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    Contradictions and Constraints in Chile's Health Care and Education DecentralizationAuthor(s): Mary Rose Kubal

    Source: Latin American Politics and Society, Vol. 48, No. 4 (Winter, 2006), pp. 105-135Published by: Distributed by Wileyon behalf of the Center for Latin American Studies at theUniversity of MiamiStable URL: http://www.jstor.org/stable/4490494.

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    Contradictions

    nd Constraints

    n

    Chile'sHealth Care and

    Education

    Decentralization

    Mary

    Rose Kubal

    ABSTRACT

    Proponents

    of

    social

    service

    decentralization

    ften claim

    that trans-

    ferring

    ervice

    administrationo lower

    levels of

    government

    acili-

    tates increases

    citizen

    participation

    nd

    governmental

    ccountabil-

    ity

    while

    improving

    allocative

    efficiency

    and

    equity

    in service

    distribution.Usingthe cases of healthand educationdecentraliza-

    tion

    in

    Chile,

    this

    article

    evaluateswhether

    and under

    what condi-

    tions

    social

    service

    decentralization

    rograms

    are

    likely

    to deliver

    on

    these

    promises.

    It discusses

    the tensions

    between

    equity

    and

    efficiency

    goals

    and how

    these

    may

    play

    out

    given

    different

    accountability

    mechanisms n

    local

    public

    choice,

    principal-agent,

    and

    real-world

    hybrid

    ecentralization

    models. The

    case studies

    illustrate

    he

    difficulty

    of

    balancing

    he

    need for central

    standards

    and

    funding

    with

    local

    autonomy,

    but

    suggest

    that

    accountability

    mechanisms hat

    emerged ollowing

    Chile's

    ransition o

    democracy

    in

    1990

    ed to

    improvementsn bothequityandefficiency

    n

    decen-

    tralized ervice

    administration.

    As

    Latin

    American

    countries

    struggle

    to democratize

    their

    political

    institutions while

    pursuing

    market-oriented

    economic

    strategies,

    international financial

    institutions have

    encouraged

    decentralization

    as

    an

    administrative and

    political strategy

    for

    rationalizing

    the

    two

    processes.

    If

    properly

    designed,

    proponents

    posit,

    decentralization

    measures

    may

    facilitate

    increased citizen

    participation

    and

    governmen-

    tal accountability while improving allocative efficiency and equity in

    service

    distribution

    (Agrawal

    and

    Ribot

    1999, 473;

    IDB

    1994;

    Litvack

    et

    al.

    1998;

    Peterson

    1997).

    In

    addition,

    international

    lending

    institutions

    and

    government

    technocrats have

    promoted

    administrative

    and fiscal

    decentralization as a

    means

    of

    providing

    public

    services

    in

    order

    to

    relieve

    the

    growing

    financial burdens

    on

    central

    treasuries

    and

    to

    reduce

    high

    levels of

    public

    employment

    (Rondinelli

    1989,

    77;

    see

    also

    IDB

    1994).

    In

    theory,

    improved efficiency

    and

    central

    budget

    cuts make

    free

    market reforms economically sustainable; participation, accountability,

    and

    equity

    make

    market reform

    politically

    sustainable

    by creating

    stake-

    holders,

    as well as

    deepening

    democracy

    or,

    at

    the

    very

    least,

    moving

    a

    country

    toward

    good governance

    (Graham 1998).

    Using

    the cases

    of

    105

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    106

    LATIN

    AMERICAN

    OLITICS

    AND

    SOCIETY

    48: 4

    health

    and

    education

    decentralization

    n

    Chile,

    this

    article

    evaluates

    whether

    and under

    what

    conditionssocial

    service decentralization

    ro-

    grams

    are

    likely

    to

    deliver

    on

    these

    promises, particularly

    n

    terms

    of

    improvements

    n

    equity,

    efficiency,

    and

    government

    accountability.

    A

    number of

    scholars

    have

    attempted

    to outline

    the

    optimal

    arrangements

    or social

    service

    decentralization-especially

    in the area

    of

    fiscal

    federalismand local

    public

    choice

    (Bennett

    1990;

    IDB

    1994;

    Lit-

    vack et

    al.

    1998;

    Peterson

    1997;

    Rondinelli

    1989).

    These

    analyses

    focus

    on

    administrative

    nd fiscal

    decentralization

    nd

    normallyemphasize

    theoretical

    gains

    in

    efficiency.

    They

    often

    acknowledge,

    but fail

    to deal

    adequately

    with,

    the

    potential

    trade-off

    between

    efficiency

    and

    equity

    goals. Otherauthors have identifiedpoliticaland institutional actors

    that

    encourage

    or

    discourage

    decentralization

    Murillo

    1999;

    O'Neill

    2003;

    Williset al.

    1999)

    and influencethe

    design

    and

    implementation

    f

    decentralization

    policy

    (Eaton

    2001, 2004;

    Garman

    et

    al.

    2001).

    These

    studies

    focus

    on

    the

    political goals

    of decentralizers

    and

    help

    predict

    when and to what

    degree

    decentralization

    an be

    expected.

    They

    paint

    a more

    complex picture

    of the interactionbetween

    decentralization

    nd

    the

    political process

    in

    developing

    countries,

    but

    they

    often

    focus on

    decentralization

    utcomes in

    terms

    of

    the

    balance

    of

    power

    and

    respon-

    sibilitiesbetween levels of government,ratherthan policy outcomes,

    such as

    equity

    and

    efficiency.

    This

    leaves a numberof

    questions.

    What

    happens

    to

    accountability

    when

    central

    politicians

    and

    administrators

    maintain control

    over

    dimensions of

    decentralized

    ervices,

    such

    as

    funding,

    oversight,

    and

    evaluation,

    but local

    officials

    are

    subject

    to electoral

    and exit

    pressures?

    Is it

    possible

    to

    balance the need for

    central tandards

    nd

    funding

    with

    local

    autonomy

    and

    accountability?

    What

    are

    the

    implications

    or

    equity

    and

    efficiency

    n

    service

    delivery?

    Recently,a numberof quantitative,ross-nationaltudieshaveiden-

    tified

    factors

    exogenous

    to

    decentralization

    olicy,

    such as

    regime

    type,

    that

    help

    to

    explain

    equity

    outcomes

    in

    the social

    sectors. The

    findings

    suggest

    that

    political

    democratization,

    ven

    in the context

    of

    market

    reform,

    has

    a

    positive

    impact

    on

    aggregate

    levels

    of social

    spending

    (Brown

    and Hunter

    1999),

    or

    at least results

    in increased

    spending

    (Huber

    et al.

    2004;

    Kaufman

    nd

    Segura

    2001)

    and levels

    of

    service

    pro-

    vision

    (Brown

    1999;

    Lakeand Baum

    2001)

    in the

    health

    and education

    sectors. While

    these studies do

    not consider

    decentralization

    rrange-

    ments as explanatory rcontextualvariables, heyraisequestionsabout

    the

    significance

    of

    such

    arrangements.

    Primarily,

    ow

    do factors

    other

    than

    funding

    levels-such

    as

    the

    way

    financing

    is

    allocated and

    ... how

    delivery systems

    are

    organized

    (Kaufman

    and

    Segura

    2001,

    581)-shape policy

    outcomes?

    The

    case studies

    of Chilean health

    and

    education

    decentralization offer some tentative

    answers.

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    KUBAL:

    CHILE'SDECENTRALIZATION 107

    Given

    the limits

    of

    a

    one-country

    study,

    this articledoes not

    set out

    to

    present

    and test a

    comprehensive

    xplanation

    or

    decentralized

    ocial

    sector

    outcomes.

    Instead,

    t

    explores

    the

    implications

    or

    equity

    and

    effi-

    ciency

    outcomes that often are not addressedin the literatureon the

    politics

    of

    decentralization.

    n

    doing

    so,

    it

    contributes

    o

    the

    literature

    on

    social

    service

    decentralizationand fiscal

    federalism

    by examining

    two

    cases of

    hybrid

    ecentralization,

    omparing

    ideal

    ype

    models

    with

    real-world

    policies

    and

    exploring mplications

    or

    efficiency-equity

    trade-offs

    and

    accountability

    mechanisms.

    Furthermore,

    t

    helps

    to

    answer

    questions

    raised

    by

    cross-national,

    uantitative

    tudies

    by

    iden-

    tifying

    accountability

    mechanismsthat

    affected

    the distribution

    of

    the

    additional unds allocated to the health and education sectorsin Chile

    following

    the

    democratic

    ransition.

    Decentralizationn

    Chile

    was

    initiated

    n

    1980

    under

    military

    ule,

    and it

    continuedafter he

    transition o

    democracy

    n

    1990.

    The variation

    in

    regime

    type

    allows

    for an

    exploration

    of

    conditions associated

    with

    democratization,

    mainly

    increased electoral

    accountability,

    that

    are

    hypothesized

    to

    affect social

    policy

    outcomes.

    In

    other

    Latin

    American

    countries,

    ocial

    servicedecentralization

    ften

    coincided

    with democratic

    transitions,

    or,

    as in

    Colombia and

    Venezuela,

    there

    was

    no

    regime

    change. Health and educationdecentralizationn Chilebegan almosta

    decade

    before

    similar reforms

    n

    the

    region,

    and

    the Chilean

    reforms

    have

    been

    held

    up

    as

    a

    model

    (Delannoy

    2000;

    DB

    1994;

    Wiesner

    2003).

    The

    first

    consideration

    s

    the

    tensions between

    equity

    and

    efficiency

    goals

    and

    how

    they may play

    out,

    given

    different

    accountability

    mecha-

    nisms in

    local

    public

    choice,

    principal-agent,

    nd

    hybrid

    ecentraliza-

    tion

    models. This

    discussion

    takes into account

    contextual

    variables,

    such as

    regime

    type

    and

    government

    deology,

    which are

    likely

    to

    shape

    the

    functioning

    of

    decentralized

    ervicesand

    thus,

    policy

    outcomes.

    This

    frameworks appliedto health and educationdecentralizationn Chile

    with

    a focus

    on how

    the initial

    arrangements

    hatwere established

    under

    the

    Pinochet

    dictatorship

    were

    (and

    were

    not)

    altered

    ollowing

    the tran-

    sition to

    democracy

    and

    how

    this

    shaped

    policy

    outcomes.

    Changing

    lines of

    accountability

    n the

    decentralized

    ectors,

    along

    with

    increased

    funding

    due

    to

    factors

    exogenous

    to the decentralization

    rocess,

    helped

    improve

    service

    equity

    and

    quality,

    and in some

    instances,

    efficiency.

    THREEDECENTRALIZATIONODELS

    Before

    turning

    to

    the Chilean

    cases,

    it is useful

    to

    establish

    how differ-

    ent models

    of

    social service

    decentralization

    might

    be

    expected

    to

    improve

    the

    efficiency

    and

    equity

    of

    service

    delivery

    along

    with increas-

    ing

    government

    accountability.

    These

    particular

    social

    policy

    outcomes

    are

    highlighted

    for three related

    reasons.

    Proponents

    of social

    service

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    108 LATIN

    AMERICAN OLITICSAND

    SOCIETY

    48:

    4

    decentralization ften

    focus their

    claims

    on

    these

    areas

    (as

    do theircrit-

    ics).

    These

    outcomes affect

    people's

    everyday

    lives

    in terms of

    being

    able to

    access crucial

    services such

    as

    health

    care and education

    and

    having

    avoice in matters hat

    directly

    affecttheir

    quality

    of life. At

    times,

    the

    mechanisms

    chosen to

    achieve these

    goals may

    create

    contradic-

    tions within

    the

    decentralization

    rocess

    and constrain

    he

    achievement

    of the

    desired outcomes.

    Decentralization

    efers to a

    variety

    of

    administrative, iscal,

    and

    political

    changes

    that involve

    the transfer

    of some combination

    of

    resources,

    responsibilities,

    r

    decisionmaking

    uthority

    rom

    the

    central

    government

    o

    lower-level

    units,

    be

    they

    subnational

    overnments,

    units

    of the centralgovernment,orstate-ownedenterprises.Thismayinvolve

    deconcentration

    f

    functions o

    subnational

    units of the

    centralbureau-

    cracy,

    delegation

    of

    responsibility

    to lower-level

    actors

    upwardly

    accountable

    to the central

    government,

    or devolution

    of decisionmak-

    ing,

    financial,

    and

    managementauthority

    o

    lower levels

    of

    government

    (which

    may

    or

    may

    not

    be

    downwardly

    ccountable

    o local

    residents)

    (Agrawal

    and

    Ribot

    1999, 475;

    Rondinelli

    1989,

    85).1

    Decentralization an

    furtherbe

    categorized

    n terms

    of the substan-

    tive area

    being

    reformed.

    For

    example,

    Willis

    et al.

    (1999,

    8)

    define

    political decentralizationas the establishment r reestablishmentof

    elected autonomous

    subnational

    governmentscapable

    of

    making

    bind-

    ing

    decisions at least in

    some

    policy

    areas.

    They

    differentiate

    his from

    what

    they

    term

    functional

    ecentralization

    r the transfer

    f

    policy

    responsibilities

    nd

    expenditure

    and

    revenue-raising

    owers

    Willis

    et

    al.

    1999,

    8).

    Social

    service

    decentralization

    necessarily

    involves

    func-

    tional

    decentralization

    ut,

    as

    in

    the

    Chilean

    cases,

    may

    be achieved

    in

    the

    absence of

    political

    decentralization

    hrough

    the

    delegation

    of

    responsibilities

    o

    upwardly

    accountable ocal

    administrative

    nits.

    The two most common decentralizationmodels advocatedby the

    internationalinancial

    nstitutions,

    ocal

    public

    choice

    (LPC)

    and

    princi-

    pal-agent

    (P-A),

    roughly

    correspond

    to devolution

    and

    delegation,

    respectively.

    In the LPC

    model,

    services are

    locally

    funded

    and

    locally

    provided. Accountability

    s

    ensured

    by

    consumer

    choice:

    citizen-con-

    sumers

    vote with their feet

    by

    moving

    to localities

    that

    offer their

    pre-

    ferred tax

    service

    package

    (Tiebout 1956).2

    The threats

    of

    exit

    resi-

    dents

    moving

    out

    of

    the

    locality)

    and voter

    backlash

    orce

    local officials

    to

    formulate

    policies

    that

    respond

    to

    constituent-consumer

    emands.

    Individualsrecognize that they getwhat they pay for (and pay for

    what

    they

    get),

    thus

    preventingoverconsumption

    nd

    encouraging

    effi-

    cient resource allocation.

    According

    to this

    logic,

    continued central con-

    trol over

    resources undermines

    efficiency

    because fiscal

    correspon-

    dence,

    the

    connection between service

    provision

    and the

    origin

    of

    the

    funds

    to

    pay

    for those

    services,

    is broken.

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    KUBAL:CHILE'SDECENTRALIZATION

    109

    The

    public

    choice

    model,

    with

    its focus

    on

    allocative

    efficiency,

    assumes

    that service

    demand

    across

    local

    jurisdictions

    aries

    mainlyby

    tastesor

    preferences

    rather

    than income

    (Prud'homme

    1995,

    208).

    Achieving

    allocative

    efficiency,

    however,

    is not a

    primary

    concern,

    at

    least for

    the

    majority

    without

    the resources o

    exit,

    n

    countrieswhere

    the tax

    base

    in

    many

    localities is

    not sufficient

    to

    cover even minimal

    service

    provision.

    Without

    centralredistributive

    mechanisms,

    nequality

    between

    jurisdictions

    ncreases

    due

    to

    the variation

    n local tax and

    serv-

    ice levels

    that

    theoretically

    acilitates

    efficiency

    (Wolman

    1990,

    36).

    A

    trade-off

    emerges:

    central

    ntervention o

    improve

    equity upsets public

    choice

    incentives,

    and

    efficiency

    s

    sacrificed

    L6pezMurphy

    t al.

    1995,

    14). Some analysts posit thatorganizedparticipation f poor residents

    at

    the local

    level and the

    targeting

    of limited

    resources

    toward

    those

    individuals

    and

    communities

    most

    in

    need can

    increase

    equity

    in decen-

    tralized

    service

    delivery

    without

    sacrificing

    efficiency

    (Graham

    1998;

    IDB

    1994,

    194-95;

    Litvack t

    al.

    1998,

    8).

    In

    addition

    o

    equity

    concerns,

    centralofficials

    may

    limit ocal fiscal

    autonomy

    because

    they

    believe that macroeconomic

    stabilization

    requires

    central

    control over

    tax and

    spending

    levels.

    They

    cite

    exam-

    ples

    such

    as

    the

    contribution

    of the

    provincial

    debt to the 2002

    Argen-

    tine fiscal meltdown. Accordingto analysts from the Inter-American

    Development

    Bank and

    the

    World

    Bank,

    national

    governments

    can use

    a

    principal-agent

    model

    of

    decentralizationo create

    ncentive

    structures

    that

    encourage

    efficient

    resourceadministration

    t the

    local

    level while

    maintaining

    entralcontrol

    over resourceallocation

    and

    technical

    over-

    sight

    (IDB

    1994;

    Litvack t al.

    1998).

    Rather han

    being

    held accountable

    by

    local

    residents,

    local

    officials are

    upwardly

    accountable

    to central

    authorities.

    Thus,

    citizen

    participation

    that

    is,

    demand for increased

    service

    levels)

    threatensthe

    efficient

    operation

    of a P-A model

    when

    localauthoritiesare accountable o the principal centralgovernment]

    and not to

    the local

    taxpayer

    or voter

    IDB

    1994,

    181).

    The risk is that

    such

    arrangements

    will

    decrease incentives for

    efficient

    local adminis-

    tration

    by

    allowing

    local

    officialsto blame the center

    for

    poor

    services

    and

    use

    political

    pressure

    to extract additional

    resources.

    Upward

    accountability

    lso

    decreases the effectiveness

    of

    poor

    residents'

    organ-

    ized

    participation

    t the local

    level-one

    of

    the

    proposed

    mechanisms

    for

    overcoming

    he

    equity-efficiency

    rade-off.

    In

    Latin

    America,

    hybrid

    ecentralization

    rrangements ombining

    elements of both LPCand P-Amodels are common. Nationalgovern-

    ments

    maintain

    a

    role

    in

    various dimensions

    of

    decentralized

    ervice

    provision,

    including

    funding,

    policymaking,

    oversight,

    and

    program

    evaluation,

    while

    local residents are

    encouraged

    to

    hold local officials

    accountable

    through

    their

    choice of

    local

    services

    and their choices at

    the ballot

    box. The

    literature on the

    politics

    of decentralization

    policy,

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    110

    LATIN

    AMERICAN OLITICS

    AND SOCIETY

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    4

    with its

    focus

    on

    the

    dynamics

    of center-subnational

    ower

    relations,

    suggests

    several reasons

    for

    the

    emergence

    of such

    hybrid

    arrange-

    ments.

    Recent

    research

    has

    emphasized

    the incentives

    created

    by

    lines

    of

    accountability

    within

    politicalparties

    Garman

    t al.

    2001;

    Williset al.

    1999).

    In

    countries

    where

    national-level

    politicians

    control

    nominations

    and make

    party policy,

    such

    as

    Mexico,

    it is

    unlikely

    that

    power

    and

    resourceswill be

    handed down to

    the state

    or

    local

    level

    with no

    strings

    attached.

    In

    countries

    where subnational

    politicians

    have a voice

    in

    party

    decisions,

    such as

    Brazil,

    a

    higher degree

    of

    devolution

    can

    be

    expected.

    Additionally,parties

    that

    expect

    to lose control

    over national

    political

    institutions

    but maintain

    support

    at the subnational

    evel

    (see

    O'Neill2003)and individualnational-levelpoliticianswho expect to run

    for

    subnational

    office

    in the

    future

    (Samuels

    2000)

    may

    reasonably

    be

    expected

    to

    devolve

    significant

    autonomy

    and resources.

    As

    long

    as these

    politicians

    or

    partiesexpect

    to hold on to

    national-

    level

    positions,

    central

    officials

    will

    generally

    oppose,

    or exhibit

    an

    ambivalent

    ttitude

    oward,

    he decentralization

    f

    political

    power

    and

    resources

    o lower levels of

    government

    Eaton

    2001;

    Williset al.

    1999).

    National

    executives

    and

    legislators

    are

    therefore

    likely

    to formulate

    hybrid

    decentralization

    rrangements

    which

    correspond

    neither o

    pure

    LPCnor to P-Aforms).Sucharrangements llow themto take credit or

    improvements

    n

    efficiency

    and

    governance

    while

    maintaining

    s much

    controlover

    resourcesas

    possible

    and

    avoiding

    responsibility

    or

    prob-

    lems

    relatedto

    poor

    service

    delivery.

    This

    clearly

    poses

    a

    challenge

    to

    efficient

    service

    administration,

    as lines

    of

    accountability

    become

    blurredand

    important

    lements of service

    delivery

    may

    be

    neglected

    or

    duplicatedby

    central

    and

    subnational

    bureaucrats

    as

    Eaton2001 docu-

    ments in the

    case

    of

    the

    Philippines).

    The

    tendency

    to

    establish

    hybrid

    forms

    of social

    service decentral-

    ization s reinforcedby the demandsof publicsectorunions,whichgen-

    erally oppose

    decentralization.Union

    leaders

    can

    be

    expected

    to

    push

    for

    decentralization

    rrangements

    hat

    guarantee

    heir

    right

    to

    negotiate

    salary

    evels and

    working

    conditions

    with

    central

    officials,

    thus

    limiting

    local

    control

    over

    decentralized

    ersonnel.

    Centralized

    unions

    with

    large

    memberships,

    eachers'unions in

    Chile

    and

    Mexico,

    for

    example,

    are

    likely

    to

    negotiate

    such

    arrangements.

    Weak

    or

    fragmented

    unions

    and those

    that do not

    have the

    political support

    of

    central

    politicians,

    such

    as

    teachers'

    unions

    in

    Nicaragua

    and

    Argentina,

    are less

    likely

    to

    influencedecentralizationutcomes(Gershberg 999;Murillo1999).Yet

    even

    where

    teachers'

    unions

    fail

    to

    maintain centralized

    bargaining

    arrangements,

    it is common

    for national education

    ministries to

    main-

    tain

    or even

    increase

    involvement

    in

    education

    policy

    development

    and

    oversight

    following

    the

    decentralization of school

    administration

    (Gersh-

    berg

    1999;

    Gorostiaga

    2001,

    562).

    This is

    largely

    because,

    like central

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    KUBAL:CHILE'SDECENTRALIZATION

    111

    politicians

    and

    public

    sector

    unions,

    centralbureaucrats

    ave a stake

    in

    decentralization

    rrangements.

    In

    addition

    to

    partisanmaneuvering,

    the

    struggle

    to maintain

    or

    expand

    bureaucratic

    prerogatives

    affects lines

    of

    accountability

    n the

    decentralized

    sectors. Central

    ministries

    commonly

    have

    conflicting

    objectives;

    for

    example,

    health and

    education

    ministry

    officials

    con-

    cerned

    with

    improving

    ervice

    quality

    and

    preserving

    heir own

    bureau-

    cratic

    prerogatives

    will

    conflict

    with finance

    ministry

    officials

    preoccu-

    pied

    with

    macroeconomic

    tability

    and

    limitingspending.

    Beneath this

    layer

    of

    conflict,

    subnational

    governments

    are

    likely

    to

    have

    difficulty

    asserting

    control

    over

    decentralizedhealth clinics and

    schools,

    espe-

    cially fhealthandeducationministry fficialsmaintain noversightrole

    (which

    is

    usually

    the

    case).

    Service

    providers

    face

    one

    more

    layer

    of

    bureaucracy

    and

    may

    feel that

    municipal

    or

    regional

    officials

    are less

    familiar

    with their

    problems

    than

    central

    ministry

    functionaries.

    Still,

    local

    health

    providers

    and teachers

    may align

    themselves

    with

    local

    offi-

    cials

    to

    demand

    more

    resources romthe central

    government.

    This

    type

    of

    politickingupsets

    efficiency

    outcomes

    in

    both the local

    public

    choice

    and

    principal-agent

    ecentralizationmodels. In

    the

    former,

    entral

    rans-

    fers

    would

    threatento

    underminefiscal

    correspondence;

    n the

    latter,

    efficiencytargetsestablishedby centralplannersneed to be protected

    from

    demands of

    their

    subnational

    agents.

    Yet

    if

    subnational

    actorsdemand

    transparency

    nd

    equity

    from

    cen-

    tral

    politicians

    and

    bureaucrats

    instead

    of,

    or in addition

    o,

    pork

    barrel

    transfers),

    hey

    may

    introduce

    an

    additional ource of

    vertical

    ccount-

    ability,

    nverting

    he

    upward

    accountability mphasized

    n

    the

    P-Amodel

    and

    distinct rom

    the

    downward

    accountability

    ey

    to the

    functioning

    of

    the

    LPC

    model. This

    vertical

    accountability

    s similar o

    the

    horizontal

    accountability

    described

    by

    O'Donnell

    (1996,

    44)

    as

    the

    controls

    that

    stateagenciesaresupposedto exercise over other stateagencies, but it

    involves

    subnational

    actors'

    calling

    centralactors

    to

    account,

    and these

    subnational

    actors

    may

    or

    may

    not

    have

    legal authority

    o

    sanction

    their

    central

    counterparts.

    Local officials

    may

    work within

    their

    parties

    or

    through

    nonpartisan

    municipal

    and

    regionalgovernment

    associations

    o

    hold

    central

    officials

    accountable or theirside of

    the

    bargain.

    Of

    course,

    central

    officials

    interested

    in

    claiming

    credit for

    improvements

    n

    the

    functioning

    of

    decentralized

    services also have incentives

    to

    follow

    through

    and hold

    subnationalofficials accountable

    or efficient service

    administration.Both central and subnational officials have a greater

    incentive

    to

    guarantee

    mprovements

    n

    quality

    and

    equity

    of

    decentral-

    ized

    services

    when

    they

    are

    subject

    to electoral

    pressures.

    Thus

    the

    larger political

    context,

    particularly

    regime type

    and

    gov-

    ernment

    ideology,

    will

    affect both lines of

    accountability

    in

    and levels

    of

    funding

    to

    decentralized service sectors. The

    findings

    of the

    quantitative,

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    112

    LATINAMERICAN OLITICS

    AND

    SOCIETY

    48:

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    cross-national tudies cited

    above

    suggest

    that

    regardless

    of administra-

    tive

    arrangements,

    emocratic

    egimes

    are

    likely

    to

    allocate

    more

    funds

    to health

    and

    education

    than their

    authoritarian

    ounterparts.

    Lake

    and

    Baum

    (2001)

    argue

    that

    democracy

    contributes

    o increasedlevels of

    health and

    education

    provision

    because

    political competition

    and

    the

    low

    cost

    of

    participation

    imit

    politicians'

    ability

    to seek rents

    at the

    expense

    of

    public

    service

    delivery.

    Brown

    1999)

    posits

    that

    elected

    offi-

    cials

    perceive increasing

    primary

    chool

    enrollment

    as

    an

    effective

    way

    to

    expand

    heirelectoral

    base,

    hus

    explaining

    his

    finding

    that

    among

    low-income

    countries,

    enrollment s

    significantly

    igher

    n democracies.

    Kaufman nd

    Segura

    2001,

    583)

    speculate

    that

    electoral

    considerations

    mayexplain why democraticpoliticians n LatinAmerica eem less will-

    ing

    than their

    authoritarian

    ounterparts

    o cut

    health

    and education

    spending. Puttinggreater

    emphasis

    on

    government

    deology,

    Huber et

    al.

    (2004,

    6)

    find that

    democracy

    correlates

    with

    increased

    health

    and

    education

    spending

    levels in

    LatinAmerica

    because

    it

    allows for

    the

    emergence

    and consolidationof

    political

    parties

    representing

    he

    inter-

    ests of

    the

    underprivileged.

    Their

    analysis

    shows

    that

    spending

    increases

    with

    left and

    center-left

    majorities

    n the

    legislature.

    Whether

    or not

    greater

    national

    government

    nvestment

    n health

    and education will improveequity outcomes in decentralizedservice

    sectors

    depends

    partly

    on

    accountability

    mechanisms

    n these sectors.

    The

    following

    case

    studies

    suggest

    that

    where central

    officials

    maintain

    control over

    resource

    allocation,

    he

    emergence

    of vertical

    accountabil-

    ity

    mechanisms

    n

    the context of democratization

    an create

    incentives

    for

    equitable

    distribution.

    Still,

    even the most

    skillful

    democratic

    politi-

    cians

    and administrators

    ave to

    weigh

    efficiency

    and

    equity

    outcomes

    as

    they design

    and

    modify

    decentralization

    rrangements.

    n

    Chile,

    the

    transition o

    democracy

    did

    not resolve

    the internal

    contradictions

    of

    decentralization rograms,but insteadchangedthe politicalcontext in

    which

    these were

    played

    out

    at

    the national and

    local levels

    and

    in

    administrative

    nd

    political

    arenas.

    HEALTH

    AND

    EDUCATION

    DECENTRALIZATIONN

    CHILE

    Social service

    decentralization in Chile

    was initiated

    in

    1980,

    under

    authoritarianule,with the transferof the firstpublicschools to munic-

    ipal

    administration;

    he

    first

    primary

    health

    care clinics

    were

    transferred

    in

    1981.

    Although

    he

    rhetoric

    urrounding

    ealth

    and education

    decen-

    tralization

    emphasized

    choice and market

    mechanisms,

    the

    military

    model more

    closely

    followed

    principal-agent

    lines,

    with administrative

    responsibilities

    deconcentrated to

    centrally

    controlled

    municipalities,

    continued central

    oversight,

    and

    extremely

    limited fiscal

    autonomy.

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    KUBAL:

    HILE'S

    ECENTRALIZATION

    113

    Additionally,

    consistent with

    the

    findings

    of the

    quantitative

    studies

    noted

    earlier,

    unding

    for

    health and education

    was cut

    by

    the

    right-

    wing

    military egime,

    which

    pursued

    a marketreform

    agenda,

    thus

    hurt-

    ing

    equity.

    In

    the

    1990s

    and

    2000s,

    elected

    center-left

    governments

    ncreased

    health and

    education

    funding

    and

    emphasized equity

    and citizen

    par-

    ticipation

    n service

    delivery.

    Despite

    improvements

    under

    democracy,

    some

    of

    the

    old

    contradictions

    proved

    difficult

    to

    resolve.

    Tensions

    between

    municipal

    and

    centraladministrators

    nd

    politicians

    ncreased,

    and to

    some

    extent,

    lines

    of

    accountability

    became

    blurred,

    but the

    return o

    municipal

    autonomy

    and elections

    generated

    new accounta-

    bilitymechanisms hatimprovedboth equityand efficiency.

    DECENTRALIZATION

    NDER

    MILITARY uLE:

    MUNICIPALIZATION

    ND

    ITS CONTRADICTIONS

    In its

    rhetoric,

    the

    military dictatorship

    headed

    by

    General

    Augusto

    Pinochet

    (1973-89)

    was

    committed

    to

    implementing

    a

    decentralization

    program

    based

    on

    public

    choice

    assumptions.

    Pinochet

    cast his

    lot with

    a

    group

    of

    neoliberal

    technocrats

    known as

    the

    Chicago Boys.

    While the

    Brazilian

    military

    regime

    was

    investing

    in

    huge,

    state-led

    development

    projects,

    in

    Chile there

    was

    massive

    privatization

    of

    state-owned

    enter-

    prises

    as reformers

    attempted

    to decrease the

    level of state

    intervention

    in

    the

    economy.3

    The

    decentralization of

    social service

    administration

    facilitated

    this

    state-shrinking

    genda

    by reducing

    central

    funding

    for health

    care and

    education and

    setting

    the

    stage

    for

    eventual

    privatization.

    Fiscal

    devo-

    lution was never

    considered,

    however,

    and the

    Chicago

    Boys

    main-

    tained

    central

    authority

    over

    tax

    policy

    and

    severely

    constrained

    local

    autonomy

    in

    spending

    decisions. With

    municipal

    officials

    accountable

    to

    the

    military

    government

    rather than

    to local

    populations,

    and demo-

    cratic

    political participation

    proscribed,

    there

    was

    little

    hope

    for the

    proper functioning

    of a

    local

    public

    choice

    model.

    In

    reality,

    the decen-

    tralization mechanisms

    implemented

    more

    closely

    resembled

    a

    P-A

    model,

    with

    continued

    government

    involvement

    in

    program

    funding

    and

    oversight,

    although

    with

    an element

    of consumer

    choice,

    particu-

    larly

    in

    education.

    Decentralization rrangementslearlyreflected he military overn-

    ment's

    priority

    of

    decreasing

    (or

    eliminating

    through

    privatization)

    spending

    on social

    services. The

    1979

    New

    Municipal

    Revenue

    Law

    ini-

    tiated health care and

    education decentralization

    in

    Chile.

    It created

    a

    Common

    Municipal

    Fund

    (Fondo

    Comtin

    Municipal,

    FCM)

    to assist

    the

    municipalities

    in

    creating, maintaining,

    and

    providing

    services

    to local

    communities.4

    The authors of this

    legislation

    intended

    the increase

    in

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    114

    LATIN

    AMERICAN OLITICSAND SOCIETY 48:

    4

    municipal

    revenue to be

    spent

    on

    newly

    transferred

    services,

    such as

    health care

    and education. The

    enabling

    legislation

    for the

    municipal

    revenue law

    specified

    that the

    amount of

    central funds

    accompanying

    the

    transferred services

    could

    not

    exceed

    the amount

    spent during

    the

    year

    prior

    to the transfer.

    Any growth

    in

    spending

    would

    have to

    come

    from the

    municipalities.

    The

    transfer

    of

    administrative

    responsibilities

    to the

    municipalities

    was seen as an intermediate

    step

    toward

    privatization.

    As

    the

    architect

    of health care

    decentralization

    put

    it,

    To the extent that

    it

    was

    possible

    to

    decentralize health care

    administration,

    it was easier to make it com-

    petitive

    with the

    private

    sector and this would facilitate

    a

    gradual

    trans-

    fer of state actions to private actions in the future (Hernfin Bichi,

    quoted by

    Duarte

    1993,

    298).

    Education decentralization

    actually

    involved an

    element of

    privatization.

    Parents

    were

    given

    the

    option

    of

    sending

    their children to either

    municipal

    or state-subsidized

    private

    schools.

    (Each

    school received the

    same

    central

    subsidy

    per

    student

    enrolled).

    More than a thousand new

    subsidized

    private

    schools

    were

    established in

    the first five

    years

    after the

    reform,

    with

    2,643

    operating

    in

    1985,

    compared

    to

    1,627

    in

    1980

    (Montt

    and Serra

    1994,

    13).5

    Policy-

    makers

    hoped

    that

    those

    schools and clinics that could not be

    privatized

    would operate more efficiently as a result of new incentives for com-

    petition

    (subsidies

    were allocated on the

    basis

    of students enrolled

    and

    number of

    medical services

    provided).

    Funding

    for the

    transferred schools and clinics came

    from two

    main

    sources: a

    subsidy

    from

    the central

    government

    to

    cover

    operating

    costs

    (violating

    the LPC

    assumption

    of fiscal

    correspondence)

    and

    municipal

    investment

    in

    infrastructure. In

    reality,

    the

    municipal

    contribution

    went

    to cover the

    operational

    deficit left

    by

    insufficient

    central

    governmental

    funding

    (Carciofi

    et

    al.

    1996, 98, 107;

    Friedmann

    1995,

    78).6

    Local

    sources of revenue, mainly driver permit and commercial license fees,

    were

    minimal,

    and

    significant

    only

    in

    wealthy

    urban areas with

    sub-

    stantial

    commerce;

    redistribution

    through

    the

    new

    FCM,

    although

    rep-

    resenting

    a

    step

    toward more

    equitable

    funding,

    did not

    provide

    enough

    resources

    to

    ensure local fiscal

    autonomy.

    Meanwhile,

    the value

    of cen-

    tral transfers to

    municipalized

    clinics decreased

    by

    more than

    30

    percent

    between

    1982

    and

    1986

    (Carciofi

    et al.

    1996,

    127).

    The trend for educa-

    tion was

    similar.

    During

    the

    1982-83

    recession,

    the

    government

    dein-

    dexed the

    subsidy

    levels

    from the inflation

    rate,

    causing

    a decline in the

    real value of transfers for primaryeducation of 26 percent and a 30 per-

    cent decrease for

    secondary

    education

    from

    1981 to

    1985 (Carciofi

    et al.

    1996,

    98).

    The actual

    transfer

    of

    schools

    and clinics occurred

    by way

    of a

    con-

    tract

    (convenio)

    signed

    by

    the

    mayor

    (at

    that

    time

    appointed

    by

    General

    Pinochet)

    and

    the relevant

    central

    government ministry

    or

    public

    entity.

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    KUBAL:

    CHILE'SDECENTRALIZATION

    115

    The

    ministriescontinued

    to

    transmit

    policy

    goals

    and

    programs

    o the

    local

    level and to

    supervise

    program

    implementation.

    Mayors

    were

    responsible

    or

    overseeing

    day-to-dayoperations,

    ncludingbudget

    allo-

    cationsand

    personnel

    decisions.

    Essentially,

    municipal

    officialsreceived

    central

    mandates

    concerning

    the

    programs

    o be

    implemented

    in

    the

    schools and

    clinics,

    and were

    responsible

    or

    hiring

    and

    overseeing

    edu-

    cation and health

    personnel

    to

    carry

    out

    those

    mandates,

    all

    on

    a

    budget

    determined

    by

    the

    value of

    central

    government

    ransfers.

    Mayors

    ould,

    in

    theory,

    raise doctors'

    and

    teachers'

    salaries

    to

    compete

    with

    other

    municipalities

    and

    private

    providers.

    In

    reality,

    to do

    this,

    they

    would

    have to

    contributescarce

    municipallygenerated

    fees.

    As a

    municipal

    functionaryobserved in the mid-1980s, thegovernmentalministries

    (health,

    education)

    transfer

    esources to

    the local

    level,

    oversee

    these

    resourcesand enforce

    the

    completion

    of technical

    norms.There is

    a lot

    of

    rigidity

    ....

    This

    discourages

    ocal

    initiative

    quoted

    by Raczynski

    and Serrano

    1987,

    141).

    Thus

    potential

    efficiency

    gains

    from

    ocal

    choice

    were undercut

    by

    continued

    central

    mandates.

    Because local

    financing

    was

    necessary

    to

    make

    up

    the deficit

    in

    central

    transfers,

    municipalization

    ed to

    increased

    disparities

    n health

    and education

    spending. Despite

    the

    redistribution

    f income

    through

    the FCM,poor municipalitieswere unable to contributethe same

    amount of resources

    in

    absolute terms

    (not

    as a

    percentage

    of their

    budget)

    to

    fund schools and

    clinics.

    Additionally,

    lack

    of

    transparency

    in

    settingsubsidy

    levels resulted n

    funding

    some

    municipalities, ener-

    ally

    wealthier ocalitieswhere

    supporters

    of the

    military

    egime

    ived,

    at

    higher

    ratesthan

    other,

    often

    poorer

    areas

    (Duarte

    1995,

    307-12).7

    Official

    figures

    on

    municipal

    spending

    were

    not

    kept

    during

    the

    militaryregime.

    A

    survey

    conducted

    in

    Santiago

    in

    1982,

    however,

    revealed

    great disparities

    n

    education

    spending

    between

    wealthy

    and

    poormunicipalities.Thedifferencewas apparent nteachersalary evels

    and

    expendituresper

    student.

    One

    wealthy

    municipality,

    Providencia,

    spent

    1,657

    pesos monthlyper

    student,

    while

    Renca,

    a

    poor

    municipal-

    ity,

    spent

    813

    (Parry

    1997,

    115).

    In

    1990,

    the

    first

    year

    for which

    official

    figures

    are

    available,

    the 10

    percent

    of

    municipalities

    with the

    lowest

    revenue

    per capita spent

    an

    average

    of

    2,660

    pesos

    per

    student,

    while

    the 10

    percent

    with the

    highest

    revenue

    per

    capita

    spent

    42,080

    (Parry

    1997,

    116).

    In

    the same

    year,

    the 20

    percent

    of

    municipalities

    with the

    least

    revenue

    per capita

    spent

    an

    average

    of

    87

    pesos

    per

    month

    on

    health clinicusers,and those municipalitiesn the top quintilespent489

    pesos

    (for

    both

    groups

    this

    represented

    4.2

    percent

    of

    municipal pend-

    ing)

    (Duarte

    1995,

    312).

    Despite adding

    an

    element of local

    choice,

    funding

    mechanisms

    created

    perverse

    incentives

    that hurt

    efficiency.

    The

    funding

    mechanism

    for

    health

    clinics,

    which

    were reimbursed

    for

    each service

    provided,

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    116 LATIN

    AMERICAN

    OLITICS

    AND SOCIETY

    48:

    4

    resulted

    n

    serious

    productive

    and

    potentially

    allocative)

    nefficiency.

    t

    encouraged

    the

    clinics to

    provide

    unnecessary,expensive

    services and

    discouragedlow-priced,

    often

    preventive

    measures,

    such as

    inocula-

    tions. Thisdecreasedthe

    quality

    of care for

    patients,

    who were rushed

    through

    appointments

    and often submitted

    o

    unnecessaryprocedures.

    The

    quasi-voucher

    unding

    system

    for education

    presented

    efficiency

    problems

    because

    parents

    lacked sufficient information

    about

    their

    choices

    (such

    as

    school

    test

    scores),

    and the

    private

    subsidized

    schools

    could

    deny

    students

    entry,

    leaving

    difficult

    students

    to the

    municipal

    schools.

    Competition

    did

    not

    necessarily

    ncrease

    the

    quality

    of educa-

    tion,

    because

    private

    schools focused

    on

    status

    lements

    like

    fancy

    names(preferablyn English)anduniforms.Bothprivateandmunicipal

    schools

    resorted

    o

    practices

    uch as

    grade

    inflation o

    maintain tudent

    enrollment

    Carciofi

    t al.

    1996;

    Gauri

    1998).

    The

    quality

    of

    services also

    declined

    as

    poor

    working

    conditions

    and

    low

    salaries resulted in

    a

    shortage

    of

    physicians,

    and teachers

    worked

    double

    shifts

    with

    virtually

    no

    preparation

    ime

    (Collins

    and

    Lear

    1995).

    Once

    a

    municipality

    assumed

    control of

    a

    school or

    clinic,

    staff

    members

    signed

    new

    employment

    contracts

    with

    the

    municipality

    under

    the

    terms of the

    private

    sector labor

    code

    (Cddigo

    de

    Trabajo).

    These workers ost theirstatus as centralgovernmentemployees, elim-

    inating

    their

    job

    security,

    opportunities

    for career

    advancement,

    and

    other

    benefits,

    such

    as

    administrative nd

    maternity

    eave

    (Carciofi

    t

    al.

    1996,

    96;

    Frank

    2002,

    40;

    Heyermann

    1994,

    52).

    Primary

    health

    care

    workers,

    in

    addition,

    were

    cut off from the

    rest of

    the

    public

    health

    sector

    (hospitals

    and

    specialized

    clinics),

    further

    hurting

    heir chances

    for

    career

    advancement.

    Primary

    are

    physicians

    could

    no

    longer

    hope

    for

    more

    prestigious

    appointments

    o

    hospitals,making

    jobs

    in munici-

    pal

    clinics

    much less

    attractive.

    By requiring

    health care

    and education

    workers o negotiatewithmorethanthreehundredmunicipalitiesather

    than

    collectively

    with

    the

    relevant

    central

    ministry,

    he

    military

    egime

    achieved its

    not-so-publicized

    oal

    of

    decreasing

    he influence

    of

    public

    sector

    unions,

    in addition

    to

    reducing

    social

    spending.

    The failuresof

    health

    care and education

    decentralization

    uring

    ts

    first

    decade-administrative

    rigidity,

    nequity,

    ack

    of

    transparency,

    nd

    poor

    design

    of

    funding

    mechanisms-have

    been attributed

    o the

    con-

    straints reated

    by

    authoritarian

    olitical

    nstitutions,

    articularly

    he

    lack

    of

    citizen

    participation

    Carciofi

    et

    al.

    1996;

    Heyermann

    1994;

    Marcel

    1994). It is interesting hat while electoralpressuresdid increase the

    accountability

    f both

    local

    and

    national

    politicians,

    community

    partici-

    pation

    in the

    decentralized services did not

    emerge

    in an

    organized

    and

    sustained fashion at the

    local level after the

    transition.

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    KUBAL:

    CHILE'SDECENTRALIZATION 117

    DECENTRALIZATION

    NDER DEMOCRACY:

    RESOLVING

    HE

    CONTRADICTIONS?

    Following

    the

    presidential

    elections

    of

    1989,

    the broad outlines

    of the

    military's

    municipalization

    program

    remained

    in

    place.

    President

    Patri-

    cio

    Aylwin

    (1990-94)

    made it

    clear that central

    officials

    had

    no

    interest

    in

    reassuming

    responsibility

    for

    administering

    health clinics and schools:

    We

    believe that

    primary

    health

    care and

    primary

    and

    secondary

    edu-

    cation

    must

    remain

    at the

    municipal

    level. . .

    .

    The

    serious

    financial

    problems

    of

    the

    municipalized

    health and education

    systems

    will

    not

    be

    resolved

    by

    transferring

    hese

    services to the

    [central]

    tate

    interview

    in ElMercurio,November30, 1993,quoted by Heyermann1994, 47).

    Equity

    outcomes

    improved

    nevertheless

    as the

    posttransition overn-

    ments'

    deological

    commitment o

    growth

    with

    equity,

    he

    emergence

    of

    municipal

    officialsas

    watchdogs

    ver central

    policy

    concerning

    he

    municipalized

    ervices,

    and

    electoral

    pressures

    on both

    centraland local

    officials

    facilitatedan

    increase

    in the level

    of central ransfers

    and their

    more

    equitable

    distribution.

    till,

    democratization

    id

    not

    resolve

    all

    the

    contradictions

    n

    the

    military's

    ecentralization

    model,

    as

    problems

    with

    administrative

    igidities,

    difficulties

    creating

    community

    stakeholders,

    and tensions within and across local and nationaladministrative nd

    political

    arenas

    persisted,

    constraining

    progress

    in terms

    of

    efficiency

    and

    equity.

    Democratization

    and

    Changing

    Lines of

    Accountability

    The first

    three

    posttransition

    governments-all

    from the center-left

    Con-

    certaci6n

    coalition-wanted

    to address the

    social

    debt left

    by

    the

    Pinochet

    regime,

    but

    without

    returning

    to the level

    of

    popular

    mobi-

    lization

    before the

    1973

    military coup

    or

    endangering

    the

    military's

    neoliberal

    economic

    project

    (Garret6n

    1994;

    Weyland

    1997).

    The

    post-

    transition

    preoccupation

    with

    achieving

    growth

    with

    equity

    led

    to a

    focus on

    increasing

    social

    spending.

    During

    its first

    year

    in

    office,

    the

    Aylwin

    administration

    egotiated

    a tax increase

    equivalent

    to

    2

    percent

    of

    GNP,

    which

    was

    spent

    on

    targeted

    social

    programs;

    he health

    care

    and

    education

    budgets

    rose

    by

    7

    and

    23

    percent,respectively,

    as

    a

    result

    (Hershberg

    1997,

    352;

    Weyland

    1997).

    Accordingto FinanceMinistry igures, centralgovernmentsocial

    spending

    increased,

    on

    average,

    7

    percent

    annually

    during

    the decade

    of

    the

    1990s,

    for a

    total

    increase of

    112

    percent

    (MIDEPLAN

    d,

    chap.

    2,

    sec.

    1).

    Central

    redistribution

    was made

    possible by

    a

    period

    of sus-

    tained

    growth

    following

    the

    democratic transition.

    During

    the

    1990s,

    rising per

    capita

    GDP

    was the

    most

    important determining

    factor for

    per

    capita

    social

    spending

    levels

    in

    Chile,

    more

    important

    than the

    level of

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    118

    LATIN

    AMERICAN OLITICSAND

    SOCIETY

    48:

    4

    public spending

    relative o GDPor

    the shareof

    social

    spending

    in

    terms

    of

    total

    public

    spending

    (Mostajo

    2000,

    14-15).

    Democratization

    reated

    incentives

    for

    the

    posttransitiongovern-ments to

    modify

    the

    decentralization

    rrangements

    nherited

    from the

    military

    egime

    in

    ways

    that

    increased

    the

    central

    government's

    role in

    terms of

    funding,

    oversight,

    and

    personnel

    administration,

    et

    newly

    autonomous

    municipal

    officials

    were

    able to

    take

    advantage

    of

    the

    opportunities

    fforded

    by

    the

    democratic ontext

    to

    lobby

    for increased

    resources.

    Increasedcentral

    supervision,

    guidelines,

    and

    funding

    after

    the

    democratic ransition

    elped

    improve

    he

    quality

    and

    equity

    of

    serv-

    ice

    delivery,

    but

    local control

    remained imited.This

    point

    is

    important

    not so much in explaining the relative weakness of subnationalgov-

    ernments in

    postauthoritarian

    Chile,

    but for

    the

    implications

    of this

    weakness as

    it

    affected he

    functioning

    of Chile's

    hybrid

    decentralization

    arrangements

    nder

    democracy.8

    The

    visible

    intervention

    of

    President

    Ricardo

    Lagos

    (2000-2006)

    in

    health

    and

    education

    policy

    before the October

    2000

    municipal

    elec-

    tions

    (the

    resultsof

    which would be

    interpreted

    s

    a

    referendum n

    the

    administration's

    erformance)

    highlights

    he

    political

    ncentives or

    cen-

    tral

    officials

    o intervene

    n

    supposedly

    decentralized

    ervices.

    In March

    2000,the UnitedNationsreleasedthe resultsof a 1999survey revealing

    that

    almost

    70

    percent

    of

    Chileans

    were dissatisfied

    with the

    country's

    situation.

    Respondents

    anked

    educationand

    health care

    as the

    top

    two

    areas

    where

    changes

    were

    needed

    (Santiago

    Times

    2000a).

    Soon

    after-

    ward,

    President

    Lagos pledged

    to

    end

    waiting

    lines in all

    of

    the

    coun-

    try's

    municipally

    administered ealth

    clinics

    within

    three

    months

    (San-

    tiago

    Times

    2000c).

    This

    included

    a

    much-publicized

    but less-than-

    successful

    attempt

    by

    the

    Health

    Ministry

    o draw more

    physicians

    nto

    municipal

    clinics.

    In

    education,

    the

    president

    promised

    to double

    the

    per-studentsubsidy, reduce dropout rates, and improvethe perform-

    ance of

    disadvantaged

    students

    (Santiago

    Times

    2000b).

    The central

    government

    responded

    to

    public

    opinion

    (not

    organized popular

    demand),

    but not

    by

    increasing

    ocal control

    over clinics

    and

    schools;

    just

    the

    opposite.

    While the

    desire

    to

    improve

    the

    quality

    and

    equity

    of

    public

    serv-

    ices

    was

    certainly

    a factor n

    these

    decisions,

    political

    calculations-the

    inclination of

    central

    politicians

    to take credit

    for

    improvements

    in

    locally

    administered

    ervices-also

    probably

    played

    a

    part.

    This

    trend

    correspondswith the earlierobservation hatcentralofficials nterested

    in

    credit

    claiming

    have incentives

    to

    hold

    subnational

    officialsaccount-

    able for

    effective service administration. Instead of

    holding municipal

    governments

    accountable for

    improved

    services, however,

    in Chile the

    central

    government

    has

    acted for

    them,

    partly

    to

    help

    the electoral

    chances of

    the

    governing

    coalition's candidates

    for

    municipal

    office.

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    KUBAL:

    CHILE'SDECENTRALIZATION

    119

    Thus,

    in

    the context

    of the

    administrative ecentralization

    f

    important

    services,

    municipal

    elections

    became

    a

    mechanism

    or

    local

    communi-

    ties

    (albeit

    it somewhat

    indirectly)

    to hold

    the

    central

    government

    accountable for service

    quality

    when their own local

    governments

    lacked the

    autonomy

    and

    resources

    o act.

    A

    government

    headed

    by

    the

    right,

    while

    likely

    to

    respond

    with different

    policies,

    would have

    the

    same

    incentives

    during

    the

    local election season.9

    Newly

    elected

    municipal

    officials

    entered

    their

    first

    term in

    1992

    at

    a

    disadvantage

    elative

    o

    central

    politicians

    and administrators.

    ecause

    mayors

    were

    appointed

    during

    he

    two decades of

    military

    ule

    (and

    the

    firsttwo

    years

    afterthe

    transition),

    he

    prestige

    of

    the

    office was some-

    whattainted.10 ome of the reforms hat ncreasedcentral nfluenceover

    health

    and education

    administration

    ere

    passed

    before

    the

    municipal-

    ities

    gained

    political

    autonomy.

    Control

    over

    fiscal

    resources,moreover,

    did not

    accompany

    (and

    thus

    constrained)

    the renewal

    of

    municipal

    political

    autonomy

    (IDB

    1994, 209;

    Yafhez

    and

    Letelier

    1995,

    138).

    Somewhat

    paradoxically,

    t

    may

    be

    that the

    very

    weakness

    of Chile's

    municipalities

    orced

    municipal

    officials

    o

    become

    more effective

    advo-

    cates for

    the

    local

    consumers

    of decentralized

    ervices,

    introducing

    an

    element of

    vertical

    accountability,

    which

    certainly

    did

    not

    exist

    under

    military ule.

    Municipal

    officials

    and

    their

    nonpartisan

    lobbying group,

    the

    Chilean

    Municipal

    Association

    Asociaci6n

    Chilena

    de

    Municipalidades,

    AChM),

    ormed

    in

    1993,

    had

    some

    success in

    changing

    the transfer

    mechanismsand

    increasing

    he

    funding

    or

    the decentralized

    linics

    and

    schools.

    They

    framed

    this

    issue

    in terms

    of

    accountability.

    One AChM

    official

    observed

    that from

    the

    municipal

    standpoint,

    it s

    irresponsible

    on our

    part

    to

    maintaina

    system

    where we cannot

    guarantee

    he

    pop-

    ulation a

    situation

    of

    quality

    in

    terms

    of the services

    we are

    offering

    (Luna1997). This sentimentwas echoed by the association'ssecond

    president

    in

    his

    inaugural

    peech:

    Wedo

    not

    want

    to continue

    lying

    and

    sacrificing

    our

    neighbors.

    They

    have

    the

    right

    to

    count on

    good

    education

    and health

    care.

    . .

    This

    is

    why

    we are

    demanding

    resources

    [from

    the

    central

    government].

    It is because

    we

    feel an

    obligation

    towardthe

    people

    whom

    we swore

    to serve

    El

    Mercurio

    1997a).

    Because the

    original decentralizing

    legislation

    obligated

    central

    authorities o

    fund the

    operating

    budgets

    of health

    and

    educationestab-

    lishments,

    municipal

    efforts

    to

    secure

    this

    funding

    represent

    an

    attempt

    to hold the nationalexecutive accountable.Becausethey did not have

    legal

    authority

    o

    sanction

    central

    ministry

    officials,moreover,

    his was

    accomplished mainly by

    using

    the

    media to

    get

    municipal

    issues

    onto

    the

    public

    agenda

    (Belmar 2003).

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    120

    LATIN

    AMERICAN OLITICSAND SOCIETY

    48:

    4

    Education

    Reform

    During

    the

    1990s

    and

    2000s,

    central

    education

    reform

    focused

    on

    improving

    the

    quality

    and

    equity

    of

    municipalized

    education

    through

    expanded

    ministry support,

    both financial and technical.

    Between

    1990

    and

    1993,

    spending

    on

    decentralized educational establishments

    increased

    by

    nearly

    25

    percent.

    Under

    the

    Aylwin

    administration,

    sev-

    eral

    support programs

    were

    implemented,

    including

    the

    program

    for the

    Improvement

    of

    Education in Poor

    Zones

    (P-900),

    initially

    funded

    partly

    by

    the

    Swedish and

    Danish

    governments,

    and

    the

    Program

    to

    Improve

    Educational

    Quality

    and

    Equity

    (MECE).

    The

    MECE

    program

    received

    a

    $170

    million

    loan

    from the World Bank and

    $73

    million

    in

    matching

    funds

    from

    the Chilean

    government

    (Allard

    1994,

    37).

    During

    the

    second half of

    the

    1990s,

    the

    government

    of Eduardo

    Frei

    1994-2000)

    dedicatedeven more

    resources o

    education

    under the

    rubric

    of its

    comprehensive

    Educational

    Reform

    nitiative

    La

    Reforma

    Educativa).

    The

    MECE nd

    P-900

    programs

    were

    expanded,

    along

    with

    other

    programs

    aimed

    at

    pedagogical

    improvement

    at the school

    level,

    initiatives

    to

    improve

    teacher

    training

    and

    motivation,

    and

    a

    gradual

    transition o

    a

    full

    schoolday

    (as

    opposed

    to

    dual

    morning

    and after-

    noon shifts).11The Lagosadministration ommitted tself to continuing

    the

    reforms,

    particularly

    xpanding

    the

    P-900

    program,

    which

    targets

    underprivileged

    hildren;

    completing

    the transition

    o the full

    school-

    day;

    and

    increasingmandatory

    ducation from 8 to

    12

    years (Santiago

    Times

    2001a,

    2003,

    2004).

    The

    administrative

    tructure

    of

    the

    ministryprograms

    conveys

    the

    tensions

    between

    centraland

    local bureaucrats.

    The

    implementation

    f

    initiatives

    under the MECE

    and the

    P-900

    programs

    did not involve

    municipal

    education

    administrators;

    he

    relationship

    was between

    the

    municipalized chools and the centralministry through ts provincial

    departments).

    One Education

    Ministry

    fficial

    remarked

    hat

    legally,

    the

    ministry's

    responsibility

    was to

    support

    the

    educational

    establish-

    ments-it

    was not

    obliged

    to

    go through

    the

    municipalities,

    although

    there was

    movement

    in

    this direction

    (Herrera

    1997).

    In

    reality,

    the

    arrangements

    f

    municipalization

    fficially

    eft all

    technical-pedagogi-

    cal decisions

    to the

    ministry.

    Nevertheless,

    many (particularly

    arger,

    urban)

    municipalities

    moved to create

    their

    own

    technical

    eams,

    which

    worked

    alongside

    the

    provincial

    ministry

    upervisors.

    Whenmunicipaleducationdepartmentswere involvedin technical

    and

    pedagogical

    matters,

    heir

    decisions often were

    subordinated

    o cen-

    tral

    planning priorities.

    For

    example,

    the

    centrally

    mandated

    annual

    municipal

    education

    plan

    (PADEM)

    was executed

    by

    the

    municipal

    edu-

    cation

    departments

    at

    the

    direction of

    the

    ministry

    and had to be

    adapted

    to the

    technical-pedagogical

    norms,

    policies,

    and

    programs

    of

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    KUBAL:

    CHILE'SDECENTRALIZATION

    121

    the

    Education

    Ministry

    Ministerio

    de

    Educaci6n

    nd,

    13).

    A

    researcher

    who worked on an

    Interior

    Ministry

    valuation

    of

    the

    PADEM

    bserved

    that tensions between

    ministry upervisors

    and

    municipal

    officials

    were

    particularly

    isible in

    municipalities

    where

    mayors

    or

    municipal

    educa-

    tion

    departments

    ook a

    strong

    nterest

    n

    technical

    ssues

    (Zambra

    997).

    At

    the school

    level,

    significant

    progress

    was made

    toward

    increas-

    ing

    the

    autonomy

    and

    participation

    f administrators

    nd

    staff,

    which,

    along

    with

    resources

    accompanying

    central

    initiatives,

    contributed

    o

    increasing

    he

    quality

    of

    education

    n

    targeted

    chools. Some

    central

    ni-

    tiatives,

    such as the

    educational

    improvement

    projects

    (PME)

    unded

    through

    the MECE

    rogram,

    gave

    a

    great

    deal

    of discretion

    to

    school

    officials.12 he PMErepresented he firststep in what has been termed

    pedagogical

    decentralization

    y

    creating

    a

    space

    for teachers

    collec-

    tively

    to

    evaluate their

    schools'

    needs

    and to

    design

    projects

    to

    meet

    those needs.

    Examples

    of

    projects mplemented

    n

    the schools

    include

    folklore

    workshops,

    innovative

    programs

    o

    improve

    math

    skills,

    and

    facilities or

    art nstruction.

    The teachers

    received

    technical

    support

    rom

    the

    ministry's

    provincial

    departments

    n

    formulating

    heir

    proposals,

    which were then

    submitted

    for

    the

    ministry's

    onsideration

    n

    annual

    competitions.

    Althoughthe PME mprovedteachers'participationn the schools

    and contributed

    much-needed materials

    and

    inancial

    support,

    there is

    little

    empirical

    evidence to

    support

    the Education

    Ministry's

    laim

    that

    the

    projects

    have

    significantly

    ltered he

    schools'

    relationship

    with the

    larger

    community

    Courard

    1998;

    Kubal

    2001;

    Ministerio

    de

    Educaci6n

    1996,

    57).

    The

    PADEM

    lso

    succeeded

    in

    increasing

    eacher

    nvolvement

    in

    school

    management

    but

    generally

    failed

    to include the

    larger

    com-

    munity

    in

    meaningful

    decisionmaking,

    as

    originally

    intended

    (Kubal

    2001;

    Ramirez

    nd

    Zufiiga

    1997).

    Recognizingthe frustrations f municipaleducation officials and

    hoping

    to

    spur

    local

    innovation,

    the

    Frei administration

    moved to

    increasethe

    municipal

    role

    in

    education

    policy

    decisions;

    for

    example,

    by giving

    municipal

    education

    departments

    he

    option

    to

    modify

    the

    curriculum

    under

    the

    supervision

    of

    provincial

    education

    administra-

    tors).

    This increased ocal

    autonomy,

    however,

    increased

    choices

    only

    in

    those

    jurisdictions

    with

    the resources

    to

    innovate.

    The one

    case of

    large-scale

    nnovation in

    municipal

    education

    administration

    n

    Chile

    illustrates his

    point.

    Under the administration

    f

    Mayor

    Joaquin

    Lavin

    (1993-99), control over public schools in Chile'swealthiestmunicipal-

    ity,

    Las