Title: Institutional theories. The role of political institutions Lecture 7
1Institutional theories. The role of political
institutions Lecture 7
- Health Politics
- Ana Rico
- ana.rico_at_medisin.uio.no
2The old institutionalism
- I. Research question
- Which is the impact of political institutions and
the social structure on democratic politics and
policy change? - II. Main concepts - definitions
- Majority and consensus democracies, plurality and
proportional electoral systems, presidentialism,
parliamentarism, federalism - III. Thesis and arguments
- Institutions which disperse power across
political and sociopol. actors are more
democratic (responsive) equally effective - III. Anti-thesis the new institutionalism
- Concentrated state power needed for effective
policy change - IV. Aplications evidence
- Political institutions in Western Europe
(Liphart, 1984 1999) - VI. Policy implications
- Power concentration is good for passing
controversial policy, but can have high political
and implementation costs
3SOCIAL POLITICAL THEORIES
L7
L3
1950s/60s SOCIAL CONTEXT
OLD INSTITUTIONALISM Formal political institutions
SOCIAL PRESSURES
L2, L4
SOCIAL ACTORS (IGs dependent on social pressures)
L5
POLITICAL ACTORS (STATE independent of social
pressures)
1970s/1980s ACTOR-CENTRED
L6
SOCIOP. ACTORS (STATE-SOCIETY interdependent)
1990s INSTITUT-IONALISM (state-society)
L7
NEW INSTITUTIONALISM (state institutions
state/PPs/IGs organization)
L9
L4, L9
L7, L9
POWER-CENTRED THEORIES (interactions among
collective actors social structure)
2000s ACTION THEORIES
RATIONAL CHOICE (interactions among individuals
ACTOR-CENTERED INSTITUTIONALISM (interactions
among institutions elites)
4CONCEPTS (4) The state
- SOCIAL CONTEXT The state as a transmission
belt of social pressures - STATE-CENTRIC The state as a unitary,
independent actor with formal monopoly of
(residual) power over policy-making - STATE-SOCIETY The state as a set of political
representatives and policy experts with
preferences and action partly independent, and
partly determined by a wide range of social
actors pressures - INSTITUTIONALIST The state as a set of political
institutions or as a set of elites with
preferences and actions mainly determined by
institutions - ACTION As a set of political organizations which
respond to context, sociopolitical actors and
institutions and which compete and cooperate
(interact) to make policy -
5ANTECEDENTS (3)
- Old political institutionalism (Lijphart)
- Formal centralization of decision-making power
makes political regimes, states and organizations
more capable more efficient - State powers are more centralized when
- Democratic Institutions Majoritarian (vs
proportional) electoral systems Unitary (vs
federal) states Executive dominance (/-
parliamentarism vs. presidentialism) - Sociopolitical organizations Biparty/multiparty
systems, majority vs. coalition) government
Corporatism (vs pluralism) Party discipline and
centralized organization - Social groups Single (class) vs multiple
cleavages in the soc. struct. seen as causes of
institutions - Single/multiple cleavages ? biparty/multiparty
system ? single party/coalition gov. ?
centralized democratic institutions
6The old institutionalism
Types of democratic institutions in the EU
Lijphart, 1984
Later US research shows that Presidentialisms
disperses power more
7The old institutionalism
- Other arguments and counterarguments (1)
- LIJPHARTS THESIS
- The interplay between social structure, political
institutions and sociopolitical groups determines
policy - Institutions which concentrate power can be more
effective, but are less democratic ? costs in
terms of political support implementation gaps - Institutions which disperse power across actors
are more democratic (minoritiesrepresentation,
direct political participation), and, under some
conditions (cooperation, consensus building), can
be equally effective (minorities protection,
economic growth, income inequality) - 2. CRITICISMS (anti-thesis)
- New institutionalism
- Institutions which concentrate state and socioP
power are needed for state capacity/autonomy
effective policy change - Actor-centred institutionalism
- Institutions which disperse state power allow
more points of acess (veto points) for IGs to
block policy -
8The old institutionalism
- Arguments and counterarguments (2)
- 1. LIJPHARTS THESIS (2)
- Types of political institutions and degree of
concentration of power - Majoritarian vs. consensus institutions
Functional division of power DoP- among state
organizations and political parties - Unitary vs. federal institutions Territorial DoP
between federal/central and state/local
governments) - Corporatist vs. Pluralist DoP between state and
social groups) - 2. CRITICISMS
- NOTE Later institutionalists ? socioP
institutions such as party discipline, or minor
constitutional reforms in EU 1950s allowing the
Executive to pass legislation by decree, are
critical too to promote power concentration
9The old institutionalism
The electoral system (translates social
support/votes into of state power) A.
Proportionality votes/parliam. seats (? access
to govern. parliament) Main dimensions
Maj Prop
Maj Prop Electoral formula lt
Prop gt Electoral thresholds gt
lt District magnitude Small Big
Ballot structure 1/2
rounds Supplementary seats No Yes C. The
social and socioP power structure Cleavages
pol. parties
Lijphart, 1984
10 The DoP between Executive Parliament
The electoral system
Lijphart, 1994
11Modern institutionalist theory
- I. Research questions
- Are institutions the main cause of policy? Do
they determine actors behaviour? - II. Main concepts - definitions
- Types of political institutions path dependence
and institutional inertia. - III. Thesis and arguments
- New institutionalism (1) Institutions determine
actors preferences, resources and strategies,
and therefore reinforce and reproduce the status
quo - Actor-centred institutionalism (infl. by ECO)
(2) Formal political institutions modify (weaken
or strengthen) the degree of autonomy of state
actors from IGs - IV. Aplications evidence
- Explaining the emergence of different health care
systems - V. Policy implications
- (1) Institutions do not change, hence big policy
turns are unlikely(2) Changing formal
constitutional rules increases the likelihood of
state-led policy change, - VI. Criticisms
- Institutions can be changed through political
action and policy reform lack of change is due
to entrenched interest groups and/or reluctant
citizens
12Formal informal institutions
SOCIAL CONTEXT
CULTURE
POLICY (SUB-) SYSTEM
- Social organiz.
- Associations
- Churches
- Firms
THE POLITICAL SYSTEM
Ideologies Ideas
- Sociopol. actors
- IGs, Prof Ass., Unions
- Citizens, Mass media
- Political parties
Policy change
c
a
- State actors
- STATE-, POL. PARTs (IGs)
Org.Struct.
Policy paradigms/ legacies
Subcultures /pol.identities
b
HC SYSTEM
CONSTITUTION
- Interactions
- Coalitions/competit.
- Leadership/strategy
Social groups - Communities - Ethnia,
gender - Social classes
- Institutions
- Const. (interorg.)
- Organiz. Struct.
Outputs
e
d
f
Outcomes
OUTPUTS
INPUTS
- Demands and supports
- Access to the political system
- Decision-making
d. Institutional change e. Impact of policy f.
Distribution of costs and benefits
13The new institutionalism
- Institutions (including public policies,
organizations) block new policy because of their
strong resistance to change (inertia) once
settled (path dependence) - Institutional inertia/path dependence is in turn
due to - A. Technical/cognitive causes (decreasing returns
economies of scale/scope, learning costs) - ? ECO some POL. Sci. (eg Pierson 1998,
Wilsford, 1995) - B. Normative causes (cognitive rules are given
normative meaning through the processes of
socialization carried out to guarantee the
compliance of individuals to rules once linked
to values, rules become difficult to change) - ? Anthropology, Sociology, ORG THEORY, Policy
Anallisys - ? Social embebbedness (Evans)
- Policy change happens only as a result of an
external shock which opens a policy window for
reform
14Immergut, 1992
15Actor-centred institutionalism
Determinants of National Health Insurance systems
Immergut, 1992
16Veto points
SOCIAL CONTEXT
POLICY CONTEXT
- Social organiz.
- ASSOCIATIONS
- CHURCHES
- FIRMS
THE POLITICAL SYSTEM
- Sociopol. actors
- NEW SOCIAL MOV.
- MASS MEDIA
- IG PROF ASS
- POLITCAL PARTIES
- Policy actors
- STATE ACTORS
- IG PROF ASS
- POLITCAL PARTIES
a
c
Policy change
Implemen- tation
b
- Social groups
- COMMUNITIES
- ETHNIA, GENDER
- SOCIAL CLASSES
Institutional framework
HC services
Interactions
Outputs
d
e
f
Outcomes
OUTPUTS
INPUTS
- Demands and supports
- Access to the political system
- Decision-making
d. Institutional change e. Impact of policy f.
Distribution of costs and benefits
17Actor-centred institutionalism
- (State) actors and political parties are the main
determinant of policy - Institutions increase or decrease their
opportunities to influence policy - EVIDENCE Canada (NHI) vs the US (no NHI) in the
1960s - In the US as in Canada, the main advocate of NHI
were small socialdemocratic parties territorially
concentrated - In the US as in Canada, the majority of citizens
strongly supported NHI in these states/provinces - In Canada, due to open political acess strong
federalism in HC, a tiny socialdemocratic party
ruling in one province introduces NHI,
demonstrating that can work with good effects
outside Europe ? this helps them convince the
reluctant democratic party public opinion to
support it at national level - In the US, weak federalism impedes pro-WS
minority parties to govern ? no demonstration
effects possible
Maioni, 1997
18CAUSES OF NHI CANADA vs USA
Maioni, 1997
19FEDERALISM IN EU HC
NORDIC COUNTRIES
FISCAL FED.
CENTRAL COORD.
POLITICAL DEVOLUTION
ITALY /SPAIN
FISCAL FED.
CENTR??
POL. DEVOLUTION
POL. DEV.?
UK / GREECE / (PORTUGAL)
60s 70s 80s
90s 00s
20FEDERALISM impact of DoPower
Political OUTCOMES (for democratic
representation)
21POLICY IMPLICATIONS
- New institutionalism, path sependence
- Institutions do not change, hence once they are
established big policy turns are unlikely - Historical determinism countries are
prisioners of history (and individuals of their
early socialization experiences/the prevailing
social norms) - Actor-centred institutionalism (old-institutionali
sm) debate on - Immergut Changing formal political institutions
towards further concentration of power increases
the likelihood of policy change, even if powerful
opposed interests - Maioni (with Lijphart) Institutions which
disperse power increase access of minority
political parties in government and hence the
likelihood of policy change
22 CRITICISMS
- Old-institutionalism
- Presidentialism implies dispersion of power
across state organizations (President and
Parliament), while Parliamentarism implies
dispersion of power across political parties and
Igs - New institutionalism, path dependence
- Political actors can modify some of the rules of
the game or ignore them - Part of the causes included under institutions
are rather culture, actors or past policy state
performance - Low explanatory power it only explains policy
inmobility or small changes in policy instrument,
but not big policy reforms or instances of path
reversal - Actor-centred institutionalism,
- Veto points do not only allow private IGs
(anti-WS, capture) to block policy, but also
public (eg citizens) IGs to support government
policies (pro-WS, democratic participation). - The degree of concentration of political power
not only depends on formal institutions, but also
on the social structure (eg active cleavages) and
actors strategies (coalitions, internal cohesion
? collective action socioP power resources)