Portuguese Healthcare Policy in the Post-Troika Period

Ms. Tamara Popic

The paper will look at the impact of policymaking model used during the crisis on policy resilience in the post-crisis period by focusing on healthcare policy in Portugal. Healthcare reforms required by the Troika in Portugal were extensive - the Memorandum of Understanding specified more than 30 measure targeting the sector. The author's previous research (Asensio and Popic 2019) that analysed the politics behind these reforms found that in spite of conditionality and strong external pressures, crisis was used as a window of opportunity for healthcare reforms substantially shaped by domestic policy choices. More specifically, it found that these choices were enabled by the two main political parties' strategies of tacit cooperation and blame avoidance. Following up on these findings, the paper will have two specific aims. First, it will analyse healthcare policy outputs in the post-Troika period in order to identify the degree of resilience of policies implemented during the crisis and under the Memorandum. Second, the paper will look on the politics of healthcare in the post-crisis period, analysing the extent to which the crisis politics of tacit cooperation and blame avoidance affected resilience i.e. fragility of policy in the post-crisis period. The paper aims to contribute to the literature on the politics of post-crisis reforms focusing specifically on welfare state reforms.

Asensio, M. and Popic, T. (2019) 'Portuguese Healthcare Reforms in the Context of Crisis: External Pressures or Political Choice?', Social Policy & Administration, 1-15, DOI: 10.111/spol.12480