A "Politically Robust" Experimental Design for Public Policy Evaluation, with Application to the Mexican Universal Health Insurance Program
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Author
Gakidou, Emmanuela
Ravishankar, Nirmala
Moore, Ryan T.
Lakin, Jason
Vargas, Manett
Tellez-Rojo, Martha Maria
Avila, Juan Eugenio Hernandez
Avila, Mauricio Hernandez
Llamas, Hector Hernandez
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https://doi.org/10.1002/pam.20279Metadata
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King, Gary, Emmanuela Gakidou, Nirmala Ravishankar, Ryan T. Moore, Jason Lakin, Manett Vargas, Martha María Téllez-Rojo, Juan Eugenio Hernández Ávila, Mauricio Hernández Ávila, and Héctor Hernández Llamas. 2007. A "politically robust" experimental design for public policy evaluation, with application to the Mexican universal health insurance program. Journal of Policy Analysis and Management 26(3): 479-506.Abstract
We develop an approach to conducting large scale randomized public policy experiments intended to be more robust to the political interventions that have ruined some or all parts of many similar previous efforts. Our proposed design is insulated from selection bias in some circumstances even if we lose observations; our inferences can still be unbiased even if politics disrupts any two of the three steps in our analytical procedures; and other empirical checks are available to validate the overall design. We illustrate with a design and empirical validation of an evaluation of the Mexican Seguro Popular de Salud (Universal Health Insurance) program we are conducting. Seguro Popular, which is intended to grow to provide medical care, drugs, preventative services, and financial health protection to the 50 million Mexicans without health insurance, is one of the largest health reforms of any country in the last two decades. The evaluation is also large scale, constituting one of the largest policy experiments to date and what may be the largest randomized health policy experiment ever.Terms of Use
This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAACitable link to this page
http://nrs.harvard.edu/urn-3:HUL.InstRepos:4215039
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