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Campaigning for All Indonesians: The Politics of Healthcare in Indonesia

Campaigning for All Indonesians: The Politics of Healthcare in Indonesia Abstract: Many scholars argue that democratization is conducive to the development of social welfare policies and that democracy brings about redistributive reform due to demands from the newly enfranchised poor. In reality, however, democratization does not necessarily bring about comprehensive social welfare reform. If not democratization, what explains social welfare expansion in developing countries? This article examines Indonesia, which began the process of democratization in 1998 following the fall of President soeharto, and which has since become a stable democracy with a consistently growing economy. More than a decade after soeharto’s resignation, Indonesia started to implement a comprehensive healthcare policy. What explains the gap between the enactment and the implementation of this social policy reform? In answering this question, I argue that electoral competition alone does not shape social policy reform. Instead, social reform has institutional prerequisites, such as the broad-based organization of its advocates. A broad-based organization goes beyond its narrow interests, builds cross-class alliance and pressures the government. Without this prerequisite, democratization does not necessarily result in comprehensive social reforms. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Contemporary Southeast Asia: A Journal of International and Strategic Affairs Institute of Southeast Asian Studies

Campaigning for All Indonesians: The Politics of Healthcare in Indonesia

Campaigning for All Indonesians: The Politics of Healthcare in Indonesia


Contemporary Southeast Asia Vol. 38, No. 3 (2016), pp. 476–94 DOI: 10.1355/cs38-3e © 2016 ISEAS – Yusof Ishak Institute ISSN 0129-797X print / ISSN 1793-284X electronic Campaigning for All Indonesians: The Politics of Healthcare in Indonesia Eunsook Jung Many scholars argue that democratization is conducive to the development of social welfare policies and that democracy brings about redistributive reform due to demands from the newly enfranchised poor. In reality, however, democratization does not necessarily bring about comprehensive social welfare reform. If not democratization, what explains social welfare expansion in developing countries? This article examines Indonesia, which began the process of democratization in 1998 following the fall of President Soeharto, and which has since become a stable democracy with a consistently growing economy. More than a decade after Soeharto’s resignation, Indonesia started to implement a comprehensive healthcare policy. What explains the gap between the enactment and the implementation of this social policy reform? In answering this question, I argue that electoral competition alone does not shape social policy reform. Instead, social reform has institutional prerequisites, such as the broadbased organization of its advocates. A broad-based organization goes beyond its narrow interests, builds cross-class alliance and pressures the government. Without this prerequisite, democratization does not necessarily result in comprehensive social reforms. Keywords: Indonesia, advocacy coalitions, healthcare, Social Security Administering Bodies (BPJS), National Social Security System Law (SJSN). Eunsook Jung is Faculty Associate in the Department of Political Science, the University of Wisconsin-Madison. Postal address: 305 North Hall, 1050 Bascom Mall, Madison, WI 53706, United States; email: esjung@wisc.edu. 05 Eunsook-3P.indd 476 21/11/16 7:31 pm Many scholars...
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Publisher
Institute of Southeast Asian Studies
Copyright
Copyright © The Institute of Southeast Asian Studies.
ISSN
1793-284X
Publisher site
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Abstract

Abstract: Many scholars argue that democratization is conducive to the development of social welfare policies and that democracy brings about redistributive reform due to demands from the newly enfranchised poor. In reality, however, democratization does not necessarily bring about comprehensive social welfare reform. If not democratization, what explains social welfare expansion in developing countries? This article examines Indonesia, which began the process of democratization in 1998 following the fall of President soeharto, and which has since become a stable democracy with a consistently growing economy. More than a decade after soeharto’s resignation, Indonesia started to implement a comprehensive healthcare policy. What explains the gap between the enactment and the implementation of this social policy reform? In answering this question, I argue that electoral competition alone does not shape social policy reform. Instead, social reform has institutional prerequisites, such as the broad-based organization of its advocates. A broad-based organization goes beyond its narrow interests, builds cross-class alliance and pressures the government. Without this prerequisite, democratization does not necessarily result in comprehensive social reforms.

Journal

Contemporary Southeast Asia: A Journal of International and Strategic AffairsInstitute of Southeast Asian Studies

Published: Feb 4, 2016

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