Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina Public provision in decentralized systems

MAXIMILIANO MIRANDA ZANETTI; NEBEL SILVANA MOSCOSO; MARIA EUGENIA ELORZA

PERSPECTIVAS Revista de Análisis de Economía, Comercio y Negocios Internacionales

Universidad Autónoma de San Luis Potosí

Lugar: San Luis Potosí; Año: 2021 vol. 14 p. 1 - 29

2007-2104

Introduction: It is important to evaluate the coverage achieved in the publicdrugs provision. Aim: to study the provision of a merit good where three levelsof government intervene. Materials and methods: We analyze a framework ofinteraction between government agencies for the provision of certain meritgood and a real case of drugs provision for type 2 diabetes mellitus. Results:It can be deduced from the formal framework that, for sequential decisions,the last government level, conditioned by previous decisions, supports thegreatest burden of the provision. The case study reveals that the regionallevel provides the highest percentage of tablets, followed by the local andcentral levels. Discussion: Drug provision for T2DM is not assured for theshare of the population without healthcare insurances, and about 22% ofdoses were provided voluntarily by the local level, which intervened becauselevels of provision of other governments proved insufficient.