Exploring the typology of decision-makers, institutions, and incentives that shape health decisions in Pakistan and insulate decision makers from citizens feedback

@zaighamkhan In our study on health decision making in Pakistan, we found that none of the senior officials interviewed had ever talked with beneficiaries of their policies, in their entire career https://t.co/lF6ib0Ds55

@CherieDamour_ You can't have provinces the size of regions (entire middle east w/o Egypt is 80m). Such large provinces cause poor governance. We should have many smaller provinces of 10-15 million, with local taxes https://t.co/lF6ib0Ds55

@saddameconomist @PIDEpk @nadeemhaque @durre_nayab_ @FaheemJehangir I agree. The issue is skin in the game. Bureaucrats or politicians that decide on these things don't suffer for their bad decisions, not really benefit from good ones. Then, why reform? ht

@durre_nayab_ Reserved seats are given at the pleasure of the party leadership, will always accentuate their positions. In ways it removes away rights of minorities and women from debate https://t.co/rKlxG4DNiD