by reforms. Both sectors also have large numbers of unionized public employees, whose presence affects patronage as well as political power.
The book presents case studies that offer a wealth of new information not previously accessible to the English-speaking academic and policy community. For health care, these cover Mexico, Argentina, Colombia, Brazil, Costa Rica, and Peru; for eductaion, Mexico, Argentina, Colombia, Brazil, Nicaragua, and Venezuela. Four chapters by the editors set out for each sector the goals, structure, and outcomes of reform efforts.
Contributors are Marta Arretche, Josefina Bruni Celli, Mary A. Clark, Javier Corrales, Sonia M. Draibe, Christina Ewig, Alec Ian Gershberg, Alejandra Gonzalez Rossetti, Merilee S. Grindle, Peter Lloyd-Sherlock, Pamela S. Lowden, and Patricia Ramirez.
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