This paper presents the basic political science consensus on parties and their impact on policy, then turns to focus on the impact of the populist radical right (PRR) parties on policy, what PRR parties have done to implement their views and whether they make a difference. Three effects on policy were established: 1) they de-emphasize the issue, preferring to focus on migration, crime and security rather than health and welfare and 2) they prefer to pursue exclusionary policies. 3) it is not clear whether they increase or decrease benefits for the "native" populations they claim to represent. In short PRR parties make a difference whether to migrants or conservative governments, this party group matters. © The Author(s) 2018. Published by Oxford University Press on behalf of the European Public Health Association.

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politics Health Policy Delivery of Health Care social welfare health care policy Europe human Humans public health health care delivery