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Chapter 6 examines the development and implementation of Peru’s 2009 Universal Health Insurance (Aseguramiento Universal en Salud (AUS)) reform. Unlike other Latin American cases, Peru’s party system at the time was highly fragmented and non-programmatic – political parties lacked core values and were therefore disengaged from health policy. This void allowed technocrats, particularly those supported by United States Agency for International Development (USAID) and the private sector, to dominate the process. The AUS reform provided formal insurance coverage to millions but failed to specify long-term funding or infrastructure development. Debate around the reform was limited, and key decisions were made by a small group of technocrats and advisors rather than through participatory party politics. As a result, the law was poorly specified, with insufficient attention to state capacity and the practical challenges of expanding healthcare access. The reform led to dramatic increases in theoretical insurance coverage, but actually achieving access to care was hampered by resource shortages, inconsistent funding, and limited political commitment. The Peruvian experience highlights how non-programmatic party systems defer policy authority to technocrats, risking unsustainable reforms that do not deliver on their promises, particularly in times of crisis such as the COVID-19 pandemic.
Chapter 5 examines the creation and evolution of Mexico’s Seguro Popular, a health reform implemented in 2003 to expand insurance coverage for the uninsured. Despite the existence of institutionalized political parties, the legislation was driven mainly by technocrats rather than by programmatic party commitment. The National Action Party (Partido Acción Nacional, PAN), in power at the time, endorsed the reform but did not participate in shaping its content because it did not align with its core values. The Health Secretary and the Seguro Popular technocratic team introduced the initiative, lobbied for support, and were in charge of key decisions. The reform was passed in Congress, largely because it promised increased resources to state governments, rather than due to ideological consensus. Its implementation met with significant challenges. Coverage increased, but funding and infrastructure lagged, limiting access to services. Political parties failed to ensure sustainable funding and robust oversight. The reform ultimately struggled with insufficient programmatic commitment from PAN, PRI (Partido Revolucionario Institucional; Institutional Revolutionary Party), and PRD (Partido de la Revolución Democrática; Party of the Democratic Revolution), which undermined the quality of the legislation and its long-term success. Seguro Popular was replaced in 2020, and its end reflected both partisan competition and the original lack of cross-party support and detailed policy design.
Chapter 4 examines the policymaking process behind Chile’s AUGE healthcare reform, enacted in 2004. Driven by the center-left Concertación coalition, the reform aimed to expand equitable access to healthcare by providing explicit guarantees for prioritized diseases. The Chilean parties’ strong programmatic commitments were central, ensuring cohesion from agenda-setting through implementation. Political debates focused on balancing public and private sector roles, sustainable funding, and gradual expansion of coverage. Internal disagreements on strategy existed, yet the coalition’s programmatic nature enabled compromise and long-term planning. The reform introduced new regulatory institutions, increased public funding, and improved infrastructure and human resources. Opposition came from right-wing parties, private insurers, and medical groups, but political leadership and consensus-building allowed the reform to pass and be sustained under subsequent governments. Ultimately, AUGE expanded insurance coverage, reduced unmet healthcare needs, and demonstrated how programmatic party commitment shapes effective and sustainable social policy.
Exploring the representation of human rights abuses in media and journalism is a vital area of study, given that the media help shape understandings of the world and its conflicts. That said, the scholarship into the intersection of journalism, media, and human rights, which we trace here, is diverse. We identify three major strands: first, researchers who explore how propaganda and journalism can and have exacerbated human rights abuses; second, those who analyse how the conventions of mainstream journalism may lead to the misrepresentation or omission of human rights issues; and third, studies that focus on professional and citizen journalists and non-governmental organization reporters who cover human rights topics, often at significant risk to themselves. Within the tertiary sector, few courses are offered in human rights and media or journalism as a combined field, although the topic may pop up periodically in journalism and human rights courses. Where research clusters committed to human rights journalism exist, passionate individual researchers or small groups of scholars and teachers are most often at the helm.
Despite extensive research, the concept of issue salience remains fragmented across public opinion, party competition, and media studies. This article addresses this gap by proposing a triadic framework that integrates citizens, parties, and media within a single model of interaction. Salience is defined as an attribute of issues – a measure of their relative importance within systems of collective attention – and explained as the outcome of reciprocal processes of supply, demand, and mediation. The framework bridges disciplinary approaches and clarifies how salience circulates through feedback loops connecting the three spheres. By reconceptualizing salience as a dynamic and relational mechanism, the paper contributes to a deeper understanding of how democracies construct, contest, and sustain collective attention in hybrid information environments.
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.
This chapter presents our theory, which claims that lawmaking institutions and outcomes in autocracies depend upon the nature and dynamics of factional politics. When factional politics is balanced, because the factions that make up the autocratic coalition are highly united and embedded in organizations, they establish reviser legislatures mandated to intervene in all lawmaking processes and empowered not only to review but also to amend and reject government initiatives. In contrast, when factional politics is unbalanced, because factions are less united and embedded, regimes establish notary legislatures with limited and contingent intervention in lawmaking processes, and empowered to amend but not necessarily reject government bills. Reviser legislatures typically amend and reject significant shares of government bills and are able to impose important changes in policy, whereas notary legislatures typically amend government initiatives, but rarely reject them, and are hardly able to impose important policy changes. Variation in the resources of factions may lead legislatures to oscillate between these two extreme types.
Electoral politics constitute a formative, agenda-setting phase in the development of mixed-economy approaches to social welfare. This study examines issue-salience and policy framing related to the welfare role of the third sector in party manifestos in UK Westminster and regional elections 1945–2011. The findings reveal a pronounced increase in salience over recent decades. Welfare pluralism, whereby voluntary organisations complement state and market-based services, is shown to be the dominant approach at both state-wide and regional levels. Yet election data also reveal inter-party and inter-polity contrasts in policy framing. This is significant to contemporary understanding of mixed-economy approaches to welfare because it shows electoral discourse to be a driver of policy divergence in multi-level systems. The result is differing policy prescriptions for the third sector that (re-)define governance practices and underpin the rise and territorialisation of welfare pluralism. In turn this poses questions about policy co-ordination and differential welfare rights in the unitary state.
This article, as an introduction to the Symposium, discusses the determinants and evolution of attention to defence and foreign policy issues in France. It thereby contributes to existing debates on the relative power of presidents in this area. It then provides a short overview of the different contributions to the symposium. It argues that there is some measure of agreement in the analyses of current relations between France and the US, especially concerning the weight of history. Yet, at the same time, the articles provide a variety of views and approaches to the current state of these relations.
Despite extensive research on issue engagement, much remains to be learned. This article advances our understanding of issue competition in three ways. First, it examines whether political parties focus on the same issues in a setting with high electoral volatility, studying four Quebec elections from 2012 to 2022. Second, it assesses whether this trend is evident in both press releases and tweets. Third, it investigates why parties converge on the same issues. Findings reveal convergence levels in Quebec match other democracies and remain consistent across platforms. Ideologically similar parties are more likely to address the same issues. Two issue types are identified: peripheral, less visible issues and governance issues, consistently highlighted by all parties within a jurisdiction, reflecting a stable electoral agenda. These findings align with growing evidence that engagement dominates issue competition while demonstrating that convergence and divergence can occur around few key issues that remain relatively stable over time.
Parliaments are the intermediate link in the representative chain connecting citizens to the government. The parliamentary agenda is often seen as highly responsive because public priorities are usually mirrored in parliamentary debates. However, the level of responsiveness is affected by formal and informal rules of each activity, which considerably shape the attention–concentration capacity and thus the possibility for policy change. During moments of crisis, institutional frictions can be substantially placated, making the agenda concentrating on the crisis issue even in the presence of high institutional frictions. Building on the literature about parliamentary questioning and agenda-setting studies, this article compares the determinants of issue attention for crisis-related issues (economic, migration, and pandemic) in the Italian case over the past 20 years, assessing their impact on written questions and oral questions with immediate response. This article overcomes a limitation of the agenda-setting literature which treats different forms of parliamentary questions as having a single logic and dynamic. Instead, we demonstrate that frictions are extremely variable among different forms of parliamentary questioning and thus, that written and oral questions exhibit different forms of issue responsiveness. This article explores which type of signal parliamentary questions are most responsive to – public concerns, media attention, or real-world indicators – and finds that the answer is highly conditional both on the specific issue under examination and the type of parliamentary questions.
Rather than leading to the emergence of a problem, some processes contribute to limiting their scope and impeding agenda-setting. These “nonproblems” are situations that could have led to social mobilizations or public intervention but end up neither being publicized nor subject to strong policy. We use occupational health in France to illustrate these mechanisms. The social invisibility of work-related ill-health is linked to the joint contribution of two processes. Firstly, from the perspective of research on ignorance and undone science, scientific knowledge is under-developed compared to other public health issues. And even available knowledge is rarely used by policy-makers. Secondly, policies use underestimated numbers from the occupational diseases compensation system. This specific configuration of knowledge/ignorance and official counting plays a central role in the production of occupational health issues as a nonproblem. Their invisibility contributes to the production of inertia and public inaction that characterize public policy in this field.
This chapter covers the media, race, and politics. It begins by introducing the key concepts of priming, framing, and agenda-setting. It then offers a history of the use of race in electoral campaigns highlighting the difference between racially explicit and racially implicit frames on crime, welfare, and other policy areas. That history includes the progression from a Republican ‘Southern Strategy” focused primarily on race and African Americans to one increasingly focused on immigration and religion in recent years. The chapter then turns to different assessments of the impact of these campaigns. Excerpts cover media conglomeration and the debate over whether the media has a liberal bias and/or an anti-minority bias.
This Element takes on two related questions: How do the media cover the issue of misinformation, and how does exposure to this coverage affect public perceptions, including trust? A content analysis shows that most media coverage explicitly blames social media for the problem, and two experiments find that while exposure to news coverage of misinformation makes people less trusting of news on social media, it increases trust in print news. This counterintuitive effect occurs because exposure to news about misinformation increases the perceived value of traditional journalistic norms. Finally, exposure to misinformation coverage has no measurable effect on political trust or internal efficacy, and political interest is a strong predictor of interest in news coverage of misinformation across partisan lines. These results suggest that many Americans see legacy media as a bulwark against changes that threaten to distort the information environment.
The last decade has seen a proliferation of research bolstering the theoretical and methodological rigor of the Multiple Streams Framework (MSF), one of the most prolific theories of agenda-setting and policy change. This Element sets out to address some of the most prominent criticisms of the theory, including the lack of empirical research and the inconsistent operationalization of key concepts, by developing the first comprehensive guide for conducting MSF research. It begins by introducing the MSF, including key theoretical constructs and hypotheses. It then presents the most important theoretical extensions of the framework and articulates a series of best practices for operationalizing, measuring, and analyzing MSF concepts. It closes by exploring existing gaps in MSF research and articulating fruitful areas of future research.
This study examines interest groups’ influence on the European Commission’s policy agenda. We argue that organizations can gain agenda-setting influence by strategically emphasizing different types of information. Analyzing a novel dataset on the engagement of 158 interest groups across 65 policy issues, we find that prioritizing information about audience support is more advantageous than emphasizing expert information. However, the effectiveness of highlighting the scope of audience support depends on the level of issue salience and degree of interest mobilization. Specifically, our findings indicate that when dealing with issues characterized by quiet politics, there are no systematic differences among groups employing distinct modes of informational lobbying.
Chapter 6 deals with national newspaper effects, especially the claimed influence of the Sun over the voting behaviour of its readers. The associations between newspaper reading and political attitudes and behaviour over the past decades is traced, together with the popular claim that the media, notably national newspapers, set the election agenda for the population. A large body of research finds little or no evidence of strong newspaper effects on party voting and national election agendas. Instead we find strong effects of the normal demographic variables that are usually associated with many forms of social and political behaviour – the standard model of the behavioural sciences.
This chapter takes a closer look at the process in which issues are identified as requiring attention and the problems associated with them are defined (that is, agenda-setting) in the EU. It shows that agenda-setting is a highly political process because it has important consequences for the issues on which decisions are taken and the policy options that are considered. As a result, political actors actively try to bring issues on to the EU agenda or keep them off that agenda. The process through which issues come on to the EU agenda is complex and largely informal. Nevertheless, it is not purely random or idiosyncratic. Common elements and drivers can be discerned in many agenda-setting processes. The chapter identifies certain (combinations of) motives that explain why actors try to place an issue on the EU agenda. It also shows the ‘typical’ sequence of steps that are taken in EU agenda-setting processes, albeit with variations in specific cases. Finally, it discusses the factors that determine whether or not an issue will actually make it onto the EU agenda.
What has caused the marked, cross-national, and unprecedented trends in European electoral results in the 21st century? Scholarly explanations include social structure and challenger party entrepreneurship. We argue that these electoral changes more proximally result from public issue salience, which results from societal trends and mainly affects rather than is caused by party agenda setting. We use aggregate-level panel data across 28 European countries to show that the public issue salience of three issues—unemployment, immigration, and the environment—is associated with later variation in the results of the conservative, social democrat, liberal, radical right, radical left, and green party families in theoretically expected directions, while the party system issue agenda has weaker associations. Public issue salience, in turn, is rooted in societal trends (unemployment rates, immigration rates and temperature anomalies), and, in some cases, party agenda setting. We validate our mechanism at the individual-level across 28 European countries and using UK panel data. Our findings have implications for our understanding of the agency of parties, the permanency of recent electoral changes, and how voters reconcile their social and political worlds.
Japan has experienced many of the factors associated with populism, but has not experienced an upsurge of populism in national-level politics. We posit that the dominant frames in the Japanese print media coverage of populism form a crucial and overlooked part of the explanation for the absence of populism. Our qualitative human-coded analysis of quality and tabloid coverage demonstrates that overall, the Japanese newspapers act as gatekeepers and set an agenda that is unfavorable for right-wing populism. The press engage in ‘media populism’ and frame populism – and alternatives to the status quo more generally – as a threat. Moreover, the print media are not hostile to immigrants in ways that populists could leverage.