Out of Sight, Out of Mind? Electoral Responses to Proximity of Healthcare

49 Pages Posted: 3 Jun 2020

See all articles by Fatih Serkant Adiguzel

Fatih Serkant Adiguzel

Duke University, Department of Political Science

Asli Cansunar

University of Oxford - Nuffield College; University of Oxford - Department of Politics and International Relations

Gozde Corekcioglu

Kadir Has University; European University Institute - Economics Department (ECO)

Date Written: May 5, 2020

Abstract

Existing work on electoral returns to public goods provision has investigated changes in government expenditure aggregated at levels that do not have any bearing on geographical access. In this paper, we focus on the political economy of the catchment areas of public services. Rather than investigating the binary relationship between public goods provision and electoral returns within formally drawn borders, we ask whether decreases in walking time to a public service attract votes for the incumbent. Leveraging the Family Medicine Reform in Turkey, which gave rise to an exogenous variation in voter proximity to the free health clinics in Istanbul, we find that communities whose walking distance to the closest clinic decreased voted significantly more for the AKP, the incumbent, between 2011 and 2015. We also show that poorer and healthcare dependent communities were more responsive to improvements in spatial accessibility to the local clinics.

Suggested Citation

Adiguzel, Fatih Serkant and Cansunar, Asli and Corekcioglu, Gozde, Out of Sight, Out of Mind? Electoral Responses to Proximity of Healthcare (May 5, 2020). Available at SSRN: https://ssrn.com/abstract=3581761 or http://dx.doi.org/10.2139/ssrn.3581761

Fatih Serkant Adiguzel

Duke University, Department of Political Science ( email )

140 Science Drive (Gross Hall), 2nd floor
Duke University Mailcode: 90204
Durham, NC 27708-0204
United States

Asli Cansunar (Contact Author)

University of Oxford - Nuffield College ( email )

Oxford
United Kingdom

University of Oxford - Department of Politics and International Relations ( email )

Manor Road
Oxford, OX1 3UQ
United Kingdom

Gozde Corekcioglu

Kadir Has University ( email )

Kadir Has Caddesi, Cibali
Istanbul, 34083
Turkey

European University Institute - Economics Department (ECO) ( email )

Villa San Paolo
Via della Piazzuola 43
50133 Florence
Italy

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