Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/229313
Authors: 
Vadlamannati, Krishna Chaitanya
Cooray, Arusha
De Soysa, Indra
Year of Publication: 
2020
Series/Report no.: 
WIDER Working Paper No. 2020/89
Abstract: 
Scholars of public health typically focus on societal equity for explaining public health outcomes. Indeed, the COVID-19 pandemic has led to a spate of studies showing a tight connection between inequitable access to healthcare, welfare services, and adverse outcomes from the pandemic. Others have argued that democratic governments have generally failed relative to more autocratic ones, simply because autocrats can make the hard choices required for stemming the spread of viruses. We address this question a bit differently by asking whether more 'egalitarian' forms of democracy matter, given that they should contain more equitable healthcare access and societal infrastructure, such as social capital and trust, for achieving a broader collective good. Our results suggest that more equitable access to healthcare does indeed increase testing rates and lower the death rate. Broader egalitarian processes, measured as egalitarian democracy, however, show the opposite effects, suggesting that factors associated with healthcare capacity to reach and treat matter more than broader societal factors associated with egalitarian governance.
Subjects: 
COVID-19
Health care
Healthcare access
healthcare capacity
Democracy
Egalitarian democracy
Persistent Identifier of the first edition: 
ISBN: 
978-92-9256-846-7
Document Type: 
Working Paper

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