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The importance of citizenship for deserving COVID-19 treatment

Author

Listed:
  • Marc Helbling

    (University of Mannheim)

  • Rahsaan Maxwell

    (University of North Carolina at Chapel Hill)

  • Simon Munzert

    (The Hertie School, Data Science and Public Policy)

  • Richard Traunmüller

    (University of Mannheim)

Abstract

Immigrant non-citizens are often considered less deserving than citizens of welfare and other public services. The logic is that valuable and scarce public resources must be limited somehow, and the club of citizens is one way of drawing a boundary. In this paper, we examine how far that boundary extends, by analyzing the extent to which Germans prioritize citizens over non-citizens for access to life-saving healthcare. We implement a conjoint experiment to elicit preferences in the context of the COVID-19 pandemic. The data were collected between April 2020 and March 2021, in 23 waves of an online rolling cross-sectional survey with roughly 17,000 respondents. Our main finding is that citizens are viewed as more deserving of healthcare than non-citizen immigrants, a relationship that is sizeable and robust. Our findings have implications for debates about social boundaries and how to allocate resources in Western Europe.

Suggested Citation

  • Marc Helbling & Rahsaan Maxwell & Simon Munzert & Richard Traunmüller, 2022. "The importance of citizenship for deserving COVID-19 treatment," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-8, December.
    • Handle: RePEc:pal:palcom:v:9:y:2022:i:1:d:10.1057_s41599-022-01311-4
    DOI: 10.1057/s41599-022-01311-4
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    References listed on IDEAS

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    1. Samuel D. Schmid, 2021. "Stagnated Liberalization, Long‐term Convergence, and Index Methodology: Three Lessons from the CITRIX Citizenship Policy Dataset," Global Policy, London School of Economics and Political Science, vol. 12(3), pages 338-349, May.
    2. Zschirnt, Eva & Ruedin, Didier, 2016. "Ethnic discrimination in hiring decisions: A meta-analysis of correspondence tests 1990–2015," EconStor Preprints 142176, ZBW - Leibniz Information Centre for Economics.
    3. Knotz, Carlo Michael & Gandenberger, Mia Katharina & Fossati, Flavia & Bonoli, Giuliano, 2021. "Public attitudes toward pandemic triage: Evidence from conjoint survey experiments in Switzerland," Social Science & Medicine, Elsevier, vol. 285(C).
    4. Johannes Hemker & Anselm Rink, 2017. "Multiple Dimensions of Bureaucratic Discrimination: Evidence from German Welfare Offices," American Journal of Political Science, John Wiley & Sons, vol. 61(4), pages 786-803, October.
    5. Tjaden, Jasper Dag & Schwemmer, Carsten & Khadjavi, Menusch, 2018. "Ride with Me - Ethnic Discrimination, Social Markets and the Sharing Economy," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 34(4), pages 418-432.
    6. Shana Kushner Gadarian & Sara Wallace Goodman & Thomas B Pepinsky, 2021. "Partisanship, health behavior, and policy attitudes in the early stages of the COVID-19 pandemic," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-13, April.
    7. Carsten Jensen & Michael Bang Petersen, 2017. "The Deservingness Heuristic and the Politics of Health Care," American Journal of Political Science, John Wiley & Sons, vol. 61(1), pages 68-83, January.
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    1. Simon Munzert & Sebastian Ramirez-Ruiz & Başak Çalı & Lukas F. Stoetzer & Anita Gohdes & Will Lowe, 2022. "Prioritization preferences for COVID-19 vaccination are consistent across five countries," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-10, December.

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