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Autocracy and Health Governance in Russia (Hardcover, 1st ed. 2022)
Loot Price: R3,617
Discovery Miles 36 170
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Autocracy and Health Governance in Russia (Hardcover, 1st ed. 2022)
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The book is the first attempt to investigate how and to what extent
authoritarian (personalistic) regimes fail to provide fundamental
goods and services. For two decades, Russian authorities spent much
effort and money to improve health administration, but most success
stories are borderline fake. The failure is by design; because
personalistic regimes rely on personalized exchanges and bargains
instead of impersonal rules and permanent organizations, all actors
put self-interest ahead of patients' needs. It is a severe problem
because authoritarian principals proclaim social betterment as
their central goal -- and many Russians take such claims at face
value -- but incentivize their agents to imitate progress and
tolerate slipshod performance. The benefits of this investigation
are three-fold. First, the book provides an analytical framework of
bad governance rooted in the rational institutionalist tradition
and connected to competence-control theory. Second, it gives a
general readership interested in how Russia works a sense of the
key political players' mindset and the regime-induced constraints
under which elites operate. Third, although the book investigates
health governance exclusively, its analytical framework is portable
to other issue areas and could be applied to explain how and why
Russia evolved into an ineffective, coercive, and predatory state
under Putin's leadership.
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