DOCSLIB.ORG

The Politics of Multilevel Health Reform in Spain and Brazil

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Politics of Multilevel Health Reform in Spain and Brazil Commitment, Capacity, and Community: the Politics of Multilevel Health Reform in Spain and Brazil by Sandra Chapman Osterkatz A dissertation submitted to the faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Political Science. Chapel Hill 2013 Approved by: Evelyne Huber Liesbet Hooghe Gary Marks Alfred P. Montero John D. Stephens c 2013 Sandra Chapman Osterkatz ALL RIGHTS RESERVED ii ABSTRACT SANDRA CHAPMAN OSTERKATZ: Commitment, Capacity, and Community: the Politics of Multilevel Health Reform in Spain and Brazil. (Under the direction of Evelyne Huber) Inequality is a primary concern for many social and political actors, yet often the distributive profile of society seems over-determined by structure and institutions. Federalism, ethnic heterogeneity, and greater numbers of veto actors are near uni- versally associated with higher levels of inequality and less generous public support for the most vulnerable members of society. A key challenge for scholars has been unpacking multilevel governance and empirically assessing the way the territorial dis- tribution of authority interacts with other forces that determine policies, inhibiting clear theorizing about why and how particular territorial arrangements matter for distributive outcomes. In this dissertation I choose two \hard" cases in which we would not expect equity-enhancing social policy reforms and assess a similar attempt at universal health reform in both cases. Spain and Brazil share long histories of authoritarian rule, ethno-linguistic or racial heterogeneity, lack of fiscal capacity, and asymmetry in the territorial distribution of authority. Spain has been more successful than Brazil at establishing a universal health system that is efficient, sustainable, and broadly supported in society. In both cases the role of structural factors has been significant, yet I argue that particular constellations of ideological commitment at multiple levels of government and at key moments in the reform process, combined with fiscal and administrative capacity, explain much of the difference in outcomes. I take a mixed-method approach, using statistical and comparative historical analysis and assessing variation both between and within the countries. iii For my mom iv ACKNOWLEDGMENTS If it takes a village to raise a child, it takes a city for a parent to finish a dissertation. Juggling research, travel, teaching, and parenting has proved the most difficult part of this process, so I want to acknowledge those who made this possible, first and foremost. My partner, Sol Osterkatz, picked up his life to travel around the world over the course of a year and a half, working nights and weekends so that he could take care of our son while I did interviews. My mother, Jean Chapman, has been an unwavering supporter and provided childcare so that I could teach, read, and write. All her life she has walked the walk|using her intellect, as well as her hands (and feet!), in the pursuit of justice. And despite the fact that he had no say in the matter, Nathan Osterkatz (with much more grace than his parents at times) has spent the past few years deftly managing life on the road. I have a tremendous committee that has actively supported me throughout grad- uate school. Evelyne Huber has been a steadfast ally and advisor, helping me meet my goals for degree completion and taking the time to read every one of my pages several times, providing clear insights and constructive feedback at every step. John Stephens is the person whose course got me interested in pursuing a PhD to begin with, and has worked with me on this project for many years. Liesbet Hooghe and Gary Marks have been dedicated, enthusiastic, and tireless in their support. Al Mon- tero inspired me to take on the challenge of a cross-national subnational comparative project with his own research on Spain and Brazil and has been more than generous with his time and advice these past few years. I am deeply grateful to all of you for your mentoring|as a student and a new parent, it has meant a great deal. I would also like to express special thanks to Shannon Eubanks, Carol Nichols, and Chris v Reynolds in my home department for their professional and personal support. This project would not have been possible without a variety of funding sources. Field research was made possible by a Tinker pre-dissertation field research grant (2009), a UNC Graduate School off-campus grant (spring 2011), and a US Depart- ment of Education Foreign Language and Area Studies grant (fall 2011-spring 2012). Summer research funding came from the European Research Council Advanced Grant #249543 \Causes and Consequences of Multilevel Governance" and the Uhlman Fund from the UNC Chapel Hill Political Science Department. In Brazil I would like to thank Marta Arretche for all her input and assistance, as well as the Centro de Estudos da Metr´opole for research support and data. Without the generosity of the academics and policy makers who took the time to meet with me in Bahia, S~aoPaulo, Rio de Janeiro, and Bras´ılia,the project would not have been possible. I am indebted to Wendy Hunter and Kurt Weyland for talking through my project in its early stages, helping with contacts, and providing advice for traveling in Brazil with a baby. Natasha Borges Sugiyama, Kristin Wylie, Paula Leal, Lauren Biddle, and Russel Bither-Terry offered advice, support, and contacts during our time in Brazil. In particular, I would like to thank Cristiani Vera Machado for her frequent consultations on health policy in Brazil, F´abioand Ana Gomes for their friendship and intellectual support during our trips both in 2009 and 2011, and Vanessa Migone for being a fabulous caretaker and friend to Nathan in S~aoPaulo. In Spain I am deeply grateful to have had the love and support of our second family, Susana Palomos and Alain Gonz´alez(y familia). I extend many thanks to Mar´ıa Calle Su´arezand her family, who took me into their home and helped me understand Extremaduran politics, as well as answering many questions and sharing contacts over the past few years. I am grateful for the friendship and academic support of Iv´an Llamazares and the generosity of Manuel Alc´antara at the Universidad de Salamanca. vi In the Basque Country, Gorka Espiau has been a good friend and generous resource over the years. I would like to express my gratitude to the academics and policy makers who took the time to meet with me and answer my questions in Castilla y Le´on,Madrid, and the Basque Country. A dissertation is a long commitment and requires that we subordinate other as- pects of life to research at various times. My greatest fear in combining motherhood with graduate school was facing tradeoffs that I would regret later, either by not finishing or being unavailable as a parent. My amazing family and wonderful support community helped us all come through mostly unscathed. None of this would have been possible without my partner, who talked through my project on our morning dog walks and for the past six months has been a single parent on the weekends and evenings after coming home from his other full time job, so that I could write. Along with my mom I want to thank our sisters, Joyce and Leah, and Sol's parents, Svea and Arnie, for their support over the past six years. We are grateful to the large circle of friends, both near and far, who have provided encouragement and a sympathetic ear. You are too many to list and too dear to risk leaving someone out. Yet I want to express my deepest gratitude, in particular, to the academic mothers and fathers who have been such a source of strength for me personally|professors in my department and at other programs, graduate student colleagues with kids, and friends who have also juggled this life. Finally, I want to thank my dad, Yonni Chapman|UNC PhD, civil rights his- torian, and life long activist|who died while I was pregnant in my third year of graduate school and never got to meet his grandson or see me finish. I edited your dissertation, helped with your research, and saw you hooded just as I was beginning my own graduate school adventure. You always supported me and I know you would be proud. We miss you. vii TABLE OF CONTENTS 1 THE DEMOCRAT'S CONUNDRUM ............................................ 1 1.1 Case Selection ................................................................ 6 1.2 Understanding Health Outcome Indicators ................................ 10 2 THEORY ........................................................................... 13 2.1 Equity-Enhancing Health Reform .......................................... 13 2.2 Determinants of Health Inequality ......................................... 20 2.3 The Territorial Distribution of Authority .................................. 21 2.4 Commitment ................................................................. 32 2.4.1 Commitment vs. Electoral Strategy ................................ 34 2.5 Conflict Over the Reference Community ................................... 38 2.6 Capacity ...................................................................... 42 2.7 Timing and Sequence ........................................................ 46 2.8 Democracy ................................................................... 49 2.9 Income Inequality ............................................................ 51 2.10 Income and Growth.......................................................... 52 3 EVIDENCE
Load more

Recommended publications
  • Situación Epidemiológica Del Coronavirus (Covid-19) En Euskadi
    KORONABIRUSAREN EGOERA EPIDEMIOLOGIKOA EUSKADIN (COVID-19) SITUACIÓN EPIDEMIOLÓGICA DEL CORONAVIRUS (COVID-19) EN EUSKADI -- RESULTADOS DE TESTS VALIDADOS EL 06/09/2021-- Osasun Sailburuordetza / Viceconsejería de Salud COVID Informazio Zerbitzua / Servicio de Información COVID OPEN DATA: Informe honetan argitaratzen diren datu guztiak hurrengo webgunean dituzue eskuragarri. / Todos los datos publicados en este informe están disponibles en la siguiente página web. https://opendata.euskadi.eus/catalogo/-/evolucion-del-coronavirus-covid-19-en-euskadi/ TXOSTENEAN ORAIN ARTE ARAZTU EDO ZUZENDU DIREN AKATSAK ERRORES DEPURADOS O CORREGIDOS HASTA LA FECHA EN EL INFORME Txosten honen informazioa etengabe berrikusten eta arazten ari da. Baliteke, gardentasunaren mesedetan, akats puntualen bat egotea, gerora zuzenduko dena. / La información de este informe está continuamente siendo revisada y depurada. En aras de la transparencia puede que haya algún error puntual que se corregirá posteriormente. ARAZTU EDO ZUZENDU DIREN AKATSAK ERRORES DEPURADOS O CORREGIDOS Egunero desadostasun txikiak zuzentzen dira Cada día se corrigen pequeñas discrepancias bizilekuaren eta testa eskatzen den lurralde entre el lugar de residencia y el territorio histórico historikoaren artean. desde donde se solicita el test. BIZI BERRI IV PLANEKO ADIERAZLEAK / INDICADORES DEL PLAN BIZI BERRI IV Indicador Balioa / Valor -Tasa de Incidencia Acumulada en 14 días 240,21 (-11,77) -Índice de reproductividad (Rt –conocida como R0) 0,83 (=) -Razón de Tasas 0,73 (-0,01) -Ocupación
    [Show full text]
  • Municipalities Act
    Municipalities Act (Text as at 12 November 2013) Act of 14 February 1992 containing new provisions governing municipalities We, Beatrix, by the grace of God Queen of the Netherlands, Princess of Orange- Nassau, etc., etc., etc. To all who see or hear these presents, greetings! Be it known: Whereas we consider it desirable that new provisions be laid down concerning the structure of municipalities and the composition and powers of their authorities; We, therefore, having heard the Council of State and in consultation with the States General, have approved and decreed as We hereby approve and decree: Title I. Definitions Section 1 1. In this Act the number of residents of a municipality means the number of residents according to the population figures on 1 January, as published by Statistics Netherlands. 2. The reference date for determining the number of residents, as referred to in section 8, is 1 January of the year preceding the year of a council election. At the written request of the council, Statistics Netherlands may determine the number of residents on the first day of the fourth month prior to the month of the nomination of candidates if it is likely that a number of residents specified in that section has been exceeded by the specified date. In such a case that date serves as the reference date. Section 2 In this Act residents are persons who have their actual place of residence in the municipality. AVT13/BZK110399 1 Section 3 Persons who have been registered as a resident of a municipality, with an address in its municipal personal records database, are deemed for the purposes of this Act to have their actual place of residence in that municipality, subject to proof to the contrary.
    [Show full text]
  • Enter the Title of the Paper
    Communities and Local Government Three Case Studies in São Paulo, Brazil Raquel Rolnik Renato Cymbalista Democracy, Governance and Human Rights United Nations Programme Paper Number 14 Research Institute November 2004 for Social Development This United Nations Research Institute for Social Development (UNRISD) Programme Paper has been produced with the support of the Swiss Agency for Development and Cooperation. UNRISD also thanks the governments of Denmark, Finland, Mexico, Norway, Sweden, Switzerland and the United Kingdom for their core funding. Copyright © UNRISD. Short extracts from this publication may be reproduced unaltered without authorization on condition that the source is indicated. For rights of reproduction or translation, application should be made to UNRISD, Palais des Nations, 1211 Geneva 10, Switzerland. UNRISD welcomes such applications. The designations employed in UNRISD publications, which are in conformity with United Nations practice, and the presentation of material therein do not imply the expression of any opinion whatsoever on the part of UNRISD con- cerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The responsibility for opinions expressed rests solely with the author(s), and publication does not constitute endorse- ment by UNRISD. ISSN 1020-8186 Contents Acronyms ii Summary/Résumé/Resumen iii Summary iii Résumé iv Resumen vi Introduction 1 The Participatory Budget 2 Participatory administration of municipal
    [Show full text]
  • Presentación De Powerpoint
    THE TRUTH ABOUT CATALONIA’S BID FOR INDEPENDENCE Last update: 28 November 2019 This document is subject to the evolution of the events it contains and will be periodically updated. Please note the date of the last update and, if necessary, request the latest version from: [email protected] This edition has only been updated to include the sentences of the trial that were published on 14 October. The verb tenses of the previous version have been maintained, without prejudice to the fact that a last update can be made by adjusting the concordances. Contents CATALONIA’S BID FOR INDEPENDENCE 1. Timeline of the Independence bid THE CATALAN INDEPENDENCE BID ON TRIAL 2. The acts of 2017 and their prosecution 3. The five Articles of Spain’s Criminal Code that landed the procès defendants in the dock 4. Safeguards for the accused during the trial 5. Independence and safeguards of the Spanish legal system 6. Private prosecution: What is it? 7. The trial and sentences THE TRUTH ABOUT SPAIN AND ITS CATALAN REGION 8. The secessionists’ falsehoods 9. Spain is a state made up of Autonomous Communities 10. The price Catalonia is paying for the independence bid 11. Spain in international rankings QUESTIONS AND ANSWERS APPENDIX CATALONIA’S BID FOR INDEPENDENCE 1. Timeline of the Independence bid 11 SEPT Massive demonstration day (or Diada) for independence 2012 “Consultative process” • Promoted by the Catalan Regional 9 NOV Government [known as the Govern], presided by Artur Mas. 2014 Suspended by Spain’s Constitutional Court. • According to the Catalan regional administration [known as the Generalitat] 2,305,290 citizens voted and 80.76% of them voted in favour of independence.
    [Show full text]
  • Self-Determination for the Basque People
    THE HUMAN RIGHT TO SELF DETERMINATION AND THE LONG WALK OF THE BASQUE COUNTRY TO A DEMOCRATIC SCENARIO ―Law is a living deed, not a brilliant honors list of past writers whose work of course compels respect but who cannot, except for a few great minds, be thought to have had such a vision of the future that they could always see beyond their own times‖. Judge Ammoun ―Separate Opinion‖ Advisory Opinion of the ICJ Jon Namibia, 1971 Introduction Let me start with some considerations. The case of the right to self determination is the case of human rights and history shows us that human rights are the cause of the oppressed, the cause of the colonized, the subalterns, and the cause of those on the other side of the borderline. Human rights have always been opposed by those in power, by the states of the capitalist world system. And so the recognized human rights are not but the consequences of long term struggles for non-recognized rights. And same pass with the right to self determination. Those who today consider this right only to be applied to colonies or occupied territories, are the same who opposed to the struggles for national liberation. Those who consider right now the right to self determination recognized in art 1 of the UN International Covenants on Civil and Political rights and Social, Cultural and Ecomic Rights are the same who opposed in the UN to the stablishment of art.1 and those who right now try to limit the right of indigenous peoples to self determination.
    [Show full text]
  • 20 Questions and Answers on the Secession of Catalonia © 2014
    20 Questions and Answers on the Secession of Catalonia © 2014. FAES Foundation for Social Studies and Analysis ISBN: 978-84-92561-32-2 Legal deposit: M-4316-2014 Cover design and layout by: Paloma Cuesta Translated by: Estefanía Pipino [email protected] www.fundacionfaes.org This activity has been subsidised by the Ministry of Education, Culture and Sport of Spain Contents Prologue by Javier Zarzalejos, Secretary-General of FAES Foundation...................... 5 Why? The Reasons for Secession.................................................................... 11 1. Can we rightly speak of a history of ‘Spain against Catalonia’? ....................... 13 2. Did the Catalans want the Transition? ............................................................ 15 3. Did the Catalans want the Constitution and the Statute of Autonomy of 1979?. 17 4. Does the 2006 ruling of the Constitutional Court on the 2006 Statute prevent the Catalans from having a satisfactory status in the Spanish constitutional framework?............................................. 20 5. Can we speak in any sense of lack of representation of the Catalans in the constituent process or in the State institutions? ................................... 23 Conclusion: A process without reasons, an invented grievance.............................. 25 How? The Path of Secession ........................................................................... 27 6. Is there a right to decide outside the Constitution and the law? ...................... 33 7. Is the so-called right
    [Show full text]
  • Explaining Coalition Types: an Analysis of Government Formation at the Dutch Local Level
    Master’s Thesis Research Master Political Science & Public Administration Student: Jascha Wieldraaijer Student number: S0632724 Supervisor: Prof. dr. Andeweg Second reader: Prof. dr. Koole Woordenaantal: 8257 Explaining Coalition Types: an analysis of government formation at the Dutch local level 1 2 ABSTRACT: In the last 50 years, several theories have been developed to explain the occurrence of several governmental coalition compositions. These theories have been extensively tested in cross-country comparisons, which often suffer from the difficulties of a limited number of cases and a large number of varying institutional factors. This study tries to bypass these difficulties by studying a large number of governments formed at the Dutch local level. Two expectations from existing coalition literature are tested: one concerning the influence of the value political parties place on being in government, the other concerning the insecurity political parties experience in assessing the preferences of potential coalition partners. Several institutional and situational developments at the Dutch local level have created variation which allow these expectations to be tested empirically. Support is found concerning expectations on insecurity of preferences of coalition partners, whereas support concerning the value political parties place on governmental participation is mixed. 3 4 A large number of diverging theories on the formation of government coalitions have been formed over the past 50 years. These theories have often been put to the test, mostly by studying Western parliamentary systems. However, these theories can also be used to explain coalitions on lower levels of government, such as regional governments (Stefuriuc 2013) or municipalities (Bäck 2003; Denters 1985; Steunenberg 1992).
    [Show full text]
  • Fundação Getúlio Vargas Escola De Administração De Empresas De São Paulo
    Fundação Getúlio Vargas Escola de Administração de Empresas de São Paulo Trabalho de Conclusão de Curso Aluno André Jardim Protti Orientador Professor Doutor Marco Antonio Carvalho Teixeira As relações entre o Executivo e o Legislativo no município de São Paulo: O poder local entre as gestões de Erundina (1989-1992) até Kassab (2008-2012) São Paulo Maio de 2012 Índice Introdução ......................................................................................................................... 5 Procedimentos Metodológicos ......................................................................................... 7 1.Referencial Teórico ....................................................................................................... 9 1.1 Modelos de interação Executivo-Legislativo ....................................................... 11 1.2 Sistema Partidário ................................................................................................. 13 2. Análise Histórica ........................................................................................................ 17 2.1 O governo de Luiza Erundina (1989-1993) .......................................................... 17 2.2 O governo de Paulo Maluf (1993-1997)............................................................... 20 2.3 O governo de Celso Pitta (1997-2001) ................................................................. 23 2.4 O governo de Marta Suplicy (2001-2005) ............................................................ 26 2.5 O governo Serra/Kassab
    [Show full text]
  • Urgent Appeal
    CHAMBER OF DEPUTIES PSOL LEADERSHIP Brasília, August 28, 2020 Letter n. 226/2020 - URGENT APPEAL - GRAVE ATTACK ON LEGAL ABORTION BRAZIL Ms. Michelle Bachelet Jeria, United Nations High Commissioner for Human Rights Office of the United Nations High Commissioner for Human Rights (OHCHR) Email for urgent appeals: [email protected] ​ Ms. Dubravka Šimonovic UN Special Rapporteur on violence against women, its causes and consequences Email: [email protected] ​ Ms. Tlaleng Mofokeng UN Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health [email protected] UN Working Group on discrimination against women and girls [email protected] SÂMIA BOMFIM, ÁUREA CAROLINA, FERNANDA MELCHIONNA, LUIZA ERUNDINA, TALÍRIA PETRONE, EDMILSON RODRIGUES, DAVID MIRANDA, GLAUBER BRAGA, IVAN VALENTE, and MARCELO FREIXO, federal deputies from the Socialism and Liberty ​ ​ Party (PSOL, in its acronym in Portuguese); ALICE PORTUGAL and JANDIRA FEGHALI, ​ ​ ​ ​ federal deputies from the Communist Party of Brazil (PCdoB in its acronym in Portuguese); ERIKA KOKAY, MARIA DO ROSÁRIO and NATÁLIA BONAVIDES, federal deputies from ​ ​ ​ ​ the Workers’ Party (PT, in its acronym in Portuguese); and LÍDICE DA MATA, federal ​ ​ deputy from the Brazilian Socialist Party (PSB in its acronym in Portuguese), respectfully address to these bodies in order to report about grave attack against legal abortion by Brazil’s federal government. 1/4 Overview Since the year 1940 Brazil’s legislation allows the termination of pregnancy in case of rape. However, in the last couple of weeks, a tragic case brought this basic right into unprecedented attack in Brazil: a 10 years old girl, who had been rapped for four years by her uncle, had her right for legal abortion in a public hospital defied.
    [Show full text]
  • In the Development of Drug Treatment Policies
    + ACLAD 1. PANEL 2: The role of evaluation systems in the development of drug treatment policies 2010 Treatment evaluation system of the Anti-drug Plan of Galicia (PGD) network XI CICAD Demand Reduction Expert Group Meeting Mexico, 2009 Contents x The context: Galicia x Reasons for implementing a drug dependency evaluation system x Characteristics of the treatment evaluation system of Galicia: ü Characteristics of the treatment evaluation system ü Basic drug dependency indicators ü Treatment management IT applications x Policies to improve treatment quality: ü Management and improvement of treatment quality ü Implementation of the EFQM [European Foundation for Quality Management] excellence model ThThee coconntetexxtt:: GGaalliicciiaa todaytoday Organizational framework: territory, structure, and spheres of competence • Territory: Autonomous community of Galicia (population: 2,772,533) • Budget for 2008: •€11,224,465,979 •€6,971,940,772 (62%) •€18,542,315 (0.3%) • Spheres of competence: (demand area) •National Anti-drug Plan (strategy, coordination) •Autonomous government plans (19): planning, financing, and evaluation •Local plans (35 in Galicia): prevention programs Drug use Decreasing: Summary 2004-06 q Alcohol: very evident with regard to alcohol abuse, 3.1% less than in 2004 (from 7.6 to 4.5%). ØVery significant decline in the daily consumption percentage, 6.5% less than in 2004 (from 26.3 to 19.8%). ØAlso a significant decline in average daily consumption, 7.79 ml less (from 45.31 ml in 2004 to 37.52 ml in 2006) q Tobacco: ØSignificant
    [Show full text]
  • Catholic Mediation in the Basque Peace Process: Questioning the Transnational Dimension
    religions Article Catholic Mediation in the Basque Peace Process: Questioning the Transnational Dimension Xabier Itçaina 1,2 1 CNRS—Centre Emile Durkheim, Sciences Po Bordeaux, 11 allée Ausone, 33607 Pessac, France; [email protected] 2 GEZKI, University of the Basque Country, 20018 San Sebastian, Spain Received: 30 March 2020; Accepted: 17 April 2020; Published: 27 April 2020 Abstract: The Basque conflict was one of the last ethnonationalist violent struggles in Western Europe, until the self-dissolution in 2018 of ETA (Euskadi ta Askatasuna, Basque Country and Freedom). The role played by some sectors of the Roman Catholic Church in the mediation efforts leading to this positive outcome has long been underestimated, as has the internal pluralism of the Church in this regard. This article specifically examines the transnational dimension of this mediation, including its symbolic aspect. The call to involve the Catholic institution transnationally was not limited to the tangible outcomes of mediation. The mere fact of involving transnational religious and non-religious actors represented a symbolic gain for the parties in the conflict struggling to impose their definitions of peace. Transnational mediation conveyed in itself explicit or implicit comparisons with other ethnonationalist conflicts, a comparison that constituted political resources for or, conversely, unacceptable constraints upon the actors involved. Keywords: Basque conflict; nationalism; Catholic Church; Holy See; transnational mediation; conflict resolution 1. Introduction The Basque conflict was one of the last ethnonationalist violent struggles in Western Europe, until the definitive ceasefire (2011), decommissioning (2017), and self-dissolution (2018) of the armed organization ETA (Euskadi ta Askatasuna, Basque Country and Freedom).
    [Show full text]
  • Padrões De Investimentos Estatais Em Infra-Estrutura Viária
    SÃO PAULO EM PERSPECTIVA, 15(1) 2001 PADRÕES DE INVESTIMENTOS ESTATAIS EM INFRA-ESTRUTURA VIÁRIA EDUARDO CESAR MARQUES Cientista Político, Pesquisador da Fapesp no Cebrap RENATA MIRANDOLA BICHIR Bolsista da Fapesp no Cebrap Resumo: Este artigo apresenta os resultados preliminares de uma pesquisa em andamento sobre os investi- mentos realizados pela Prefeitura de São Paulo em infra-estrutura urbana, por meio de sua Secretaria de Vias Públicas, entre 1978 e 1998. A partir de um extenso levantamento de informações primárias acerca desse período, abrangendo todos os contratos assinados pela secretaria com empreiteiras, investigou-se a distribui- ção dos investimentos e suas características ao longo das administrações municipais, assim como os padrões de vitória das principais empreiteiras beneficiadas por essa política. Palavras-chave: investimento público; infra-estrutura viária; políticas públicas. presente texto traz os primeiros resultados de uma taria de Vias Públicas – SVP, pertencente à administra- pesquisa em andamento sobre políticas públicas ção direta; no Rio de Janeiro, a responsável é a Compa- O e intermediação de interesses em São Paulo. Ana- nhia Estadual de Águas e Esgotos – Cedae, organizada lisou-se a política de investimentos da Secretaria de Vias como empresa pública. As diferenças de estrutura e esta- Públicas da Prefeitura Municipal de São Paulo, do final tuto jurídico têm como conseqüência, muito provavelmen- da década de 70 até o ano de 1998. A pesquisa toma como te, a constituição de graus diversos de autonomia decisória base um amplo levantamento de dados sobre os contratos das agências com relação aos ambientes políticos mais am- assinados entre a secretaria e empresas privadas para a plos nos quais operam, assim como padrões de carreira e implementação de obras e serviços de engenharia.
    [Show full text]