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Remaking Policy : Scale, Pace, and Political Strategy in Health Care Reform - (Hardcover)

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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.

Number of Pages: 717
Genre: Political Science, Health + Wellness, History
Series Title: Studies in Comparative Political Economy and Public Policy
Format: Hardcover
Publisher: Univ of Toronto Pr
Author: Carolyn Hughes Tuohy
Language: English
Street Date: May 4, 2018
TCIN: 52868902
UPC: 9781487502454
Item Number (DPCI): 248-52-0375
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