The Health Cost of Autocratization
研究了民主倒退（独裁化）对公共健康的影响，发现垂直问责和水平问责的削弱会恶化健康结果，基于回归断点设计和面板数据提供跨国证据。
Are democratic crises also human crises? While the determinants of the erosion of democracy have been extensively scrutinised in the literature, their public policy consequences remain relatively unexplored. In a novel attempt to navigate this uncharted terrain, we analyse the effect of autocratization on health outcomes. We conceptualise autocratization as the relative decline of ‘vertical’ and ‘horizontal’ accountability. ‘Vertical accountability’ is threatened in the absence of regular free and fair elections as well as restricted political participation. A decline in vertical accountability lowers citizens’ capacity to ensure governmental responsiveness to public demands. ‘Horizontal accountability’ is reduced when the executive branch undermines the other branches of government. Limited electoral competition further strengthens the executive branch relative to other branches. We argue that such a movement away from democracy – autocratization – has a detrimental effect on public health outcomes. We present empirical evidence supporting this argument in within- and cross-country contexts using regression discontinuity designs as well as panel data analysis.