Right Wing Politics and Public Policy: The Need for a Broad Frame and Further Research; Comment on “A Scoping Review of Populist Radical Right Parties’ Influence on Welfare Policy and its Implications for Population Health in Europe”

Document Type : Commentary


1 School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada

2 Southgate Institute of Health, Society and Equity, Flinders University of South Australia, Adelaide, SA, Australia


Our paper responds to a narrative review on the influence of populist radical right parties (PRRPs) on welfare policy and its implications for population health in Europe. Five aspects of their review are striking: (i) welfare chauvinism is higher in tax-funded healthcare systems; (ii) PRRPs in coalition with liberal or social democratic parties are able to shift welfare reform in a more chauvinistic direction; (iii) coalitions involving PRRPs can buffer somewhat the drift to welfare chauvinism, but not by much; (iv) the European Union (EU) and its healthcare policies has served somewhat as a check on PRRPs’ direct influence on healthcare welfare chauvinism; (v) PRRPs perform a balancing act between supporting their base and protecting elected power. We note that PRRPs are not confined to Europe and examine the example of Trump’s USA, arguing that the Republican Party he dominates now comes close to the authors’ definition of a PRRP. We applaud the authors’ scoping review for adding to the literature on political determinants of health but note the narrow frame on welfare policy could be usefully expanded to other areas of public policy. We examine three of such areas: the extent to which policy protects those who are different from mainstream society in terms of race, ethnicity, gender or sexuality; the debate between free trade and protectionism; and the rejection of climate change science by many PRRPs. Our analysis concludes that PRRPs promote agendas which are antithetical to eco-socially just population health, and conclude for a call for more research on the political determinants of health.


  1. Rinaldi C, Bekker MPM. A scoping review of populist radical right parties’ influence on welfare policy and its implications for population health in Europe. Int J Health Policy Manag. 2020; In Press. doi:10.34172/ijhpm.2020.48
  2. McGann AJ, Kitschelt H. The Radical Right in Western Europe: A Comparative Analysis. Ann Arbor: University of Michigan Press; 1995.
  3. Ortiz I, Cummins M. Austerity: The New Normal - A Renewed Washington Consensus 2010-2024. Initiative for Policy Dialogue (IPD), International Confederation of Trade Unions (ITUC), Public Services International (PSI), European Network on Debt and Development (EURODAD), The Bretton Woods Project (BWP); 2019. http://policydialogue.org/files/publications/papers/Austerity-the-New-Normal-Ortiz-Cummins-6-Oct-2019.pdf
  4. Labonté R. Neoliberalism 4.0: The rise of illiberal capitalism: Comment on "How neoliberalism is shaping the supply of unhealthy commodities and what this means for NCD prevention." Int J Health Policy Manag. 2020;9(4):175-178. doi:10.15171/ijhpm.2019.111
  5. Steele S, Stuckler D, McKee M, Pollock AM. The Immigration Bill: extending charging regimes and scapegoating the vulnerable will pose risks to public health. J R Soc Med. 2014;107(4):132-133. doi:10.1177/0141076814526132
  6. Colby C. Second stimulus check could be 'very generous.' Today's update on another IRS payment. Cent. June 23, 2020. https://www.cnet.com/personal-finance/second-stimulus-check-could-be-very-generous-todays-update-on-another-irs-payment/.
  7. Theoharis L. Inequality and Poverty Were Destroying America Well Before Covid-19. The Nation. 2019. https://www.thenation.com/article/society/inequality-and-poverty-were-destroying-america-well-before-covid-19/.
  8. Midkiff S. Who is Really “Looting” America? Refinery; 2020. https://www.refinery29.com/en-us/2020/06/9852642/billionaires-rich-looting-america-tax-law-money.
  9. Eisinger J. The Bailout is Working - for the Rich. Propublica. May 10, 2020. https://www.propublica.org/article/the-bailout-is-working-for-the-rich
  10. Dickie M. How Hardline Hanson Won on Migration. Policy Forum website. http://www.policyforum.net/hostage-hansons-migration-myths/. Published 2016. 
  11. Refugee Council of Australia. Leaving No-One Behind: Ensuring People Seeking Asylum and Refugees are Included in COVID-19 Strategies. https://www.refugeecouncil.org.au/priorities-covid-19/.  Published 2020. 
  12. Chen B. Liew J. Refugees once again have full health benefits, but some practitioners still don't know that. CBC. 2017. https://www.cbc.ca/news/opinion/refugee-health-care-1.4105120.
  13. Malcolm C. Docs show asylum-claimant health access expanded to 20 years. Toronto Sun. March 7, 2020. https://torontosun.com/opinion/columnists/malcolm-docs-show-asylum-claimant-health-access-expanded-to-20-years.
  14. Kluge HHP, Jakab Z, Bartovic J, D'Anna V, Severoni S. Refugee and migrant health in the COVID-19 response. Lancet. 2020;395(10232):1237-1239. doi:10.1016/s0140-6736(20)30791-1
  15. Kohli P, Dhawan P. Dissecting the Hindu Chauvinism in India’s COVID-19 Response. The Oxford University Politics Blog; 2020. https://blog.politics.ox.ac.uk/dissecting-the-hindu-chauvinism-in-indias-covid-19-response/.
  16. European Network Against Racism. Evidence of the Impact of Covid-19 on Racialised Communities Exposes Need to Address Persistent Inequalities and Racism. ENAR website. https://www.enar-eu.org/Evidence-of-the-impact-of-Covid-19-on-racialised-communities-exposes-need-to. Published 2020. 
  17. Matache M, Bhabha J. Anti-Roma racism is spiraling during COVID-19 pandemic. Health Hum Rights. 2020;22(1):379-382.
  18. Marr D. The White Queen: One Nation and the Politics of Race. 65th ed. Quarterly Essay; 2017. https://www.quarterlyessay.com.au/essay/2017/03/the-white-queen.
  19. Grice A. Boris Johnson’s Triumph of Populism Comes Straight from the Trump Playbook. The Independent. December 13, 2019. https://www.independent.co.uk/voices/boris-johnson-general-election-december-2019-a9244811.html.
  20. Sherwood J. Colonisation - it's bad for your health: the context of Aboriginal health. Contemp Nurse. 2013;46(1):28-40. doi:10.5172/conu.2013.46.1.28
  21. Sherwood J, Edwards T. Decolonisation: a critical step for improving Aboriginal health. Contemp Nurse. 2006;22(2):178-190. doi:10.5172/conu.2006.22.2.178
  22. Gleeson D, Labonté R. Trade Agreements and Public Health: A Primer for Health Policy Makers, Researchers and Advocates. London: Palgrave; 2020.
  23. Gardiner B. For Europe’s Far-Right Parties, Climate is a New Battleground. Yale Environment 360; 2019. https://e360.yale.edu/features/for-europes-far-right-parties-climate-is-a-new-battleground.
  24. Freeland J. Trump is Handling Coronavirus so Badly, He Almost Makes Johnson Look Good. The Guardian. May 1, 2020. https://www.theguardian.com/commentisfree/2020/may/01/donald-trump-coronavirus-boris-johnson-failures-president.
  25. Kickbusch I. The political determinants of health--10 years on. BMJ. 2015;350:h81. doi:10.1136/bmj.h81
  26. Lencucha R, Thow AM. How neoliberalism is shaping the supply of unhealthy commodities and what this means for NCD prevention. Int J Health Policy Manag. 2019;8(9):514-520. doi:10.15171/ijhpm.2019.56
  27. Baum F. Governing for Health: Advancing Health and Equity through Policy and Advocacy. New York: Oxford University Press; 2019.
  28. Shiffman J, Smith S. Generation of political priority for global health initiatives: a framework and case study of maternal mortality. Lancet. 2007;370(9595):1370-1379. doi:10.1016/s0140-6736(07)61579-7
Volume 10, Issue 8
August 2021
Pages 519-522
  • Receive Date: 28 June 2020
  • Revise Date: 15 July 2020
  • Accept Date: 18 July 2020
  • First Publish Date: 01 August 2021