Project Description: Title of the project: "Comparative
Analysis of Health Policies towards Immigrant Populations in the
UK, France, and Spain.
Start date: September 1996.
End date: September 2000.
Project description:
My research, placed within the broad field of the comparative
analysis of public policies, is an analysis of the policies
developed in a set of Western European countries to address
the issues raised in the domain of health by the presence of
a more or less large foreign populations (residing in the country
de facto, although not always de iure). The main questions that
I will try to answer could be phrased as: Why is it that health
policies towards immigrant populations differ across countries?
Why those chosen policies are implemented with specific institutional
arrangements? Why is the third sector supposed to play any role
at all within those policies?
The literature on agenda setting, policy design, and policy
choice has paid special attention to the way in which the content
of a given policy matches with the political context in which
that policy is elaborated. Within this approach there is the
assumption that the political sphere represents the more or
less organised interests of different «publics», which could
be affected by the policy. The absence of «publics» implies
that the issue networks, or the policy communities are weakly
developed, the beliefs systems concerning the framing of the
problem and its proposed solutions are only tentative and dominated
by technocratic expert opinions, while policy discussions take
place in spheres apart of the public scrutiny.
Within the debate about the level of equalisation of rights
and duties between citizens and non-citizens, I will try to
test the hypothesis that health policies towards immigrant populations
constitute a set of "policies without publics". A second aspect
intimately linked to the former is the extent to which advocacy
coalitions may have appeared to defend (by defining) the interests
of the immigrants. Third sector organisations (NGO's, immigrant
associations, charities, etc.) may have played a significant
role in the elaboration of those policies by constituting themselves
in "the voice of those without voice", therefore conditioning
the shape of the policies, and the institutional arrangements
that will deal with its implementation. The study of the role
played by values and ideas (Human Rights, notions of nationality,
citizenship, and the philosophies of incorporation of those
immigrants to the host societies), will be considered within
a socio-historical institutional analysis that will include
supranational institutions (EU, ILO, UN), state agencies (at
the national, regional and local level), and third sector organisations
(NGO's, Charities).
Research methods:
The research is carried out through the analysis of official
documents, and reports. After that research of primary sources,
I plan to conduct interviews with a series of policy-makers,
community leaders, and health specialists in the three countries
included in my study.
Planned output:
The thesis will provide a comparative analysis of the different
policies followed in countries with different immigration experiences,
to solve a series of problems that arise from the presence of
increasingly diverse communities of immigrants. Some conclusions
could be made about good practices and specific schemes to solve
particular problems (coverage for undocumented immigrants, specific
pathologies, etc).
Supervisor:
Vincent Wright, Nuffield College, Oxford University.
Funding organisation:
I am currently doing a MSc course in Social Policy and Planning
at the London School of Economics with a grant from the British
Council and the "La Caixa" Foundation.
After September I will continue my research in Madrid, at the
Centre for Advanced Studies in the Social Sciences of the Juan
March Institute.
|