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Lecture 5

Lecture 5.docx

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Health Studies
Course Code
Toba Byrant

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Lecture 5: Types of Public Policy Theories: Consensus (Rational) - Pluralism - Public Choice - New Institutionalism o Rational choice o Sociological Peter Hall’s Policy Paradigm - In his model, he talks about three different types of policy changes - He sees ideas of being important but he is especially interested in the elites - Social learning: role of ideas in public policymaking process - Distinguish between learning processes associated with normal and radical policy change - In general what processes are forming these different types of policy change - Typology of policy change: o First-Order change: slight adjustments (ex: availability of resources) o Second-Order Change: o Third Order Change: The radical or paradigmatic policy change (Ex: radically changing how we look at health; government are intervening more) Advocacy Coalition Framework - Came up with three types of ideas - Deeply rooted assumption people within these coalition have about knowledge and how to create these knowledge Public Policy - Course of action or inaction - Anchored in a set of values What are the influences on health care policy in Canada? Setting the Policy Agenda II - Who sets the agenda? o Government o Organized interests  Various health coalitions  Medical associations  Other health disciplines who try to play a role; nurses, physiotherapists but it seems that the physicians have the government o The media  The three major papers; they have their own editorial positions (Toronto Star, Globe and Mail, National Post, Toronto Star) Canadian Federalism: - Canadian Constitution assigns responsibility for health administration to the provinces - Federal government retains influence over health care with its spending power, i.e. revenue transfers to the provinces - Federal policy to reinforce national standards - Declining federal role and increasing push for privatization – Decentralization and stronger role for provincial and territorial governments - Political ideology – E.G. Neo-liberalism and Economic Globalization – Markets - Neo-liberalism has been recognized as the dominant political ideology in Canada and some other nations Esping-Anderson Typology of Welfare States I - Social Democratic, Liberal, and Conservative welfare states - Liberal welfare state: means-tested assistance, modest universal transfer, and modest social- insurance plans - Social assistance: traditional, liberal work-ethic o It’s not generous; it’s just to meet the individual’s needs; least generous - Liberal nations: meager welfare benefits Social Democratic Regimes - Higher levels of union density - > levels of social equity and public employment e
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