Federalism, Decentralization, and Health Care Policy Reform in India

Fiscal federalism and decentralization in India

This paper surveys the state of fiscal federalism in India, in the broader context of decentralization. We begin with an overview of the basic features and recent developments in intergovernmental fiscal relations, including the role of political institutions, the specifics of legislative and budgetary autonomy, assignments of expenditure responsibility and revenue authority, revenue collection...

Federalism in India: Political Economy and Reform*

The objective of this paper is to examine the nature of India’s federal system, the reforms that have occurred over the last ten years, and what remains to be done. We begin by briefly describing the key federal institutions in India, focusing particularly on the mechanisms for center-state transfers. These transfers are quite large, and are the major explicit method for dealing with inequaliti...

Federalism and Fiscal Reform in India

On Federalism and Reform in India

Introduction Fifty years after Gandhi wrote the words above, India embarked on what may prove to be one of the most significant changes in its structures of governance, the 73rd and 74th amendments to the Constitution of India, which give local governments, rural and urban, a legal status that they formerly lacked. If these institutional reforms towards greater decentralization of governance do...

[Psychiatric reform, federalism, and the decentralization of the public health in Brazil].

This study examines the relationships between Brazilian psychiatric reform, the adoption of the Centers for Psychosocial Care (CAPS) and the development of the Unified Health System (SUS). The adherence of municipal governments was a variable determinant for the spread of reform, especially due to the continental scale and fragmentation of the Brazilian federation. The article demonstrates the ...