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"Developmental capture" of the state: explaining Thailand's universal coverage policy.

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This study introduces "developmental capture," where internal bureaucrats promote public benefit policies. It highlights how Thai bureaucrats drove universal health care despite opposition.

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Area of Science:

  • Public Health Policy
  • Political Science
  • Sociology

Background:

  • Regulatory capture typically involves external interest groups weakening state regulations.
  • Developmental capture, by contrast, is driven by internal reformist bureaucrats for public benefit.
  • Existing theories inadequately explain Thailand's universal health care policy development.

Purpose of the Study:

  • To introduce and define developmental capture as a concept.
  • To analyze the autonomous role of bureaucrats in Thailand's universal health care policy.
  • To challenge existing explanations of policy change in developing nations.

Main Methods:

  • Qualitative analysis of policy documents and historical context.
  • Examination of bureaucratic networks and their resource mobilization strategies.
  • Case study focusing on Thailand's universal health care initiative.

Main Results:

  • A network of Thai bureaucrats strategically mobilized resources across sectors.
  • This network successfully institutionalized universal health care despite significant challenges.
  • Bureaucratic autonomy played a crucial role in overcoming professional dissent and political uncertainty.

Conclusions:

  • Developmental capture offers a new lens for understanding state-led policy reform.
  • Autonomous bureaucratic action is a key, often overlooked, driver of inclusive social policies.
  • Thailand's universal health care serves as a prime example of successful developmental capture.