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Grievance Politics and Technocracy in a Developmental State: Healthcare Policy Reforms in Singapore

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dc.contributor.authorNaqvi, Ijlal
dc.contributor.authorRossi, Federico M.
dc.contributor.authorKay Jin Tan, Rayner
dc.contributor.orcidhttps://orcid.org/0000-0001-7351-8482
dc.contributor.orcidhttps://orcid.org/0000-0002-9188-3368
dc.date.accessioned2025-03-28T08:45:05Z
dc.date.available2025-03-28T08:45:05Z
dc.date.issued2024
dc.descriptionThe registered version of this article, first published in “Development and Change, 55, 2024", is available online at the publisher's website: Wiley, https://doi.org/10.1111/dech.12821 La versión registrada de este artículo, publicado por primera vez en “Development and Change, 55, 2024", está disponible en línea en el sitio web del editor: Wiley, https://doi.org/10.1111/dech.12821
dc.description.abstractThis article uses a process-tracing approach to understand changes in Singapore's health sector from the start of self-rule in 1959 to the end of the COVID-19 pandemic in 2022. Singapore is a developmental state recognized for its effective management of healthcare costs and its lack of political freedom. In both respects, the ‘Singapore model’ is of interest to other cities and nations. The standard narrative is one of technocratic proficiency in a context in which civic freedoms are heavily constrained, but this article identifies the surprisingly important role of social voices at key moments. It finds episodes in which effective changes to social policies are not the product of a state embedded in an organized society, but rather are influenced by the independent organizational capacity of certain social groups providing inputs to state elites on social grievances and policy needs. Effective policy changes require a responsive state elite that — even if it is technocratically dominated, as is the case in Singapore — can listen to social claims and provide answers that are not repressive. The article conceptualizes these dynamics as ‘grievance politics’ and shows their role in explaining health reforms. It contributes to understanding global health systems and policy making in developmental states by a fruitful cross-fertilization with social movement studies.en
dc.description.versionversión publicada
dc.identifier.citationNaqvi, Ijlal, Rossi, Federico M., and Tan, Rayner Kay Jin (2024), 'Grievance Politics and Technocracy in a Developmental State: Healthcare Policy Reforms in Singapore', Development and Change, 55 (2), 244-75. DOI: https://onlinelibrary.wiley.com/doi/abs/10.1111/dech.12821
dc.identifier.doihttps://doi.org/10.1111/dech.12821
dc.identifier.issn1467-7660, 0012-155X
dc.identifier.urihttps://hdl.handle.net/20.500.14468/26390
dc.journal.issue2
dc.journal.titleDevelopment and Change
dc.journal.volume55
dc.language.isoen
dc.page.final275
dc.page.initial244
dc.publisherWiley
dc.relation.centerFacultad de Ciencias Políticas y Sociología
dc.relation.departmentSociología II (Estructura Social)
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject5906 Sociología política
dc.titleGrievance Politics and Technocracy in a Developmental State: Healthcare Policy Reforms in Singaporeen
dc.typeartículoes
dc.typejournal articleen
dspace.entity.typePublication
person.familyNameRossi
person.givenNameFederico M.
person.identifier.orcid0000-0001-7375-0660
relation.isAuthorOfPublicationa37c8239-41e8-44d4-9cb3-56f3585d4183
relation.isAuthorOfPublication.latestForDiscoverya37c8239-41e8-44d4-9cb3-56f3585d4183
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