Updated: Universal health care’s impact

11 05 2014

We have been looking for a quiet day for an opportunity to post this….

With all the attention given to medical people demonstrating with the anti-democrats, supported by the public service head of the Ministry of Public Health, PPT thought this report of an article of some interest. It was sent by a regular reader:

The Great Equalizer: Health Care Access and Infant Mortality in Thailand
By Jonathan Gruber, Nathaniel Hendren, and Robert M. Townsend

American Economic Journal: Applied Economics: Vol. 6 No. 1 (January 2014)

Abstract: This paper analyzes Thailand’s 2001 healthcare reform, “30 Baht.” The program increased funding available to hospitals to care for the poor and reduced copays to 30 Baht (~$0.75). Our estimates suggest the supply-side funding of the program increased healthcare utilization, especially among the poor. Moreover, we find significant impacts on infant mortality. Prior to 30 Baht, poorer provinces had significantly higher infant mortality rates than richer provinces. After 30 Baht, this correlation evaporates to zero. The results suggest that increased access to healthcare among the poor can significantly reduce their infant mortality rates.

That’s pretty impressive. Introduced following the first election victory by Thaksin Shinawatra and is perhaps the most socially (and politically) important policy of any elected government in Thailand. Part of the current political struggle is about distribution, and the article helps explain in understanding this and the loyalty to Thaksin and his various parties over the past decade and more.

The article is behind a pay wall, but this media release explains the results.

Update: The article is available in pre-publication version.


Actions

Information

10 responses

13 07 2014
Rooting out the “Thaksin regime” | Political Prisoners of Thailand

[…] The royalist elite considers that one of the main elements of the Thaksin revolution is the “populist policies” that made Thaksin and his parties hugely popular. Central to the very first policy innovations in 2001 and arguably the most popular of these was the 30 baht universal health scheme. This scheme has been independently shown to have major health impacts for the people. […]

14 07 2014
Updated: Rooting out the “Thaksin regime” | Political Prisoners in Thailand

[…] The royalist elite considers that one of the main elements of the Thaksin revolution is the “populist policies” that made Thaksin and his parties hugely popular. Central to the very first policy innovations in 2001 and arguably the most popular of these was the 30 baht universal health scheme. This scheme has been independently shown to have major health impacts for the people. […]

1 05 2015
Junta and health “populism” | Political Prisoners in Thailand

[…] Over the years, PPT hasn’t said much about health in Thailand unless it has had to do with royal health as the king and queen have aged and the Royal Household has obscured and fabricated. At times we have posted on royalist-inspired efforts to roll back the Thaksin Shinawatra universal health care program. We have mentioned independent assessments of the success of that program. […]

1 05 2015
Junta and health “populism” | Political Prisoners of Thailand

[…] Over the years, PPT hasn’t said much about health in Thailand unless it has had to do with royal health as the king and queen have aged and the Royal Household has obscured and fabricated. At times we have posted on royalist-inspired efforts to roll back the Thaksin Shinawatra universal health care program. We have mentioned independent assessments of the success of that program. […]

3 07 2015
Killing people | Political Prisoners in Thailand

[…] has previously mentioned independent assessments of the success of the program. And we have posted on a short paper at East Asia Forum that assesses some of the post-coup  […]

3 07 2015
Killing people | Political Prisoners of Thailand

[…] has previously mentioned independent assessments of the success of the program. And we have posted on a short paper at East Asia Forum that assesses some of the post-coup  […]

27 07 2015
Rubbing out universal health care | Political Prisoners in Thailand

[…] efforts to roll back the Thaksin Shinawatra universal health care program. We have mentioned independent assessments of the success of that program and a short paper at East Asia Forum that assesses some of the recent politicking over the […]

27 07 2015
Rubbing out universal health care | Political Prisoners of Thailand

[…] efforts to roll back the Thaksin Shinawatra universal health care program. We have mentioned independent assessments of the success of that program and a short paper at East Asia Forum that assesses some of the recent politicking over the […]

19 06 2017
Still working against universal health care | Political Prisoners in Thailand

[…] Since its coup, the military dictatorship has continually tried to convince people that the Thaksin Shinawatra-inspired universal health care program should be ditched or modified. We have we have posted on some of these royalist-inspired efforts to roll back the universal health care program. We have also mentioned independent assessments of the success of that program. […]

19 06 2017
Still working against universal health care | Political Prisoners of Thailand

[…] Since its coup, the military dictatorship has continually tried to convince people that the Thaksin Shinawatra-inspired universal health care program should be ditched or modified. We have we have posted on some of these royalist-inspired efforts to roll back the universal health care program. We have also mentioned independent assessments of the success of that program. […]




%d bloggers like this: