HLSC 3P21 Lecture Notes - Lecture 1: Ossification, Fiscal Federalism, Speedstep

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Issues in health policy week 1 and week 2. Reductionist reducing to simplify it | essentialist reducing to essential components. Tra(cid:374)sfer fro(cid:373) a (cid:272)e(cid:374)tral to peripheral offi(cid:272)e is (cid:272)alled . How prior policies can affect how a new policy can change course. Selection of goals and means of achieving them. Not always written down: from highest to lowest level of implementation, fro(cid:373) uk (cid:272)o(cid:373)(cid:373)o(cid:374) la(cid:449) to u(cid:374)i(cid:448)ersit(cid:455) regulatio(cid:374)s (cid:894)e(cid:454)a(cid:373)ple(cid:895) An absence of policy may be a form of policy. Policy gap refers to (cid:449)he(cid:374) it"s (cid:374)o lo(cid:374)ger effe(cid:272)ti(cid:448)e or gaps su(cid:272)h as (cid:373)arijua(cid:374)a legalizatio(cid:374) . Projects never fail in the planning stage, they fail in the implementation stage. Politi(cid:272)ia(cid:374)s like to look like the(cid:455)"re doi(cid:374)g so(cid:373)ethi(cid:374)g. They see a policy or a plan as an accomplishment: unless that policy or plan is implemented or actionable, then it is just an idea. A good example is the trek zone -> failed policy in execution.

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