There has been a longstanding debate about the link between political representation and health. In this article, I provide novel evidence that electoral reforms that shifted from a majoritarian to a proportional system of voter representation generated substantive health benefits for the...

There has been a longstanding debate about the link between political representation and health. In this article, I provide novel evidence that electoral reforms that shifted from a majoritarian to a proportional system of voter representation generated substantive health benefits for the...

Using a new dataset of Swiss cantons from 1890 to 2000, we estimate the causal effect of direct democracy on government spending. Our analysis is novel in two ways: first, we use fixed effects to control for unobserved heterogeneity; second, we combine a new instrument with fixed effects to...

Using a new data set on Swiss state and local governments from 1890 to today, we analyze how the adoption of proportional representation affects fiscal policy. We show that proportional systems shift spending toward broad goods (e.g. education and welfare benefits) but decrease spending on...