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Abstract

This study aims to analyze the effect of political competition on health budgets in Indonesia. The analysis was conducted using a fixed-effects panel data regression approach for Indonesia’s regencies and municipalities between 2009 and 2019. To obtain robust results, this study uses three different measures of political competition, namely the Multiparty Margin Index, the Herfindahl-Hirschman Index (HHI), and the Effective Number of Parties (ENP) Index. The estimation results show that only legislative political competition has a significant and consistent negative effect on the health budget, it is similar to the Leviathan Model theory.

Bahasa Abstract

Penelitian ini ditujukan untuk menganalisis pengaruh persaingan politik terhadap anggaran kesehatan di Indonesia. Analisis dilakukan dengan pendekatan regresi data panel model fixed effect pada kabupaten dan kota di Indonesia tahun 2009–2019. Agar mendapatkan efek robust atau melihat konsistensi hasil analisis, penelitian ini menggunakan tiga formula indeks persaingan politik, yaitu indeks multiparty margin, Herfindahl-Hirschman Index (HHI), dan indeks effective number of party (ENP). Hasil estimasi menunjukkan bahwa hanya persaingan politik legislatif yang secara signifikan dan konsisten berpengaruh negatif terhadap anggaran kesehatan, serupa dengan teori model Leviathan.

References

[1] Arvate, P. R. (2013). Electoral competition and local government responsiveness in Brazil. World Development, 43, 67-83. doi: https://doi.org/10.1016/j.worlddev.2012.11.004.

[2] Besley, T., & Case, A. (2003). Political institutions and policy choices: evidence from the United States. Journal of Economic Literature, 41(1), 7-73. doi: 10.1257/002205103321544693.

[3] Boulding, C., & Brown, D. S. (2014). Political competition and local social spending: evidence from Brazil. Studies in Comparative International Development, 49, 197-216. doi: https://doi.org/10.1007/s12116-013-9145-8.

[4] Brennan, G., & Buchanan, J. M. (1980). The power to tax: Analytic foundations of a fiscal constitution. Cambridge University Press.

[5] Broms, R., Dahlström, C., & Fazekas, M. (2019). Political competition and public procurement outcomes. Comparative Political Studies, 52(9), 1259-1292. doi: https:// doi.org/10.1177/0010414019830723.

[6] Burstein, P. (2003). The impact of public opinion on public policy: A review and an agenda. Political Research Quarterly, 56(1), 29-40. doi: https://doi.org/10.1177/10659129030560.

[7] Caplan, B. (2001). Has Leviathan been bound? A theory of imperfectly constrained government with evidence from the states. Southern Economic Journal, 67(4), 825-847. doi: https://doi.org/10.1002/j.2325-8012.2001.tb00376.x.

[8] Cavalieri, M., Giardina, E., Guccio, C., & Mazza, I. (2019). Federalism, party competition and public expenditure: empirical findings on regional health expenditure in Italy. In: Kunizaki, M., Nakamura, K., Sugahara, K., & Yanagihara, M. (eds.), Advances in Local public economics: theoretical and empirical studies (pp. 315-343), Springer. doi: https://doi.org/10.1007/978-981-13-3107-7_17.

[9] Coffé, H., & Geys, B. (2005). Institutional performance and social capital: An application to the local government level. Journal of Urban Affairs, 27(5), 485-501. doi: https://doi.org/10.1111/j.0735-2166.2005.00249.x.

[10] Chamon, M., Firpo, S., Mello, J. M. D., & Pieri, R. (2019). Elec- toral rules, political competition and fiscal expenditures: regression discontinuity evidence from Brazilian municipalities. The Journal of Development Studies, 55(1), 19-38. doi: https://doi.org/10.1080/00220388.2017.1414184.

[11] Comiskey, M. (1993). Electoral competition and the growth of public spending in 13 industrial democracies, 1950 to 1983. Comparative Political Studies, 26(3), 350-374. doi: https:// doi.org/10.1177/0010414093026003004.

[12] Cox, G. W. (1988). Closeness and turnout: A methodological note. The Journal of Politics, 50(3), 768-775. doi: https:// doi.org/10.2307/2131467.

[13] Dash, B. B., & Mukherjee, S. (2015). Political competition and human development: Evidence from the Indian states. The Journal of Development Studies, 51(1), 1-14. doi: https://doi.org/10.1080/00220388.2014.947280.

[14] Datta, S. (2019). Competition to save lives: Political competition and health outcomes in India. Oxford Development Studies, 47(4), 391-405. doi: https:// doi.org/10.1080/13600818.2019.1645823.

[15] Datta, S. (2020). Political competition and public healthcare expenditure: evidence from Indian states. Social Science & Medicine, 244, 112429. doi: https:// doi.org/10.1016/j.socscimed.2019.112429.

[16] Endersby, J. W., Galatas, S. E., & Rackaway, C. B. (2002). Closeness counts in Canada: Voter participation in the 1993 and 1997 federal elections. Journal of Politics, 64(2), 610-631. doi: https://doi.org/10.1111/1468-2508.00143.

[17] Gerring, J., Thacker, S. C., & Alfaro, R. (2012). Democracy and human development. The Journal of Politics, 74(1), 1-17. doi: https://doi.org/10.1017/s0022381611001113.

[18] Hoyt,W. H. (1999). Leviathan, local government expenditures, and capitalization. Regional Science and Urban Economics, 29(2), 155-171. doi: https://doi.org/10.1016/S0166- 0462(98)00027-1.

[19] Kim, Y.,&Kim, J. H. (2022). What drives variations in public health and social services expenditures? the association between political fragmentation and local expenditure patterns. The European Journal of Health Economics, 23, 781-789. doi: https://doi.org/10.1007/s10198-021-01394-x.

[20] Kjelsrud, A., Moene, K. O., & Vandewalle, L. (2020). The political competition over life and death: Evidence from infant mortality in India. Working Paper, HEIDWP10- 2020. Institut de Hautes études Internationales et du Développement = Graduate Institute of International and Development Studies. Diakses 3 Agustus 2022 dari https://repec.graduateinstitute.ch/pdfs/Working_papers/ HEIDWP10-2020.pdf.

[21] Kontopoulos, Y., & Perotti, R. (1999). Government fragmentation and fiscal policy outcomes: Evidence from OECD countries. In: Poterba, J. M., & von Hagen, J. Fiscal institutions and fiscal performance (pp. 81-102), University of Chicago Press. Diakses 22 Juli 2022 dari http: //www.nber.org/chapters/c8024.

[22] Laakso, M., & Taagepera, R. (1979). “Effective” number of parties: a measure with application to West Europe. Comparative Political Studies, 12(1), 3-27. doi: https:// doi.org/10.1177/001041407901200101.

[23] Marín, D. A., Goda, T., & Pozos, G. T. (2021). Political competition, electoral participation and local fiscal performance. Development Studies Research, 8(1), 24-35. doi: https://doi.org/10.1080/21665095.2021.1872394.

[24] McGuire, J. W. (2004). Democracy, health care, and under-5 mortality: a cross-national study of developing countries. Unpublished manuscript. Wesleyan University.

[25] Padovano, F., & Ricciuti, R. (2009). Political competition and economic performance: evidence from the Italian regions. Public Choice, 138, 263-277. doi: https://doi.org/10.1007/s11127-008-9358-y.

[26] Reingewertz, Y. (2015). Political fragmentation and fiscal status: Evidence from municipalities in Israel. Local Government Studies, 41(5), 774-793. doi: https:// doi.org/10.1080/03003930.2015.1028625.

[27] Rezki, J. F. (2018). Political competition and local government performance: evidence from Indonesia. SocArXiv nekps, Center for Open Science. Diakses 7 Juli 2022 dari https://osf.io/download/5bf6cb1a7a554700186f0edd/.

[28] Rogers, D. L., & Rogers, J. H. (2000). Political competition and state government size: Do tighter elections produce looser budgets?. Public Choice, 105(1-2), 1-21. doi: https://doi.org/10.1023/A:1005122127801.

[29] Ross, M. (2006). Is democracy good for the poor?. American Journal of Political Science, 50(4), 860-874. doi: https://doi.org/10.1111/j.1540-5907.2006.00220.x.

[30] Solé-Ollé, A. (2006). The effects of party competition on budget outcomes: Empirical evidence from local governments in Spain. Public Choice, 126(1-2), 145-176. doi: https://doi.org/10.1007/s11127-006-2456-9.

[31] Stigler, G. J. (1972). Economic competition and political competition. Public Choice, 13, 91-106. https:// www.jstor.org/stable/30022685

[32] Thanh, S. D., & Canh, N. P. (2019). Local governance: Impacts of fiscal decentralization on government size and spending composition in Vietnam. Asian Economic Journal, 33(4), 311-340. doi: https://doi.org/10.1111/asej.12189.

[33] Wooldridge, J. M. (2013). Introductory econometrics: a modern approach (5th Edition). Cengage Learning.

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