State Healthcare and the Impact of Remittances on Turnout in Mexico

Ana Isabel Lopez Garcia

Abstract

In Mexico remittances have long been used to compensate for the lack of coverage and quality of state-provided healthcare. Since the mid-2000s, however, those without insurance have been entitled to receive free healthcare via the Seguro Popular programme. While popular, the delivery of this scheme is highly localised and therefore vulnerable to political manipulation. Using a series of regression models based on data at the municipality level, this paper analyses all local elections in Mexico between 2010 and 2012 and the presidential election of 2012 to confirm results of the previous literature which found a negative relationship between remittances and voter turnout. However, the analysis reveals that the negative impact of remittances on turnout becomes larger with additional increases in the coverage of Seguro Popular, though only in those municipalities where the PRI (the former hegemonic party) is electorally strong. The evidence thus confirms that the discretionary character of welfare provision modulates the effect of remittances on turnout in sending municipalities, but only where party-based authoritarianism prevails.

Keywords

Electoral participation; international remittances; Mexican politics; welfare programmes; clientelism

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References

Adida, C. L., & Girod, D. M. (2011). Do Migrants Improve Their Hometowns? Remittances and Access to Public Services in Mexico, 1995-2000. Comparative Political Studies, 44(1), 3-27.

Airola, J. (2007). The Use of Remittances Income in Mexico. International Migration Review, 41(4), S. 159-184.

Amuedo-Dorantes, C., & Pozo, S. (2011). New evidence on the role of remittances on healthcare expenditures by Mexican households. Review of Economics of the Household, 9(1), 69-98.

Amuedo-Dorantes, C., Sainz, T., & Pozo, S. (2007). Remittances and Healthcare Expenditure Patterns of Populations in Origin Communities: Evidence from Mexico. Inter-American Development Bank. Washington: IADB.

Aparicio, F. J., & Meseguer, C. (2012). Supply or Demand? Migration and Political Manipulation in Mexico. Studies in Comparative International Development.

Aterido, R., Hallward-Driemeier, M., & Pages, C. (2010). Does Expanding Health Insurance Beyond Formal-Sector Workers Encourage Informality?: Measuring the Impact of Mexico's Seguro Popular. Washington: IADB. Retrieved from http://elibrary.worldbank.org/doi/abs/10.1596/1813-9450-5785

Azuara, O., & Marinescu, I. (2011). Informality and the Expansion of Social Protection Programs. Evidence from Mexico. Chicago: University of Chicago. Retrieved from http://www.marinescu.eu/AzuaraMarinescu2011.pdf

Barofsky, J. (2011). Estimating the impact of health insurance in developing nations: Evidence from Mexicos Seguro Popular. Harvard University. Cambridge: Unpublished Paper. Retrieved from http://isites.harvard.edu/fs/docs/icb.topic1126414.files/Barofsky%20J%20%20Estimating%20impact%20of%20health%20insurance%20in%20Mexico%209-27-2011.pdf

Barraca, S. (2005). Devolution and the deepening of democracy: Explaining outcomes of Municipal Reform in Mexico. Journal of Latin American Studies, 37, 1-28.

Barros, R. (2009). Wealthier But Not Much Healthier: Effects of a Health Insurance Program for the Poor in Mexico. Standford Institute for Economic Policy Research. Stanford: Stanford. Retrieved from http://siepr.stanford.edu/research/publications/wealthier-not-much-healthier-effects-health-insurance-program-poor-mexico

BBVA Bancomer & CONAPO. (2015). Anuario de Migracion y Remesas 2015. Mexico City: Fundacin BBVA Bancomer - Consejo Nacional de Poblacin. Retrieved from https://www.bbvaresearch.com/wp-content/uploads/2015/06/1506_Mexico_AnuarioMigracion2.pdf

BBVA Bancomer & CONAPO. (2016). Anuario de Migracion y Remesas 2015. Mexico City: Fundacin BBVA Bancomer - Consejo Nacional de Poblacin. Retrieved from https://www.gob.mx/conapo/documentos/el-anuario-de-migracion-y-remesas-mexico-2016

Bosch, M., & Campos-Vazquez, R. M. (2014). The Trade-Offs of Welfare Policies in Labor Markets with Informal Jobs: The Case of the "Seguro Popular" Program in Mexico. American Economic Journal: Economic Policy, 6(4), 71-99.

Bosch, M., Cobacho, M. B., & Pags, C. (2012). Taking stock of eight years of implementation of Seguro Popular in Mexico. Washington: IADB. Retrieved from http://idbdocs.iadb.org/wsdocs/getdocument.aspx?docnum=37043556

Brady, H., Verba, S., & Scholzman, K. L. (1995). Beyond SES: A resource model of political participation. American Political Science Review, 89, 271-294.

Cabrero Mendoza, E. (2000). Mexican Local Governance in Transition. American Review of Public Administration, 374-388.

Campos-Vasquez, R., & Sobarzo, H. (2012). The Development and Fiscal Effects of Emigration on Mexico. Washington, D.C.: Migration Policy Institute.

Carreras, M., & Irepoglu, Y. (2012). Perceptions of Electoral Integrity, Efficacy, and Electoral Participation in Latin America. Workshop on Challenges of Electoral Integrity. Madrid. Retrieved from http://miguelcarreras.com/documents/paper_Carreras_Irepoglu.pdf

CIDAC. (2015). Base de datos electoral. Mexico: CIDAC. Retrieved from http://elecciones.cidac.org/

CNN Mexico. (2012a). El descenso de migrantes mexicanos hacia EU no redujo las remesas al pas. CNN Mexico. Retrieved from http://mexico.cnn.com/nacional/2012/12/13/el-descenso-de-migrantes-mexicanos-hacia-eu-no-redujo-las-remesas-al-pais

CNN Mexico. (2012b). Cobertura universal de salud: ms beneficiados, sin los mismos derechos. CNN Mexico. Retrieved from http://mexico.cnn.com/nacional/2012/10/02/cobertura-universal-de-salud-mas-beneficiados-sin-los-mismos-derechos

CNN Mexico. (2012c). En 10 aos, el Seguro Popular super al IMSS en nmero de afiliados. CNN Mexico. Retrieved from http://mexico.cnn.com/salud/2011/09/02/en-10-anos-el-seguro-popular-supero-al-imss-en-numero-de-afiliados

CNN Mexico. (2012d). Acusan irregularidades en Seguro Popular. CNN Mexico. Retrieved from http://www.cnnexpansion.com/economia/2012/02/20/seguro-popular-registra-irregularidades

CNN Mexico. (2014). De Solidaridad a Prospera: 4 nombres y pocos resultados contra la pobreza. Retrieved from http://mexico.cnn.com/nacional/2014/09/03/de-solidaridad-a-prospera-4-nombres-y-pocos-resultados-contra-la-pobreza

CONAPO. (2000). Indice de Intensidad Migratoria Mexico-Estados Unidos. Mexico: CONAPO. Retrieved from http://www.conapo.gob.mx/es/CONAPO/Indice_de_Intensidad_Migratoria_Mexico_-_Estados_Unidos

CONAPO. (2010). ndices de intensidad migratoria Mxico-Estados Unidos 2010. Mexico: CONAPO. Retrieved from http://www.conapo.gob.mx/swb/CONAPO/Indices_de_intensidad_migratoria_Mexico-Estados_Unidos_2010

CONAPO. (2010). Regiones de origen y destino de la migracin Mxico-Estados Unidos. Mexico City: CONAPO. Retrieved from http://www.conapo.gob.mx/work/models/CONAPO/intensidad_migratoria/pdf/Regiones.pdf

De la O, A. L. (2013). Do Conditional Cash Transfers Affect Electoral Behavior? Evidence from a Randomized Experiment in Mexico. American Journal of Political Science, 1-14.

Daz-Cayeros, A., Weingast, B., & Magaloni, B. (2003). Tragic Brilliance: Equilibrium, Hegemony And Democratization in Mexico. Stanford: University of Stanford.

Daz-Cayeros, A., Estvez, F., & Magaloni, B. (2006). Buying-off the poor: Effects of Targeted Benefits in the 2006 Presidential Race. Conference on the Mexico 2006 Panel Study. Boston: Harvard.

Edmonds-Poli, E. (2006). Decentralization under the Fox Administration: Progress or Stagnation. Mexican Studies, 2, 387-416.

El Universal. (2012). BID otorga 21 mdd para migrantes mexicanos. El Universal. Retrieved from http://archivo.eluniversal.com.mx/notas/871631.html

Escobar Latap, A., & Gonzlez de la Rocha, M. (2012). La calidad de la rendicin de cuentas: Transparencia y acceso efectivo al Seguro Popular y al programa Oportunidades en Mxico. Mexico: CIESAS.

Escrib-Folch, A., Meseguer, C., & Wright, J. (2015). Remittances and Democratization. International Studies Quarterly.

Foweraker, J., Landman, T., & Harvey, N. (2003). Governing Latin America. London: Polity Press.

Fox, J. (1994). The difficult transition from clientelism to citizenship: lessons from Mexico. World Politics, 46(2), 151-184.

Frenk, J., Knaul, F., Gomez, O., & Gonzalez, E. (2012, October 1). Camino a la Cobertura Universal de Salud. Mexico Social. Retrieved from http://www.mexicosocial.org/index.php/colaboradores/colaboraciones-especiales/item/55-camino-a-la-cobertura-universal-en-salud

Fuentes, L. (2014, July 15). El necesario sistema de salud. Mxico Social en Exclsior. Retrieved from http://www.mexicosocial.org/index.php/mexico-social-en-excelsior/item/582-el-necesario-sistema-universal-de-salud.

Germano, R. (2013). Migrants' remittances and economic voting in the Mexican countryside. Electoral Studies.

Geys, B. (2006). Explaining voter turnout: A review of aggregate-level research. Electoral studies, 25, 637-663.

Gonzlez Hernndez, J. R., & Gonzlez Hernndez, G. M. (Mayo-Agosto 2011). Entre autonoma y clientelismo:. Desacatos, 36, 85-106.

Gonzlez-Block, M. ., De la Sierra De la Vega, L. A., & Vargas-Bustamante, A. (2013). Utilizacin de remesas de migrantes en California para atencin a la salud de sus dependientes en Mxico. Salud pblica, 459-467. Retrieved from http://www.scielo.org.mx/scielo.php?pid=S0036-36342013001100004&script=sci_arttext

Goodman, G. L., & Hiskey, J. (2008). Exit without Leaving: Political Disengagement in High Migration Municipalities in Mexico. Comparative Politics.

INE. (2015). National Electoral Institute. Mexico: INE. Retrieved from http://www.ine.mx/portal/

INEGI. (2015). Sistema Municipal de Base de Datos (SIMBAD). Mexico: INEGI. Retrieved from http://www.inegi.org.mx/prod_serv/contenidos/espanol/simbad/default.asp?c=73

King, G. e. (2009). Public policy for the poor? A randomised assessment of the Mexican universal health insurance programme. The Lancet, 373, 1447-1454. Retrieved from http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2809%2960239-7/abstract

Levitt, P., & Lamba-Nieves, D. (2011). Social Remittances Reconsidered. Journal of Ethnic and Migration Studies, 37(1), 1-22.

Luccisano, L., & Macdonald, L. (2012). Neo-liberalism, Semi-clientelism and the Politics of Scale in Mexican Anti-poverty Policies. World Political Science.

Magaloni, B. (2006). Voting for Autocracy: Hegemonic Party Survival and its Demise in Mexico. New York: Cambridge University Press.

Magaloni, B., Cayeros, A. D., & Estvez, F. (forthcoming). Strategies of Vote Buying: Democracy, Clientelism, and Poverty Relief in Mexico. New York: Cambridge University Press.

Middlebrook, K. (1995). The Paradox of Revolution: Labor, the State, and Authoritarianism in Mexico. Baltimore: Johns Hopkins University Press.

Mingote, C. A. (2015). International Migration, Electoral Strategies and Home Country Elections. Urbana: University of Illinois. Retrieved from https://www.ideals.illinois.edu/bitstream/handle/2142/78345/ALVAREZMINGOTE-DISSERTATION-2015.pdf?sequence=1

Moreno, A. (2012). Who is the Mexican Voter? In R. A. Camp, The Oxford Handbook of Mexican Politics. Oxford: OUP.

Nichter, S., & Palmer-Rubin, B. (2015). Clientelism, Declared Support, and Mexico's 2012 Campaign. In J. I. Dominguez, K. F. Greene, & C. L. Moreno, Mexico's Evolving Democracy. Baltimore: Johns Hopkins University.

Ochoa Lupin, L. E., & Ayvar Campos, F. J. (2015). Relacin entre el Sistema de Proteccin Social en Salud y el Gasto de los Hogares Receptores de Remesas en el Municipio de Parcuaro, Michoacn. Encuentro Nacional sobre Desarrollo Regional en Mxico. Cuernavaca, Morelos: AMECIDER.

OECD. (2015). Health Profile: Compare your country. Paris: OECD. Retrieved from http://www.oecd.org/els/health-systems/health-expenditure.htm

OECD. (2015). How does health spending in Mexico compare? Paris: OECD. Retrieved from http://www.oecd.org/els/health-systems/Country-Note-MEXICO-OECD-Health-Statistics-2015.pdf

Pfutze, T. (2012). Does Migration Promote Democratization? Evidence from the Mexican Transition. Journal of Comparative Economics, 40(2).

Robles de la Rosa, L. (29. May 2013). Fieles al PRI, 132 municipios; 90 bastiones priistas, a prueba en julio. Excelsior. Retrieved from http://www.excelsior.com.mx/nacional/2013/05/29/901411

Salazar, J. (2007). Decentralization, Politics and Service Delivery in Mexico. IDH Bulletin, 1, 70-76.

Sana, M., & Hu, C.-Y. (2006). Is International Migration a Substitute for Social Security? Well-being and Social Policy, 2(2), pp. 27-48.

Serdn, A. (2006). Programas Sociales y Elecciones, analisis de los programes de combate a la pobreza en contextos electorales durante la administracion de Vicente Fox. Mexico: Fundar.

Serra, G. (2015). Enduring Challenges to Mexico's Electoral Democracy. Taiwan Journal of Democracy, 11(2), 53-74.

Simpser, A., Duquette-Rury, L., Hernandez Company, J. A., Ibarra, & F., J. (2016). The Political Economy of Social Spending by Local Government: A Study of the 3x1 Program in Mexico. Latin American Research Review, 51(1).

Smith, P. H. (2012). Mexican Democracy in Comparative Perspective. In R. A. Camp, The Oxford Handbook of Mexican Politics. Oxford: Oxford University Press.

Sosa-Rub, S. G., Salinas-Rodrguez, A., & Galrraga, O. (2011). Impacto del Seguro Popular en el gasto catastrfico y de bolsillo en el Mxico rural y urbano, 2005-2008. Salud Pblica de Mxico, 425-435.

Taylor, J. E., & Mora, J. (2006). Does Migration Reshape Expenditures In Rural Households? Evidence From Mexico. Washington, D.C.: World Bank.

Trelles, A., & Carreras, M. (2012). Bullets and Votes: Violence and Electoral Participation in Mexico. . Journal of Politics in Latin America, 89-123.

Turner, B. (2004). Liberating the Municipio Libre: The normalization of municipal finance in Yucatan. Estudios Mexicanos, 18(1).

United Nations. (2016). International Migration Report. Department of Economic and Social Affairs. New York: United Nations. Retrieved from http://www.un.org/en/development/desa/population/migration/publications/migrationreport/docs/MigrationReport2015_Highlights.pdf

UNDP. (2014). ndice de Desarrollo Humano Municipal en Mxico. Mexico: UNDP. Retrieved from http://www.mx.undp.org/content/mexico/es/home/library/poverty/idh-municipal-en-mexico--nueva-metodologia.html

Valero-Gil, J. N. (2008). Remittances and the households expenditures on health. Munich Personal RePEc Archive. Munich: MPRA. Retrieved from https://mpra.ub.uni-muenchen.de/9572/

Valero-Gil, J. N., & Trevio, M. d. (2010). El gasto en salud de los hogares en Mxico, y su relacin con la disponibilidad de recursos, las remesas y la asignacin intrafamiliar. Economa Mexicana, 19(2), 311-342. Retrieved from http://www.economiamexicana.cide.edu/num_anteriores/XIX-2/04.EM.Jorge%20Valero%28311-342%29.pdf

Waddel, B. J., & Fotenla, M. (2015). The Mexican Dream? The effect of return migration on home town development. The Social Science Journal.

Zong, J., & Batalova, J. (2014). Mexican Immigrants in the United States. Washington: Migration Policy Institute.

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