Law's Majestic Equality-PoP Final
Law's Majestic Equality-PoP Final
Law's Majestic Equality-PoP Final
While many find cause for optimism about the use of law and rights for progressive ends, the academic literature has long been
skeptical that courts favor the poor. We show that, with the move toward a robust “new constitutionalism” of social and economic
rights, the assumptions underlying the skepticism do not always hold. Our theories must account for variation in the elite bias of law and
litigation. In particular, we need to pay closer attention to the broad, collective effects of legal mobilization, rather than focusing narrowly
on the litigants and the direct benefits they receive. We support the claim by showing that litigation pursued in legal contexts that create
the expectation of collective effects is more likely to avoid the potential anti-poor bias of courts. On the other hand, policy areas
dominated by individual litigation and individualized effects are more likely to experience regressive outcomes. Using data on social and
economic rights cases in four countries, we estimate the potential pro-poor impact of litigation by examining whether the poor are over-
or under-represented among the beneficiaries of litigation. We find that the impact of courts is positive and very much pro-poor in India
and South Africa, and slightly negative in Indonesia and Brazil. Overall, we challenge the tendency in the literature to focus on the direct
effects of litigation, find that the results of litigation are more positive for the poor than the conventional wisdom would lead us to expect,
and offer an explanation that accounts for part of the variation while raising a number of questions for future research.
A
s constitutions increasingly set out to protect social
Supplementary materials provided by the authors are and economic rights, it may be time to revisit Anatole
listed alongside a permanent link that precedes the France’s famous critique of the law: “Another source
references section. of pride, to be a citizen! For the poor it consists in . . .
laboring under the majestic equality of the laws, which
Daniel M. Brinks is Associate Professor of Political Science prohibit the rich and the poor alike from sleeping under
at the University of Texas at Austin, specializing in bridges, begging in the streets and stealing bread.” 1
Comparative Politics and Public Law (DBrinks@law. At the end of the nineteenth century it might have been
utexas.edu). His current project explores constitutional and easy to conclude that formal equality before the law
judicial transformations in Latin America since the 1970s. was just another way to protect and entrench privilege
Varun Gauri is Senior Economist with the Development while denying substantive justice. As Judge Richard
Research Group of the World Bank. His current research Posner famously said in reference to the United States
examines compliance with human rights court orders in Constitution, citizenship rights then were largely
developing countries. ([email protected]). The “a charter of negative rather than positive liberties.” 2
authors would like to thank Yanran Chen, Nara Pavão, As recently as the 1970s, Morton Horwitz could say
and Víctor Hernandez Huerta for providing excellent that the rule of law “creates formal equality . . . but it
research assistance on the distribution of beneficiaries. They promotes substantive inequality . . . . By promoting
are also grateful for the extensive, detailed, and insightful procedural justice it enables the shrewd, the calculating, and
feedback provided by the editor and the anonymous the wealthy to manipulate its forms to their advantage.”3
reviewers, who went far beyond the norm in helping us As a result of the law’s proceduralism, its lack of sub-
strengthen the piece, to Dan Brinks’ colleagues at the stantive notions of social justice and equality, and its
University of Texas, who provided valuable feedback and to perceived bias in favor of the already powerful, Horwitz
Varun Gauri’s colleagues at the World Bank. The project could legitimately question how it was possible that
enjoyed the support of the Nordic Trust Fund and the “a Man of the Left” could see the rule of law as an unqual-
Research Support Budget at the World Bank. The findings ified human good. In this view, the quest for substantive
and opinions expressed in this piece are those of the authors social justice will rarely run through constitutions or the law.
alone and do not necessarily reflect the views of the At the beginning of the twenty-first century, however,
World Bank. there have been changes in global constitutionalism that
doi:10.1017/S1537592714000887
© American Political Science Association 2014 June 2014 | Vol. 12/No. 2 375
Articles | The Law’s Majestic Equality?
seem explicitly designed to benefit the disadvantaged. The New Social Rights
These changes have led to an explosion of litigation and Constitutionalism
the judicialization of the politics of social provision that It may be true, as Posner argued, that “the men who
appear, on their face, to seek to expand the supply of wrote the [US] Bill of Rights were not concerned that
goods that are important to the poor, such as health care, government might do too little for the people but that
education, and social provision more generally. At this it might do too much to them,” but the vast majority of
point, then, it seems important to examine whether and new constitutions are moving from a purely negative
to what extent this change in the apparent nature of conception of rights to a more positive one. Social and
constitutionalism can actually deliver on its promise; and economic rights have been creeping into constitutions for
whether and to what extent the increasing involvement decades. David Law and Mila Versteeg present data
of courts in social policies actually improves matters for showing a dramatic increase in the number of civil
the poor. For simplicity, we call litigation that dispro- and political rights, as well as social and economic rights
portionately benefits the poor “progressive,” while if the expressly protected in constitutional texts, since the
poor are underrepresented among beneficiaries, we call 1960s.5 The trend begins with a set of post-colonial con-
the litigation “regressive.” We use here the results of stitutions, but the sharpest increase—especially in the
a multi-country survey of social and economic rights
protection of social and economic rights—comes after the
(SER) litigation to explore the extent to which the poor benefit
collapse of the Soviet Union in 1990. The new constitu-
from this activity. Our analysis suggests that the literature so far
tionalism is sufficiently preoccupied with rights, over
has been far too focused on the direct, individual effects of
and against questions of structure and procedure, that it
litigation to adequately gauge its impact on the overall
can be described as rights constitutionalism and, for
distribution of the gains. If we better theorize the impact of
much of the developing world in particular, social rights
judicial interventions on SER, expanding our vision beyond
constitutionalism.6
the immediate direct effects of those interventions, we may
David Bilchitz, for example, contrasts the Western
well find that the SER judicialization that has become a feature
“tradition of focusing on civil and political rights, and the
of twenty-first century constitutionalism is less biased toward
the middle class than many have suggested. ideal of ‘liberty,’” with the new constitutions of the Global
We outline a conceptual, methodological and theoret- South. For the latter, he writes, “matters of economic
ical approach designed to better understand the politics of distributive justice . . . are central.”7 The new constitutions
the new social rights constitutionalism. We first describe are, in effect, seeking to push beyond a model of law and
the contours of the new constitutionalism and the legal constitutions that protects mainly the freedom to be
mobilization it has triggered and outline the theoretical secure in one’s person and property—should one happen
reasons to be skeptical or optimistic about the distributive to own any. They typically include a more robust set of
effects of legal mobilization, as well as the gaps in the obligations on the government to create the conditions
empirical research on these effects. In the main theoretical for substantive equality, a dignified existence, and the
section that follows we lay out in some detail the effective exercise of democratic citizenship. In places as
distinction between individual and collective effects that disparate as the post-Soviet countries, South Africa,
animates much of our empirical discussion, and explain Brazil, and Colombia, constitutions at least purport to
why the expectation of collective effects changes the set up entitlements for the poor that go far beyond the
litigant calculus in a way that should lead to more pro- mere freedom to pursue one’s interests unhindered.
poor outcomes. The subsequent empirical section relies Under these new constitutions, citizenship now means
primarily on a tabulation of the beneficiaries of SE rights that “the rich and the poor alike” can claim guarantees of
mobilization in Brazil, India, Indonesia, and South adequate food, health care, education, a minimum standard
Africa, a summary discussion of Nigeria, and on narrative of living, and a decent place to live, turning France’s
descriptions of the motivations and goals of the main mordant, iconic statement on its head.
actors involved in that mobilization.4 We then summa- Nor have these rights remained mere parchment
rize the findings and implications, before turning to promises. Progressive activists around the world have
a conclusion that raises questions for further research and seized on the judicial enforcement of social and
develops the theoretical, normative, and practical impli- economic rights as a powerful new tool in the politics
cations of social rights constitutionalism, as practiced of social provision, a change that is reflected in the
today. Our main goal here is to lay bare some of the explosion of academic interest in the “judicialization
assumptions on which most distributive critiques of SE of politics.” 8 Samuel Moyn has argued, not necessarily
rights litigation are based, suggest when they might or with approval, that human rights have become “The Last
might not hold, and outline the beginnings of a research Utopia”—one of the few remaining political ideals that
agenda on the progressive potential of litigation and promise a more just society.9 When the Thatcher and
enforceable social and economic rights. Reagan revolutions and the Washington Consensus brought
rights are (in theory) relatively neutral as well, agnostic about part the expected reach of the effect of the cases that
the ultimate distributional outcomes the political struggle dominate a particular litigation environment that deter-
might produce. The realization of social and economic mines whether the aggregate effects ultimately favor the
rights is then a consequence of liberal rights plus mass social- poor or the better off. When potential litigants expect that
democratic politics. In social rights constitutionalism, cases seeking social and economic rights can and will have
however, the politics of social and economic demands are effects beyond the litigants themselves, it is more likely that
prior to and embedded in the constitutional structure. This litigation will be funded by third parties, and undertaken
almost inevitably, although with the important intermedi- as a mechanism to extend greater benefits to the poor, even
ation of legal mobilization, shifts some of the responsibility benefits that are very low cost, such as vaccines, or very
for working out the substantive details of social provision, diffuse, such as clean air. When litigation is expected to have
and some of the work of monitoring compliance, to judges. purely individual effects, it will target higher-end goods, be
Research on the real-world effects of judicially enforced carried out by better-off litigants, and have greater potential
social rights constitutionalism is remarkably thin. The to further skew the distribution of state goods toward the
literature often includes cautionary notes about its better off.
possibly negative effects, but little empirical evidence. Widening the lens is also crucial because many cri-
Researchers are beginning to focus on questions of tiques of litigation, while they have a nicely contextual
compliance,29 but compliance and impact, though related, and political vision of how courts work, often rest on
are not the same. César Rodríguez Garavito’s interesting a thin notion of what law is and how it works. Horwitz’s
work addresses impact,30 but he focuses primarily on concern about the proceduralism and formal equality of the
whether there has been impact, as does Gerald Rosenberg’s rule of law rests on a nineteenth-century vision of the
classic work,31 not on who benefits from impact. Recent content of the law. While it may fit the US Constitution,36
research exploring this question has focused on health it is at odds with the more robust ideas of substantive justice
rights litigation, mostly claims for particular medications or embodied in twenty-first century constitutionalism—at
treatment, and mostly in Brazil,32 questioning whether health least the constitutionalism emerging in middle-income
rights litigation skews policy in favor of the better-off.33 countries.37 And the structural critiques of public interest
Even in Colombia, David Landau argues, the dominant litigation—elite biases in access, courtroom advantage, judi-
models of SE rights enforcement “have a very pronounced cial preferences and compliance—depend partly on a vision
tilt towards higher income groups; they are unlikely to do of the law as a command and control mechanism, triggered
much for poorer citizens.”34 by well-resourced litigants and operated by judges. In this
Thus far, the research on who wins and who loses has view, the effects of litigation are mostly reduced to whether
taken the most direct approach, identifying the actual judicially ordered relief reached the litigants in question—
remedies directly required by the courts, or conducting whether the cases had direct (individual) effects.
a survey of people receiving benefits by court order in an Since at least the 1970s, however, scholars have argued
effort to ascertain the socio-economic profile of the class that law is more than a set of “operative controls” that
of people who litigate successfully and capture the direct people either follow or fail to follow.38 Law and litigation
effects of litigation in the individual case.35 Clearly, this as social practices and political resources, scholars have
is where it is easiest to measure the effects of litigation, just argued, have wide ranging, systemic effects that extend far
as it is easiest to observe the socio-economic characteristics beyond the cases and litigants themselves.39 Indeed,
of actual litigants. But, as we will see, it seems likely that scholars like Michael McCann would argue, the “indirect
the area under the proverbial street lamp is precisely where effects and uses of litigation may be the most important of
effects are likely to be both most regressive and least important all for political struggles by most social movements.”40
in the overall public policy context—least important simply More recently, Mariana Mota Prado has argued that, when
because the number of people and resources affected by considering the effects of SER litigation, we need to be
collective effects dwarfs that of individual effects, and most much more sensitive to collective effects than we have been
regressive because opportunity costs will ensure that, when so far.41 These insights suggest that SER cases can be
cases benefit both litigants and non-litigants, the litigants arrayed on a continuum based on the expected reach of
are likely to be among the most privileged of all potential their effects—from those with effects limited to one or two
beneficiaries. As always, but especially here, the choice of individual litigants to those with virtually universal effects.
research design is highly likely to determine the findings. Many taxonomies of effects have been offered, and dif-
ferent classifications are often useful for different research
Understanding the Individual and goals. We adopt here a very simple framework, classifying
Collective Effects of Judicialization cases as either individual or collective depending on
In what follows, we argue that focusing narrowly on the whether they are expected to produce purely individual
direct, individual effects of cases biases the findings in or more collective effects. At one end of the spectrum are
favor of a more regressive conclusion. Indeed, it is in large cases with expected effects that are essentially limited to
which activists feel they can rely on precedent to change the movements may very well litigate for individually small
law will vary. The CELS in Argentina, for example, focuses benefits on behalf of the poor, if they can engage in
on strategic litigation precisely because they expect impor- “impact litigation” rather than litigating on behalf of each
tant cases to set precedents and change the law. In Brazil, needy person, one at a time.
in contrast, activists expect very little rule change from Schematically, in the absence of (expected) collective
the courts. effects, citizen i will litigate only if the expected individual
In the latter environments, systemic effects arise from benefits exceed the expected individual costs of litigation,
individual cases much more unpredictably. There is still or E(bi) – E(ci) . 0. This means that, first, because of the
the potential for systemic collective effects in Brazil, where high opportunity costs of litigation for the poor, the rich
public health officials will sometimes extend the same will be more likely to litigate unless E(ci) 0. But more
treatment to non-litigants that they were compelled to importantly, if E(ci) .. 0, the expected benefits to the
extend to litigants, even though everyone agrees judicial litigant must be very high. That rules out not only litigation
decisions are binding only on the immediate parties to the for low cost inputs and interventions, but also litigation
case. Thus, even in Brazil, AIDS activists brought cases for public goods or against “public bads” (e.g., dirty
with the goal, ultimately, of changing treatment for all water, bad air) whose harms are often only demonstrable
HIV positive people. But the road to generalizing the effect at the population level, and in a probabilistic sense.
was not as clear as it would have been in places with norms Adding collective benefits from positive-rights litigation
of stare decisis, like the United States or South Africa. for collective goods radically changes the equation,
As a result, the evidence suggests that later generations justifying even relatively costly litigation for relatively
of health-rights plaintiffs in Brazil are primarily motivated low cost individual benefits that can be multiplied by the
by the individual effects they can capture for themselves.44 entire population of similarly situated claimants.
Collective systemic effects in Brazil, however real, are less This suggests that an emphasis on litigation with col-
predictable in advance of the litigation and are typically not lective effects is likely to have a larger impact on the share
a part of the litigant calculus leading to a lawsuit. of poor beneficiaries than lowering barriers to courts: even
The progressive potential of SE rights litigation hinges when c is very low, it is still high enough (in the form of
on the strategic calculus of potential litigants, who must opportunity costs) that, although poor people will litigate,
decide whether it is worth litigating for a particular policy they will do so for relatively expensive goods and services.
good. The argument draws on the notion of opportunity We agree with the claim that lowering barriers to access
structure frameworks for analyzing when and where will make it somewhat easier for the poor to litigate; and
social movements concentrate their efforts, a notion that one can find instances in which the poor litigate en masse.46
has been explicitly applied to litigation by Siri Gloppen, But even in those instances, they are litigating for relatively
Bruce Wilson, and others, as well as in our own work.45 high-value benefits. In contrast, the beneficiaries of collec-
When benefits are limited to litigants, individuals must tive SE rights litigation can be poor even when access is
generally raise the resources to litigate, and the individual costly; and the benefits sought can be individually inex-
benefit being demanded must generally exceed the full pensive, so long as decisions have broad collective effects.
cost of litigation, so litigation will tend to focus on higher- The expectation of broad collective effects should change
end goods and services, and benefits are more likely to skew the composition of SE rights litigation so that it is more
toward the better off. Moreover, if systemic effects are likely to involve less-expensive goods and services that can
unlikely or unpredictable, social movements will not focus be provided to many more people, as well as more public,
their efforts on litigation, and thus groups seeking to non-excludable goods.
improve the lot of the underprivileged are unlikely to This analysis of collective effects should have a bearing,
seize on courts as the venue. On the other hand, if benefits then, on who benefits from litigation. But this may be
are expected to generalize beyond actual litigants, then contingent on the politics of legal mobilization in a given
those who cannot afford to (and do not) litigate can still jurisdiction. If only the privileged litigate, and if they
benefit, and the aggregate benefit of even very low-cost litigate primarily for the sorts of things only the privileged
interventions can justify relatively expensive (in practice, care about—for club goods, in other words, in clubs that
often third party-funded) litigation. For example, Treatment exclude the poor, like better public university education in
Action Campaign, a South African NGO, mounted an poor and unequal countries, or hospitals colonized by the
expensive and complicated litigation and activism campaign upper classes because of their geographic location—then
to require the government to offer pregnant women a $5.00 the effects, though collective, are likely also to be regressive.
dose of Nevirapine, to prevent mother-to-child transmission The question, therefore, is whether the ripples caused by the
of HIV. For any single individual, or even for a charitable collective effects simply magnify the initial bias or whether
enterprise, it would be irrational to engage with the the collective effects of litigation can ameliorate that initial
machinery of courts to secure something of such low cost. bias. The answer to this is not obvious, and we do not
But, as in this case, public interest NGOs and other social purport to offer a full answer here, but our findings at
have made conservative assumptions, to ensure we do litigation relative to their share of the population—in
not overstate the potential benefit to the poor. In any other words, whether more or less than 40 percent of the
event, the analysis highlights the policy areas affected, beneficiaries fall below the fortieth income percentile.
and the reader ultimately can judge whether the nature Finally, in calculating the distribution of benefits, we
of these policy areas justifies concluding that litigation is discount cases with partial or no implementation, and we
an elite-centric enterprise. account for the likelihood that the poor will not receive even
The country teams followed comparable but not iden- the collective benefits of litigation by including only the
tical strategies. In Indonesia they identified all cases relating population that has access to the mechanisms that dispense
to the rights to health care and education. In the absence the goods in question—schools, hospitals, blood banks, etc.
of systematic compilations of decisions, they used archival For each subset of cases, we examine whether the
research in the various courts, and interviewed the decisions’ effects are expected to be narrow and tied to the
principal legal NGOs. In India and South Africa the initial litigants, or whether the impact is the product of
teams used electronic searches to identify all reported broader, more collective decisions. In general, South Africa
cases from appellate courts on up. In Brazil, where the and India are the two countries that experienced the most
number of cases was vastly higher, they searched electronic collective litigation. In both of these countries high court
databases for appellate and higher courts in a cross-section decisions strongly guide both lower courts and public
of subnational units including states at both ends of officials. Indian courts, moreover, rely heavily on Public
the socio-economic spectrum and extrapolated from this Interest Litigation, a legal device that encourages individuals
sample to produce nationally-comparable numbers. and NGOs to speak on behalf of otherwise unrepresented
Sampling differences are not likely to affect the conclu- interests, encourage fundamental rights litigation, and are
sions we reach here. In the first place, our conclusions do not shy about addressing regulatory issues, which are col-
not depend on having identified every last beneficiary in lective by definition. These countries should have the most
each country. We do not aggregate and average across pro-poor outcomes, with litigation targeting lower-cost
countries, so our conclusions are not affected so long as goods and policy areas that serve more people. At the oppo-
we have identified representative beneficiaries in each site end of the spectrum, cases in Brazil are largely pursued
country. We do aggregate across policy areas within for their individualized benefits, and are expected by
countries, but here we applied the same sampling litigants to have purely individual effects in the short term,
techniques, and we adjusted for population size where and thus should focus on more expensive goods and be less
necessary to arrive at comparable figures. pro-poor. To look at within-country variation we also
These countries will not necessarily give us a representa- examine Brazilian education cases, which rely more on the
tive sample of SE rights litigation across the world—there Ação Civil Pública, a legal device used to challenge broad
are no post-Soviet cases, no advanced industrial democra- public policies, and which should, therefore, have a higher
cies, no cases at the bottom of the global income spectrum. share of disadvantaged beneficiaries.
But they can fairly be called representative of the We have two additional cases on which to draw,
middle-income cases (Brazil and South Africa are upper Nigeria and Indonesia, but in neither of these cases has
middle-income and Indonesia and India are lower middle- litigation had a very significant impact across policy areas.
income economies) where social rights constitutionalism The reasons for their limited impact are fully discussed in
has been most important and thus where we focus our our other work.53 Here we focus more narrowly on the
attention. More importantly, these countries, for different distribution of whatever impact there is, so Nigeria is
reasons, offer both cross-national and within-country discussed only in the tables and the online Appendix, while
variation in the extent to which litigants should expect the discussion of Indonesia focuses on the one set of cases
their cases to have collective effects. In India, a common that had a discernible impact.
law country, and in South Africa, which blends common
and civil law traditions, cases have broad precedential Brazil
effects, simply by virtue of that tradition. Meanwhile, in By far the most common form of litigation in Brazil
the civil law countries (Brazil and Indonesia), individual consists of individual actions in which litigants sue for
cases are expected to have individual effects, but there is the medical services and medications. Our survey identified
possibility of filing cases with primarily and self-consciously about eight thousand cases in four states (Rio de Janeiro,
collective effects. The Ação Civil Pública, in Brazil, and the Rio Grande do Sul, Bahia, and Goias); of these, over 94
abstract constitutional challenge, in Indonesia, for instance, percent were individual actions for health-related goods
both figure among the cases in our sample. and services. Some 66 percent of these were demands
We estimate the regressive or progressive impact of for state-funded medications. Essentially all the cases are
litigation by examining whether the poor, defined in nearly individual demands to capture individual goods from a
all cases as those in the bottom two income quintiles, are common pool. All the research on Brazil makes it clear
over- or under-represented among the beneficiaries of that these cases are undertaken for their individual effects,
Table 1
Distributive Impact of Health Rights Litigation, Brazil
Litigation Stream Percent underprivileged N underprivileged Total N
HIV/AIDS 32 209,057 660,000
Hepatitis 30 45,000 150,000
Diabetes 14 96,180 687,000
Cancer 26 19,000 72,200
Hypertension 19 138,624 729,600
Osteoporosis 50 1,213,150 2,426,300
OTC goods 43 1,174 2,731
Terms of private insurance 32 12,765 40,522
Total 36 1,734,950 4,768,353
services, although some of the cases do fit this category. The overall results for South Africa, in keeping with
In this policy area, then, we identified the effects of cases our expectations, were more pro-poor than those in
relating to private schools (for example, allowing legislative Brazil: more than eighty percent of all those benefited
limits on tuition increases) and public schools (mostly, by these decisions fit even a fairly narrow definition of
easing procedural restrictions on hiring new teachers), “underprivileged,” compared to the slightly negative effect
estimated the number of beneficiaries in each, and applied of litigation in Brazil. If we assume that the South African
the known demographics of public and private school “underprivileged” come from the bottom forty income
students to these findings. According to the Brazilian percentiles (in fact, they were probably even less “privileged”
statistical service60 about 80 percent of public school than that), then South African SE litigation was twice
students, and 27 percent of private school students were as pro-poor as the Brazilian model. We summarize our
“underprivileged.”61 Our survey found about 40,000 calculations in table 2.
beneficiaries in public schools and only 400 in private Note that the findings for South Africa are significantly
ones. Applying the demographics of education to this driven by the fact that HIV/AIDS, the object of most of
ratio, at least 78 percent of the beneficiaries of education the significant cases, has a much higher prevalence among
litigation came from the lower two income quintiles, so poor South Africans. Still, the results support our basic
that the poor were overrepresented in Brazil’s more claim—in collective litigation-friendly South Africa, it
collective right-to-education litigation by about 2 to 1. makes sense to litigate even the relatively low-cost single
dose needed to prevent mother-to-child transmission of
South Africa HIV.
South Africa’s post-apartheid constitution of 1996 explicitly
includes rights to housing, health care, food and water, India
education, and social security. Our review of cases at the Starting in the early 1980s, India’s Supreme Court began
level of the High Court and above found twenty-four cases to enforce economic and social rights. But perhaps as
dealing with health and education rights. In contrast to important was a significant opening to collective cases that
Brazil, and as expected in a common law jurisdiction, South occurred in the same era: the Indian courts established
Africa showed not only a markedly smaller number of cases, Public Interest Litigation, in which applicants need not
but also a set of cases primarily targeting collective effects on demonstrate that they themselves have suffered harm in
public policy, rather than individual impact on litigants. order to address a public policy issue; the courts lowered
This means that, even more than for Brazil, the demo- the standard for a petition, so that even letters to the courts
graphics of the actual SE rights litigants in South Africa are could qualify; and the Supreme Court began to examine
of trivial importance, compared to the demographics of the social concerns on its own initiative. Ninety-nine percent
relevant policy area beneficiaries—we are less interested in of all the beneficiaries we identified in India were the result
the few named plaintiffs in the Treatment Action Campaign of cases like these, with broad collective goals.
case, for example, than in the demographics of the Our review found 209 cases involving the right
thousands of women and children who benefited from to health and 173 involving the right to education.
the resulting distribution of medications to prevent The Indian courts heard cases involving low-cost goods
mother-to-child transmission of HIV. and services, such as the regulation of, and policies toward,
Table 2
Distributive Impact of Health and Education Rights Litigation, South Africa
Standard for Percent N
Case name Description “underprivileged” underprivileged underprivileged Total N
Van Biljon HIV1 prisoners Prisoner 100 57,600 57,600
TAC HIV1 pregnant women Household income* 69 37,950 55,000
Interim procurement Procurement of ARVs Household income* 69 29,325 42,500
Hazel Tau Generic ARVs Household income* 69 82,110 119,000
Total Health 76 206,985 274,100
Premier Mpumalanga Subsidies for poor children “Indigent” children 100 22,500 22,500
Watchenuka School-age asylum seekers Asylum seeker 100 50,625 50,625
Total Education 100 73,125 73,125
Total 81 280,110 347,225
*Household income less than $132 per month
Table 3
Distributive Impact of Health and Education Rights Litigation Streams, India
Litigation Stream Percent underprivileged N underprivileged Total N
Extend Consumer Protection Act to health care 13 219,216 1,648,240
Secure blood banks 23 14,260 62,000
Free ARVs for AIDS patients 34 3,400 10,000
Limit vehicular pollution 47 259,196 551,481
New hospital for Union Carbide victims 40 148,000 370,000
Midday meals in schools 100 9,841,667 9,841,667
Total Health 84 10,485,739 12,483,388
Extend teacher qualification 37 31,080 84,000
Expand access to tertiary education 11 2,200 20,000
Total Education 32 33,280 104,000
Total 84 10,519,019 12,587,388
cases are also those that have the greatest potential for broad at all. These middle class families are not, of course, rich
impact), and that shortcomings in India’s state capacity by global standards: approximately half of Indonesians
otherwise constrained the potential pro-poor impact of consumed less than US$2/day in 2007.66 Still, we estimated
collective litigation. that 36 percent of the public school students who benefited
were from the lowest two income quintiles. This may be
Indonesia an underestimate because adding money to the public
Our survey identified only one right-to-health or right-to- school budget might have lowered costs (Indonesian
education case with wide impact in Indonesia since the public school students pay considerable fees and other
beginning of the transition to democratic rule in 1999. costs) as well as raising quality, so that the litigation
By far the most consequential SER litigation stream in might have had the effect of drawing more lower-income
Indonesia, accounting for 95 percent of the identified families into the system.
beneficiaries, was a series of three cases involving judicial
review of government funding for K–12 education. In the Interpreting the Distributive Results
Judicial Review of the 2005 State Budget Law and two Figure 1 summarizes our findings, showing the percentage
subsequent challenges, the Constitutional Court ordered of underprivileged persons benefiting in each class of
compliance with a constitutional requirement that the litigation. With some exceptions, such as prisoners or
budget allocate 20 percent of its expenditures to education. refugees, the underprivileged category in each line repre-
These rulings contributed to an increase in education’s share sents the bottom 40 percent of the population in terms of
of the budget from 7 percent to nearly 12 percent in income. Any finding that more than 40 percent of the
the next few years (and eventually 20 percent, but only beneficiaries are underprivileged, therefore, is a finding
once the definition of the numerator changed). Our study that the poor are overrepresented among beneficiaries
estimated, very conservatively, that at least 750,000 students compared to the general population. With the exception
received significantly better schooling as a result of more of the Indonesia education cases, in all cases in which the
financing (out of some 50 million students enrolled in litigation is pursued for its collective effects, the underpriv-
primary and secondary education at the time). ileged are overrepresented—and in most cases by a margin
In Indonesia, the poorest are underrepresented in public of at least two to one. When the landscape is dominated by
education—middle class families commonly use public uncoordinated individual litigation, on the other hand, the
schools while many of the poorest families are not enrolled poor are less likely to be among the beneficiaries.
Figure 1
Percent underprivileged in each category
substantive commitments to aggregate welfare in the human capital.67 In this view, the social investment
United States Constitution. Most countries writing called for by social rights constitutionalism is an in-
constitutions today opt for a more robust vision of the vestment in democracy and an investment in develop-
central government’s role in providing for the wellbeing ment. The extent to which this is or could be true
of the population than simply making space for private depends greatly on the answer to the question we posed
enterprise or subnational units to act. The point of social here. Does social rights constitutionalism simply deepen
rights constitutionalism is not that putting the right to the existing maldistribution of resources and access to
health, or the right to a decent standard of living, in the state-provided benefits, thus deepening the challenges of
constitution will make it so. Rather the hope is that unequal and underdeveloped democracies, or does it
under some conditions a constitution writing process palliate that inequality somehow?
that includes these commitments may promote a robust This study is one of the first systematic and compar-
politics of rights provision, or that, under certain circum- ative efforts to assess the distributive impact of judici-
stances, the inclusion of these provisions in constitutions alizing social and economic rights. In our view, it
affects national identities and serves as a focal point for should not be the last. Untangling the impact of judicial
mobilization. Surely drafters expect these constitutions to involvement in these basic issues of social provision and
lead to societies that take better care of the least well off, for public policy is a more complex matter than the current
reasons that far exceed the possibility of litigating particular state of research—perhaps including this piece—has
issues of social provision. acknowledged. SE rights litigation has been used to
But it is entirely possible that the presence of far-reaching scrutinize the scientific claims made to justify the denial
promises in a constitutional text, in the presence of of antiretrovirals for treating HIV and AIDS in South
enduring inequalities and deprivation, might have Africa, and to require more rigorous reason-giving by
negative consequences for this and other outcomes. policymakers in a variety of contexts. It has been used to
The presence of formal, unfulfilled social and economic call attention to private health care administrators who
rights might detract from the legitimacy of the constitution, deny benefits that are actually mandated by law in
or shift the politics from the legislative arena to a possibly Colombia. It has been used to publicize and generate
less effective judicial arena. Couching these entitlements in debate about national legislators’ decisions on the level of
the language of rights might have an atomizing, individu- education funding in Indonesia. Litigation has required
alizing effect, to the detriment of possibly more-effective policy makers to at least consider the claims of populations
collective, class-based mobilization. Focusing on rights to with little or no political influence, such as migrants and
basic goods, instead of on the economic or political con- refugees in South Africa and Indonesia, or populations
ditions that make the provision of such goods possible, displaced by environmental disasters or conflict in Indo-
might result in the misallocation of government resources nesia and Colombia. The mere possibility of litigation
and energies. Adding a long list of rights that may never be around these issues could change the quality of decision
fully realized might cheapen rights overall, leading to a lack making around them, once decision makers understand
of regard for basic civil and political rights. We simply do that their decisions will be subject to review. Our own
not have good comparative studies of the overall, systemic conclusions are tentative, our vision partial, and more
effects of what has become a hugely important political research on this question is needed.
phenomenon. Scholars of courts and scholars of compar- Beyond the implications for academics and constitution-
ative politics need to engage in a broader conversation, makers, a better understanding of the distributive and
informed by the insights of both scholarly communities, systemic effects of judicial intervention has important
about the comparative politics, the causes, and the effects of practical implications for courts and litigants, and they
social rights constitutionalism. too are deeply interested in the answer. One of the
The middle-income countries experimenting most authors was approached by a justice from a provincial
deeply with social rights constitutionalism live in a world supreme court in Argentina. The justice remarked that
shaped both by the ideological dominance of constitu- his court was flooded with cases relying on the right to
tional democracy and by global markets that place health, and he wanted to know whether he and his
constraining pressures on the welfare state. In that colleagues should treat these cases like every other case,
context, many have settled on social rights constitution- simply applying the law to the facts to resolve the indi-
alism as a way to ensure that the distribution of basic vidual case, or whether they should take into account
entitlements is not purely determined by the market. the obvious policy implications, with an eye to the
This impulse dovetails with a long tradition suggesting distributive and systemic impact of their decisions. If it
that basic levels of material wellbeing are necessary for is true that litigation leads to more inequality, the
a successful, more participatory democracy. It is also equity-enhancing response would be either to deny the
congruent with more recent calls for a new model of cases altogether—as many have advocated—or to craft
developmental state, one that emphasizes the creation of the decisions as narrowly as possible, so as to minimally
of thousands of cases, clearly involve litigants who, by 60 Instituto Brasileiro de Geografia e Estatística
any measure, are poor. But the remedy they seek is an (http://www.ibge.gov.br).
important one relative to the cost of litigating—an 61 The cutoff here is actually a more conservative, for our
adequate pension payment sufficient to meet their argument, $50 per month in per capita family income,
needs over their remaining lifetime. rather than the $60 that marks the bottom 40 percent.
47 See not only our own book on this (Gauri and Brinks 62 In this article, we use the terms “negative rights” and
2008a), but also many other contributions, from the “positive rights” loosely. Most negative rights demands
US (Epp 1998, 2009), South Africa (Forbath 2011), entail negative and positive duties; and positive rights
to Latin America (Yamin and Gloppen 2011). demands entail negative and positive duties. See Gauri
48 On this point, see especially Tushnet 2009. and Brinks 2012.
49 The classic references here are Horowitz 1977, and 63 Smoking was made a punishable offense in a Supreme
Rosenberg 1991. Court case in 2001, but rules implementing the ban were
50 In fact, there is research suggesting that judicial not put in place until 2008, and enforcement is still spotty.
interventions, while not panaceas, can 64 These cases raise one important question that
significantly improve the material conditions of undoubtedly deserves additional research—to what
many people who are otherwise passed over by the extent do the socio-economic characteristics of the
representative branches. See Rodríguez Garavito target population influence compliance rates? We do
2009, 2011, or our own work in Gauri and not attempt to answer it here, but limit ourselves to
Brinks 2008a. noting that there are public good-type cases in both
51 See Gauri and Brinks 2008a. Here we limit discussion the compliance and the non-compliance camp (e.g.,
of Nigeria to some examples and aggregate data, clean water and non-smoking); and club good cases
essentially because there are only two cases worth that seem to favor the poor in both camps (child labor,
discussing, and they had limited effects. which should exclusively affect the poor, and right to
52 See the Appendix, which is posted online. Find the food, which predominantly affects the poor). This
link in the Supplementary Materials listed below. question is certainly worth exploring further, as our
53 Gauri and Brinks 2008a. initial investigation shows that litigant resources are
54 Hoffman and Bentes 2008; Prado 2013. crucial to compliance in large-scale collective cases
55 Less than one percent of the beneficiaries sued for (Brinks and Gauri 2008).
over-the-counter goods that could be used by anyone. 65 http://www.who.int/healthinfo/survey/
For these goods we simply assumed that a random whs_hspa_book.pdf.
distribution of SUS beneficiaries benefited, leading to 66 http://go.worldbank.org/BEQZ2K3MR0.
an estimate that 46.6 percent of them come from the 67 Trubek 2009; Trubek, Coutinho, and Schapiro 2013.
bottom two quintiles (and thus have per capita family
incomes below about $60 USD/mon); Ribeiro et al. Supplementary Materials
2006. • Data Appendix
56 We use the 40 percent number because the most
critical studies of the beneficiaries of medications http://dx.doi.org/10.1017/S1537592714000887
litigation in Brazil find that the litigant population
approximately reflects the overall income distribution; References
Da Silva and Terrazas 2011. Other studies question Biehl, João, Joseph Amon, Mariana Socal, and Adriana
these results, finding a much greater participation by Petryna. 2012. “Between the Court and the Clinic:
the poor than either they or we do; Biehl, et al. 2012. Lawsuits for Medicines and the Right to Health in
57 Prado 2013. Brazil.” Health and Human Rights 14(1): 1–17.
58 Ribeiro et al. 2006. Bilchitz, David. 2013. “Constitutionalism, the Global
59 Norheim and Gloppen 2011. Indeed, if our calcula- South, and Economic Justice." In Constitutionalism of
tion were done in dollars, rather than in numbers of the Global South: The Activist Tribunals of India, South
people benefited, we might have a more regressive Africa, and Colombia, ed. Daniel Bonilla Maldonado.
result. Vieira and Zucchi 2007, for instance, find that New York: Cambridge University Press.
75 percent of the dollars allocated through court Bonilla, Maldonado Daniel ed. 2013. Constitutionalism of
actions are attributable to cancer drugs. If we used this the Global South: The Activist Tribunals of India, South
figure, and assume a blended rate of 41 percent for the Africa, and Colombia. New York: Cambridge University
other 25 percent of dollars allocated, as explained in Press.
the Appendix, we would find that somewhere around Brinks, Daniel M., and William Forbath. 2014. “The Role
30 percent of the benefits, in dollar terms, accrue to of Courts and Constitutions in the New Politics of
the bottom two income quintiles. Welfare in Latin America.” In Law and Development of