This article investigates the impact of selected political and economic processes on the well-being of domestic populations within samples of 50 to 84 peripheral and noncore nations. Existing research by Cereseto and Waitzkin on the relative merits of market versus socialist systems for the provision of health and welfare needs of their populations is extended by employing a more complex model than the original study. More specifically, the authors assess the impact on measures of population health and mortality rates of regime ideology, state strength, multinational corporate penetration, and position in the world economy. In general, high levels of democracy and strong left-wing regimes are associated with positive health outcomes, and strong right-wing regimes have populations with lower life expectancies and higher levels of various measures of mortality. These findings support the conclusion that political systems make a difference in health and well-being independent of national (gross national product per capita) and international (investment dependency) economic factors.
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References
1.
EllingR. H.Case studies of contrasting approaches to organizing for health: An introduction to a framework. Soc. Sci. Med.8: 263–270, 1974.
2.
EllingR. H.Cross-National Study of Health Systems: Political Economies and Health Care. Transaction Books, New Brunswick, N.J., 1980.
3.
EllingR. H.The capitalist world-system and international health. Int. J. Health Serv. 11: 21–51, 1981.
4.
DoyleL.The Political Economy of Health. South End Press, Boston, Mass., 1979.
5.
NavarroV.Medicine Under Capitalism. Prodist, New York, 1976.
6.
WaitzkinH.The Second Sickness: Contradictions of Capitalist Health Care. Free Press, New York, 1983.
7.
CeresetoS.WaitzkinH.Capitalism, socialism, and the physical quality of life. Int. J. Health Serv. 16: 643–658, 1986.
8.
MorrisM. D.Measuring the Condition of the World's Poor: The Physical Quality of Life Index. Pergamon, New York, 1979.
9.
EllingR. H.KerrH.Selection of contrasting national health systems for in-depth study. Inquiry12(2): 25–41, 1975.
10.
HunterS.Levels of health development: A new tool for comparative research and policy information. Soc. Sci. Med.31: 433–444, 1990.
11.
TimberlakeM.WilliamsK. R.Dependence, political exclusion, and government repression: Some cross-national evidence. Am. Soc. Rev.49: 141–146, 1988.
12.
BornschierV.Chase-DunnC.Transnational Corporations and Underdevelopment. Praeger, New York, 1985.
13.
LondonB.WilliamsB. A.Multinational corporate penetration, protest, and basic needs provision in noncore nations: A cross-national analysis. Soc. Forces66: 747–773, 1988.
14.
WimberleyD. W.Investment dependence and alternative explanations of Third World morality: A cross-national study. Am. Soc. Rev.55: 75–91, 1990.
15.
LondonB.WilliamsB. A.National politics, international investment, and basic needs provision: A cross-national analysis. Soc. Forces69: 565–584, 1990.
16.
MoonB. E.DixonW. J.Politics, the state, and basic human needs: A cross-national study. Am. J. Polit. Sci.29: 661–694, 1985.
17.
SheehanG.HopkinsM.Basic Needs Performance: An Analysis of Some International Data. International Labor Organization, Geneva, 1979.
18.
WheelerD.Basic needs fulfillment and economic growth: A simultaneous model. J. Dev. Econ.7: 435–451, 1980.
19.
CarrinG.Economic Evaluation of Health Care in Developing Countries: Theory and Applications. Croom Helm, London, 1984.
20.
StewartF.Basic Needs In Developing Countries. The Johns Hopkins University Press, Baltimore, Md., 1985.
21.
GrosseR. N.AuffreyC.Literacy and health status in developing countries. Annu. Rev. Public Health10: 281–304, 1989.
22.
de MiguelJ. M.A framework for the study of national health systems. Inquiry12(2): 10–24, 1975.
23.
CardosoF. H.Associated-dependent development: Theoretical and practical implications. In Authoritarian Brazil, edited by StephanA., pp. 142–176. Yale University Press, New Haven, Conn., 1973.
24.
CardosoF. H.FalettoE.Dependency and Development in Latin America. University of California Press, Berkeley, Calif., 1979.
25.
EvansP.Dependent Development: The Alliance of Multinational, State, and Local Capital in Brazil. Princeton University Press, Princeton, N.J., 1979.
26.
dos SantosT.The structure of dependence. Am. Econ. Rev.50: 231–236, 1970.
27.
LondonB.Dependence, distorted development, and fertility in noncore nations: A structural analysis of cross-national data. Am. Soc. Rev.53: 606–618, 1988.
28.
BornschierV.HeintzP.Compendium of Data for World-System Analyses. Bulletin of the Sociological Institute of the University of Zurich, 1979.
29.
BollenK. A.World system position, dependency, and democracy: The cross-national evidence. Am. Soc. Rev.48: 468–479, 1983.
30.
SnyderD.KickE.Structural position in the world system and economic growth. Am. Soc. Rev.84: 1097–1126, 1979.
31.
U.S. Arms Control and Disarmament Agency. World Military Expenditure and Arms Transfers, 1969–78. U.S. Government Printing Office, Washington, D.C., 1980.
32.
BlondelJ.An Introduction to Comparative Government. Praeger, New York, 1969.
33.
CohenJ.CohenP.Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences. Erlbaum Associates Publishers, Hillsdale, N.J., 1975.
34.
World Bank. World Development Report 1985, pp. 218–219. Oxford University Press, New York, 1985.
35.
World Bank. World Development Report 1986, pp. 230–231. Oxford University Press, New York, 1986.
36.
DietzT. R.FreyR. S.KalofL.Estimation with cross national data: Robust and non-parametric methods. Am. Soc. Rev.52: 380–390, 1987.
37.
MullerE. N.Income inequality and political violence: The effect of influential cases. Am. Soc. Rev.51: 441–445, 1986.
