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The AKP between populism and neoliberalism: lessons from pharmaceutical policy

  • Tim Dorlach (a1)
Abstract
Abstract

In September 2009, Turkey experienced a major reform of its pharmaceutical expenditure and price policy. By introducing a global budget, Turkey saved some 20 billion TL in public pharmaceutical expenditure in the 2010–2012 period. The lion’s share of this was achieved by introducing stricter price controls that reduced the profit margins of pharmaceutical producers and distributors (the populist policy solution), rather than by privatizing the cost of medicines through, for example, raising out-of-pocket payments (the neoliberal policy solution). This is a puzzle, given the Justice and Development Party (Adalet ve Kalkınma Partisi, AKP) government’s usual preference for lenient and business-friendly regulation. This article explains the policy reform with reference to (i) the pronounced electoral interests of the AKP’s political leadership in not substantially reducing access to public health services, (ii) the absence of powerful business interests in high medicine prices, and (iii) the absence of a developmentalist commitment to an industrial policy strategy for the pharmaceutical sector. This case study holds important lessons for scholars of Turkish politics. It suggests that externally the AKP’s economic and social policies are driven by the interests of its two major constituencies (namely, lower-class voters and “Anatolian capital”), while internally they are shaped by two camps of policy makers (namely, neoliberal-minded technocrats and election-focused party leaders).

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Author’s Note: I thank Ayşe Buğra, İpek Eren Vural, Bünyamin Esen, Çağlar Keyder, Tracy Lord, Ziya Öniş, Yalçın Özkan, Osman Savaşkan, Umut Türem, Alper Yağcı, conference participants at the London School of Economics, Middle East Technical University, and the University of Sheffield, as well as three anonymous referees and the editors of this journal for comments that helped improve this paper.

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Daron Acemoğlu , Georgy Egorov , and Konstantin Sonin . “A Political Theory of Populism.” The Quarterly Journal of Economics 128, no. 2 (2013): 771805.

Tuba I Ağartan . “Marketization and Universalism: Crafting the Right Balance in the Turkish Healthcare System.” Current Sociology 60, no. 4 (2012): 456471.

Tuba I Ağartan . “Explaining Large-Scale Policy Change in the Turkish Health Care System: Ideas, Institutions, and Political Actors.” Journal of Health Politics, Policy and Law 40, no. 5 (2015): 967995.

Tuba I Ağartan . “Learn, Frame and Deploy? Cross-National Policy Ideas and Comparisons in Turkey’s Health Reform.” Journal of Comparative Policy Analysis: Research and Practice 18, no. 1 (2016): 5469.

Fevzi Akıncı , Salih Mollahaliloğlu , Hakkı Gürsöz and Fatma Öğücü . “Assessment of the Turkish Health Care System Reforms: A Stakeholder Analysis.” Health Policy 107, no. 1 (2012): 2130.

S. Erdem Aytaç and Ziya Öniş . “Varieties of Populism in a Changing Global Context: The Divergent Paths of Erdoğan and Kirchnerismo.” Comparative Politics 47, no. 1 (2014): 4159.

Robert R Barr . “Populists, Outsiders and Anti-establishment Politics.” Party Politics 15, no. 1 (2009): 2948.

Umut Bozkurt . “Neoliberalism with a Human Face: Making Sense of the Justice and Development Party’s Neoliberal Populism in Turkey.” Science & Society 77, no. 3 (2013): 372396.

Ayşe Buğra and Osman Savaşkan . “Politics and Class: The Turkish Business Environment in the Neoliberal Age.” New Perspectives on Turkey 46 (2012): 2763.

Ayşe Buğra and Çağlar Keyder . “The Turkish Welfare Regime in Transformation.” Journal of European Social Policy 16, no. 3 (2006): 211228.

Sarah Brown . Arne Risa Hole and Dilek Kılıç . “Out-of-pocket Health Care Expenditure in Turkey: Analysis of the 2003–2008 Household Budget Surveys.” Economic Modelling 41 (2014): 211218.

Aziz Çelik . “Turkey’s New Labour Regime under the Justice and Development Party in the First Decade of the Twenty-first Century: Authoritarian Flexibilization.” Middle Eastern Studies 51, no. 4 (2015): 618635.

Seda Demiralp . “The Rise of Islamic Capital and the Decline of Islamic Radicalism in Turkey.” Comparative Politics 41, no. 3 (2009): 315335.

Tim Dorlach . “The Prospects of Egalitarian Capitalism in the Global South: Turkish Social Neoliberalism in Comparative Perspective.” Economy and Society 44, no. 4 (2015): 519544.

Sebastian Edwards . Left Behind: Latin America and the False Promise of Populism. Chicago: University of Chicago Press, 2010.

İpek Eren Vural . “Domestic Contours of Global Regulation: Understanding the Policy Changes on Pharmaceutical Patents in India and Turkey.” Review of International Political Economy 14, no. 1 (2007): 105142.

İpek Eren Vural Neoliberalism, Intellectual Property Rights and the Turkish Pharmaceutical Industry in the 2000s.” In The New Political Economy of Pharmaceuticals Production, Innovation and TRIPs in the Global South. Edited by Hans Löfgren and Owain David Williams. Basingstoke: Palgrave Macmillan, 2013. 221245.

Burçay Erus and Nazlı Aktakke . “Impact of Healthcare Reforms on Out-of-pocket Health Expenditures in Turkey for Public Insurees.” The European Journal of Health Economics 13, no. 3 (2012): 337346.

Burçay Erus , Burcu Yakut-Çakar , Sanda Cali and Fikret Adaman . “Health Policy for the Poor: An Exploration on the Take-Up of Means-Tested Health Benefits in Turkey.” Social Science & Medicine 130 (2015): 99106.

James D. Fearon Counterfactuals and Hypothesis Testing in Political Science.” World Politics 43, no. 2 (1991): 169195.

Sara Fisher Ellison and Catherine Wolfram . “Coordinating on Lower Prices: Pharmaceutical Pricing under Political Pressure.” The Rand Journal of Economics 37, no. 2 (2006): 324340.

Ipek Göçmen . “Religion, Politics and Social Assistance in Turkey: The Rise of Religiously Motivated Associations.” Journal of European Social Policy 24, no. 1 (2014): 92103.

Ali Burak Güven . “Rethinking Development Space in Emerging Countries: Turkey’s Conservative Countermovement.” Development and Change 47, no. 5 (2016): 9951024.

Şahan Savaş Karataşlı . “The Origins of Turkey’s ‘Heterodox’ Transition to Neoliberalism: The Özal Decade and Beyond.” Journal of World-Systems Research 21, no. 2 (2015): 387416.

Zeynep Güldem Ökem and Mehmet Çakar . “What Have Health Care Reforms Achieved in Turkey? An Appraisal of the ‘Health Transformation Programme.’Health Policy 119 (2015): 11531163.

Ziya Öniş . “Power, Interests and Coalitions: The Political Economy of Mass Privatisation in Turkey.” Third World Quarterly 32, no. 4 (2011): 707724.

Ziya Öniş . “The Triumph of Conservative Globalism: The Political Economy of the AKP Era.” Turkish Studies 13, no. 2 (2012): 135152.

Ziya Öniş and Ali Burak Güven . “Global Crisis, National Responses: The Political Economy of Turkish Exceptionalism.” New Political Economy 16, no. 5 (2011): 585608.

Gül Berna Özcan and Umut Gündüz .“Energy Privatisations, Business-Politics Connections and Governance under Political Islam.” Environment and Planning C: Government and Policy 33, no. 6 (2015): 17141737.

Paul Pierson . “Big, Slow-Moving, and … Invisible: Macrosocial Processes in the Study of Comparative Politics.” In Comparative Historical Analysis in the Social Sciences. Edited by James Mahoney and Dietrich Rueschemeyer. New York: Cambridge University Press, 2003. 177207.

Kenneth Roberts . “Neoliberalism and the Transformation of Populism in Latin America: The Peruvian Case.” World Politics 48, no. 1 (1995): 82116.

Cristóbal Rovira Kaltwasser . “Latin American Populism: Some Conceptual and Normative Lessons.” Constellations 21, no. 4 (2014): 494504.

Kenneth Shadlen and Elize Massard da Fonseca . “Health Policy as Industrial Policy Brazil in Comparative Perspective.” Politics & Society 41, no. 4 (2013): 561587.

Kurt Weyland . “Neoliberal Populism in Latin America and Eastern Europe.” Comparative Politics 31, no. 4 (1999): 379401.

Gülbiye Yenimahalleli Yaşar . “‘Health Transformation Programme’ in Turkey: An Assessment.” International Journal of Health Planning and Management 26, no. 2 (2011): 110133.

Volkan Yılmaz . “Changing Origins of Inequalities in Access to Health Care Services in Turkey: From Occupational Status to Income.” New Perspectives on Turkey 48 (2013): 5577.

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New Perspectives on Turkey
  • ISSN: 0896-6346
  • EISSN: 1305-3299
  • URL: /core/journals/new-perspectives-on-turkey
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