Remaking Policy : : Scale, Pace, and Political Strategy in Health Care Reform / / Carolyn Tuohy.

• Superior document: Title is part of eBook package: De Gruyter University of Toronto Press Complete eBook-Package 2018
• VerfasserIn: Tuohy, Carolyn,
• Place / Publishing House: Toronto : : University of Toronto Press, , [2018]; ©2018
• Year of Publication: 2018
• Language: English
• Physical Description: 1 online resource (688 p.) :; 16 figures

One of the most persistent puzzles in comparative public policy concerns the conditions under which discontinuous policy change occurs. In Remaking Policy, Carolyn Hughes Tuohy advances an ambitious new approach to understanding the relationship between political context and policy change. Focusing on health care policy, Tuohy argues for a more nuanced conception of the dynamics of policy change, one that makes two key distinctions regarding the opportunities for change and the magnitude of such changes. Four possible strategies emerge: large-scale and fast-paced ("big bang"), large-scale and slow-paced ("blueprint"), small-scale and rapid ("mosaic"), and small-scale and gradual ("incremental"). As Tuohy demonstrates, these strategies are determined not by political and institutional conditions themselves, but by the ways in which political actors, individually and collectively, read those conditions to assess their prospects for success in the present and over time. Drawing on interviews as well as primary and secondary accounts of ten health policy cases over seven decades (1945—2015) in the US, UK, the Netherlands, and Canada, Remaking Policy represents a major advance in understanding the scale and pace of change in health policy and beyond.

Table of Contents

Frontmatter -- Contents -- Preface -- Part I: Overview and Theory -- 1. Overview -- 2. Defining the Scale and Pace of Policy Change -- Part II: The Founding and Evolution of the Health Care State to the 1980s -- 3. The Establishment and Evolution of the British and US Health Care States to the 1980s -- 4. The Establishment and Evolution of the Dutch and Canadian Health Care States to the 1980s -- Part III: Remaking the Health Care State at the Millennium, 1987–2017 -- 5. British and US Health Care Reform Strategies, Early 1990s to Late 2000s -- 6. The US Mosaic, 2009–10: Return to Unfinished Business -- 7. The English Mosaic, 2010–12: Evolution in Revolutionary Clothing -- 8. The Dutch Blueprint, 1987–2006 -- 9. Canadian Incrementalism Reinforced, 2003–04 -- Part IV: Institutional Entrepreneurs and the Course of Market-Oriented Reform -- 10. Institutional Entrepreneurs and Market-Oriented Reform: Theory and Experience in Britain, the Netherlands, and the United States -- Part V: Conclusion -- 11. Understanding Policy Change -- Notes -- References -- Index