The urban-rural gap in health care infrastructure - does government ideology matter?

Arbeitspapier

Spatial inequalities in publicly provided goods such as health care facilities have substantial socio-economic effects. Little is known, however, as to why publicly provided goods diverge among urban and rural regions. We exploit narrow parliamentary majorities in German states between 1950 and 2014 in an RD framework to show that government ideology influences the urban-rural gap in public infrastructure. Leftwing governments relocate hospital beds from rural regions. We propose that leftwing governments do so to gratify their more urban constituencies. In turn, spatial inequalities in hospital infrastructure increase, which seems to influence general and infant mortality.

Object Details

• Language: Englisch

References and Relationships

• Bibliographic citation: Series: CESifo Working Paper ; No. 7647

Classification and Topics

• Classification: Wirtschaft ; Political Processes: Rent-seeking, Lobbying, Elections, Legislatures, and Voting Behavior ; Publicly Provided Private Goods ; Health: Government Policy; Regulation; Public Health
• Subject: publicly provided goods ; spatial inequalities ; political business cycles ; partisan politics ; government ideology ; health care ; hospitals

Contributors, Places and Time

• Event: Geistige Schöpfung
• (who): Potrafke, Niklas ; Roesel, Felix
• Event: Veröffentlichung
• (who): Center for Economic Studies and ifo Institute (CESifo)
• (where): Munich
• (when): 2019

Further information

• Handle: http://hdl.handle.net/10419/201873
• Last update: 10.03.2025, 11:45 AM CET