Political Economy of Health Care

Keywords: health systems federalism, descentralisation, provider choice, regional inequality, vertical competition, globalisation, health effects of democratisation, reimbursement of generic medicines, insurance and new technologies, price regulation of new technologies, medicines parallel trade.


Federalism and Decentralisation in Health and Social Care” (with Greer, S). Palgrave, 2012.[+25 citations]


The Economics of New Health Technologies. Incentives, organisation and Financing”, Oxford University Press, 2009 (co-editor Courbage, C and McGuire,A).

oupWorking Papers

Voting Up? The Effects of Democracy and Franchise Extension on Human Stature” (with Alberto Batinti and Timothy J. Hatton). IZA Discussion Paper 12389, May 2019.

Can Regional Decentralisation Shift Health Care Preferences?” (with  Ada Ferrer i Carbonell). IZA Discussion Paper No. 11180,  Bonn, Germany, November 2017.

Political agency and public health care: Evidence from India,” (with Parmar, D) WIDER Working Paper Series 135, World Institute for Development Economic Research (UNU-WIDER), 2016


“Do economic recessions ‘squeeze the middle-class’?” Economics and Politics, (with Batinti, A).  2019, in press.

Regional Health Care Decentralization in the Unitary States: Equal Spending, Equal Satisfaction?,” (with Turati, G) Regional Studies, 2018, 52 (7): 974-985.

“’Globesity’? The Effects of Globalization on Obesity and Caloric Intake” (with Mas, N). Food Policy, 2016, 64(1): 121-132.

Regulation Effects on the Adoption of New Medicines” (with McGuire, A and Varol, N). Empirical Economics, 2015, 49(3): 1101-1121.

Price Regulation and Relative Delays in Generic Drug Adoption” (with McGuire, A and Varol, N). Journal of Health Economics, 2014, 38, 1-9.

Brand loyalty, patients and limited generic medicines uptake” (with Rudisill, C and Tan, S). Health Policy, 2014, 116 (2-3): 224–233.

When does Inter-jurisdictional Competition engender a “Race to the Bottom?”A MetaRegression Analysis” (with Albuquerque, F and Doucouliagos, H). Economics & Politics, 2015, 27(3): 488-508.

Do Jurisdictions Compete on Taxes? A Meta-Regression Analysis” (with C, Doucouliagos and De-Albuquerque, F). Public Choice, 2014, 161(3-4), pp 451-470.

“Does Cost Sharing really reduce Inappropriate Prescriptions among the Elderly?” (with M Gemmill-Toyama). Health Policy, 2011, 101 (2): 195-208.

Biases in the Health Care Luxury Good Hypothesis? A Meta-regression Analysis” (with M Gemmill-Toyama and G Rubert). Journal of the Royal Statistical Society – Series A, 2011 : 174, 95–107.[+ 50 citations]

The Impact of Decentralization and Inter-territorial Interactions on Spanish Health Expenditure,” (with F Moscone) Empirical Economics, 2008, 34 (1): 167-184. (Republished in Spatial Econometrics: Methods and Applications. Arabia, G and Baltagi, B (eds), 2009, Springer). [+ 5o citations]

Generational Effects and Gender Height Dimorphism in Contemporary Spain,” (with J Gil). Economics and Human Biology, 2008, 6 (1): 1–18. [+ 25 citations]

Public Health Expenditure and Spatial Interactions in a Decentralized National Health System”, (with J Pons) Health Economics, 2007, 16 (3): 291 – 306 [100+ citations]

In Search of a Corrected Prescription Drug Elasticity Estimate: A Meta-Regression Approach” (with M Gemmill and A McGuire). Health Economics, 2007, 16(6): 627- 643.[+50 Citations]

Vertical Competition in the Spanish National Health System (NHS)”, (with A Rico) Public Choice, 2006,128 (3-4): 477-498. [+ 50 citations]

Is the impact of public investment neutral across the regional income distribution? Evidence from Mexico”, (with E Rodriguez). Economic Geography, 2005, 81(3): 305- 322. [+50 citations]

Pharmaceutical Parallel Trade in Europe: Impact on Stakeholders and Competition Effects” (with P Kanavos). Economic Policy, 2005, 20(44): 753-798. [+100 Citations]

Diversity and regional inequalities: assessing the outcomes of the Spanish ‘system of health care services”, (with G López-Casasnovas and I Planas). Health Economics, 2005, 14(S): S221–S235.[+ 100 citations]

Demand for Private Health Insurance: How Important is the Quality Gap?” (with J Garcia). Health Economics, 2003, 12(7): 587-599. [+ 100 citations]

Political Competition and Pork-barrel Politics in the Allocation of Public Investment in Mexico”, (with D Luna-Pla and E Rodriguez). Public Choice, 2003, 116(1-2): 185- 204 [+ 50 citations]”, (with D Luna-Pla and E Rodriguez). Public Choice, 2003, 116(1-2): 185- 204 [+ 50 citations]

Policy papers

The National Health Service at a ‘critical moment’: when Brexit means hectic” Journal of Social Policy, 2017, 46 (4): 783-795.

The Choice Agenda in European Health Systems: The Role of Middle-Class Demands” (with Zigante, V). Public Money and Management, 2016, 36(6): 409-416.

Tackling Neglect and Mental Health Care Reform in a Devolved System of Welfare Governance” (with L Salvador, J Cabases, J Alonso and D McDaid). Journal of Social Policy, 2011, 40(2): 295-312.[+ 25 citations]

Devolution, Diversity and Welfare Reform: Long-Term Care in the ‘Latin Rim’”. Social Policy and Administration, 2010, 44 (4): 481-494. [+ 5o citations]

Does Devolution lead to Regional Inequalities in Welfare Activity? Environment and Planning C: Government and Policy, 2010, 28(3) 435–449. [+ 25 citations]

Path dependency and the allocation of public investment in Mexico” (with E Rodriguez) Environment and planning C: government and policy, 2006, 24 (2): 297-311.[+25 citations]

“Devolution and the Inter-regional Inequalities in Health and Health Care in Spain”, (with A Rico). Regional Studies, 2006, 40(8): 875–887. [+ 50 citations]

Power rather than path dependency? The dynamics of institutional change under health care federalism” (with A Rico). Journal of Health Politics, Policy and Law, 2005, 30 (1): 231-252.[+ 50 citations]

Books Chapters

Health system federalism and decentralization: What is it, why does it happen, and what does it do?” (with Greer, S) . In Federalism and Decentralisation in Health and Social Care” (Costa-Font, J and Greer, S, eds), Palgrave McMillan, 2012.

Territory and health: Perspectives from Economics and Political Science” (with Greer, S). In Federalism and Decentralisation in Health and Social Care” (Costa-Font, J and Greer, S, eds), Palgrave McMillan, 2012.

Decentralisation and the Spanish health system: Soft-budget-constraint modernisation?”. In Federalism and Decentralisation in Health and Social Care” (Costa-Font, J and Greer, S, eds), Palgrave McMillan, 2012

Choice in health care: drivers and consequences” (with Cooper, Z and Zigante, V). In LSE Companion to Health Policy, Elgar Edward Companion to Health Policy (Costa-Font, J and McGuire A, eds), Elgar Edward, 2012.