1. US citizens respond much more favorably to governmental policies—including ones that explicitly require tax increases—if they are told that other western states have already adopted the social policy or told that the United Nations recommends it.
2. Republicans respond more favorably than Democrats when informed that the UN recommends a social policy or that most western states have adopted the policy.
Note: This finding appears to compare shifts in support among Republicans who disfavor a social policy with shifts among Democrats who disfavor the policy. This comparison may involve systematic bias. The type of individual who self-identifies as Republican and favors core parts of the Republican Party platform is very different from the type of individual who self-identifies as Democrat and opposes core parts of the Democratic Party platform. Indeed, the former might be considered conformists and the latter non-conformists. And Linos’s findings show that the former are more likely to follow global trends and the international “mainstream.” Accordingly, the key explanation may boil down to a social conformity mechanism.
3. In important cases, individuals who are poorly informed about a social policy respond more favorably than well-informed individuals when told that other western states have already adopted the social policy or that the United Nations has recommended it.
I want to focus in detail on the third finding, and contend that it should be significantly qualified.Katerina Linos has written an audacious and analytically rigorous study of how health and family policies spread over time across industrialized countries. She deftly synthesizes a broad range of qualitative and quantitative research methods into a brilliantly-conceived research design that analyzes the mechanisms by which such policies disperse across borders. The book’s core findings—that foreign and international models influence domestic policy adoption via politicians’ appeals to skeptical voters who view such models favorably—are highly counterintuitive. The findings are at odds with the existing literature on policy diffusion, which identifies networks of experts and elites as the primary transmission mechanisms. They are also contrary to the conventional wisdom that resistance to foreign and international policies is especially strong in the United States, where voters are thought to be unaware of such exemplars or mistrustful of those they have encountered.
My comments focus on chapters 3 and 4 of the book, which consider, respectively, how Americans view foreign models and how national health services have diffused across OECD member states. Linos labels the first question as a “hard test case” for her theory (p.36), for the reasons just noted. To search for evidence that U.S. voters and politicians are swayed by foreign policies, she conducts public opinion experiments and codes Congressional debates leading to the adoption of the 2010 Affordable Care Act and the 1993 Family Medical Leave Act. The experiments suggest that Americans are much more likely to favor publicly-funded health insurance and maternity leave if such policies have previously been adopted by most Western countries or endorsed by the United Nations. Linos also finds that members of Congress reference the health and family policies of rich, proximate and familiar nations rather than countries that experts view as the most relevant to the United States.
Chapter 4 makes the more modest claim that the national health systems (NHS) of foreign countries with the characteristics identified above (and, to a much lesser degree, nonbinding international norms endorsing universal primary healthcare) explain the spread of health policies among industrialized countries. Here Linos builds upon an existing literature that identifies facilitating conditions for the adoption of NHS, but that has yet to explain the timing and geographic spread of those policies. Chapter 4’s conclusions, although more nuanced than those of chapter 3, provide additional evidence to support Linos’ theory of democratic diffusion.
I have two sets of comments and questions about Linos’ arguments and findings in these chapters.
This week, we're hosting a symposium on The Democratic Foundations of Policy Diffusion: How Health, Family and Employment Laws Spread Across Countries, a new book by Katerina Linos (Berkeley Law). Here is the publisher's description: Why do law reforms spread around the world in waves? Leading theories argue that international networks of technocratic elites develop orthodox solutions that they singlehandedly transplant across countries....