At a time when the world's wealthiest nations struggle to make
health care and medicine available to everyone, why do
resource-constrained countries make costly commitments to universal
health coverage and AIDS treatment after transitioning to
democracy? Joseph Harris explores the dynamics that made landmark
policies possible in Thailand and Brazil but which have led to
prolonged struggle and contestation in South Africa. Drawing on
firsthand accounts of the people wrestling with these issues,
Achieving Access documents efforts to institutionalize universal
healthcare and expand access to life-saving medicines in three
major industrializing countries. In comparing two separate but
related policy areas, Harris finds that democratization empowers
elite professionals, such as doctors and lawyers, to advocate for
universal health care and treatment for AIDS. Harris's analysis is
situated at the intersection of sociology, political science, and
public health and will speak to scholars with interests in health
policy, comparative politics, social policy, and democracy in the
developing world. In light of the growing interest in health
insurance generated by implementation of the Affordable Care Act
(as well as the coming changes poised to be made to it), Achieving
Access will also be useful to policymakers in developing countries
and officials working on health policy in the United States.
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