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Conflict, Legitimacy and Government Reform: Equitable Allocation of ...

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<strong>Reform</strong>ing Local <strong>Government</strong> for the Achievement <strong>of</strong> Fairness in Thai Society<br />

education) must work to earn money at a very young age. They<br />

work hard but receive a low wage.<br />

b) Health care services - Even though there are over 9,000 public<br />

health centers spreading across the country but service quality is<br />

not uniform. Moreover, one must accept that in many cases,<br />

budget allocation to operating units <strong>of</strong> Thai authorities, is done<br />

in such as way due to familiarity. So the method may not<br />

conform to the principle <strong>of</strong> equity. 1<br />

c) Most people in this country lack welfare. Only one-third <strong>of</strong> the<br />

country, that is, government employees <strong>and</strong> workers in the social<br />

security system receive their rights <strong>and</strong> welfare <strong>and</strong> other benefits,<br />

while two-thirds <strong>of</strong> Thai people, that is, farmers, laborers <strong>and</strong><br />

small business owners lack many welfares. Regarding these<br />

problems, LAOs are in the position to help upgrade service<br />

quality <strong>and</strong> “close the gap.”<br />

Part 3 explores the progress <strong>of</strong> health-oriented public policy, that is,<br />

sub-district health fund which is a new tool used for behavioral<br />

modification that contributes to people’s health. This scheme accords<br />

with the principles <strong>of</strong> decentralization <strong>and</strong> public participation. This is<br />

done by reviewing results <strong>of</strong> an evaluative study conducted by the<br />

Economics Academic Service Center <strong>and</strong> records <strong>of</strong> the initiatives in each<br />

locality. It is worth noting that sub-district health funds began to operate<br />

in 2006. Initially there were 888 funds. After its operation has run for<br />

only a few years, the number <strong>of</strong> the funds has exp<strong>and</strong>ed to more than<br />

3,000 locations. This is a phenomenon that reflects the dynamics <strong>of</strong><br />

LAOs with respect to health care services.<br />

Part 4 presents an analysis <strong>of</strong> future policies by creating a<br />

hypothetical scenario where property tax will be levied (to reduce income<br />

inequality) <strong>and</strong> the revenue will be used to support poor people <strong>and</strong><br />

1 For example, subsidy per capita <strong>of</strong> municipality <strong>and</strong> sub-district administrative<br />

organization (SAO) <strong>of</strong> Thail<strong>and</strong> adheres to accustomed or customary practices in the<br />

past without any curiosity whether such method conforms to the principle <strong>of</strong> equity on<br />

horizontal or vertical axis or not.<br />

181

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