The demand and supply of parliamentary policy advocacy

Evidence from UK health policy, 1997-2005

Anthony Bertelli, Rachel M. Dolan

Research output: Contribution to journalReview article

Abstract

Fundamental to democratic politics is the quality of representation of constituents' interests by elected officials. This article statistically examines a case of substantive policy advocacy in Great Britain: the issues of wait times and health rationing by the National Health Service (NHS), salient throughout the Blair years. An increase in constituent need for care implies an increase in demand for parliamentary representation, yet representation will not necessarily be supplied, because legislators juggle conflicting interests. We measure representative action using parliamentary questions from 1997-2005. Party and parliamentary status and a set of indicators of the health of British citizens provide measures of political supply and constituent demand. Employing count-regression techniques, we find increased parliamentary questions as the proportion of individuals with some high health risks rises, but opposite results for other health risks. Evidence of political supply is much more consistent, suggesting that political careerism goes a long way towards explaining whether MPs table any questions at all in this policy area.

Original languageEnglish (US)
Pages (from-to)219-242
Number of pages24
JournalGovernment and Opposition
Volume44
Issue number3
DOIs
StatePublished - Jul 2009

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health risk
health policy
representation of interests
supply
need for care
rationing
policy area
demand
health
evidence
health service
citizen
regression
politics
time

ASJC Scopus subject areas

  • Sociology and Political Science
  • Public Administration

Cite this

The demand and supply of parliamentary policy advocacy : Evidence from UK health policy, 1997-2005. / Bertelli, Anthony; Dolan, Rachel M.

In: Government and Opposition, Vol. 44, No. 3, 07.2009, p. 219-242.

Research output: Contribution to journalReview article

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