HSA 3150 Lecture Notes - Lecture 14: Rulemaking, National Institutes Of Health, Incrementalism
Document Summary
Introduction to policy modification: modification is necessary because perfection eludes policymakers during formulation and implementation, the consequences of policies cause people to seek modification. Example: republicans have made 56 attempts to repeal or modify the aca: exhibit 9. 1. Incrementalism: building on existing policies via modification in small, incremental steps: typical modifications have modest changes, exceptions: medicare and aca (large modifications) Incrementalism applies beyond health policy and shows strong preferences for stability. The preference for incrementalism: significant policy departures are rare. Policies usually play out slowly and predictably. Results and consequences are also more predictable and stable: more possible compromises, example: national institutes of health (nih) reflects incremental policymaking for 130 years with a large change in 2009 via the american recovery and reinvestment act. The mechanics of modification: all three branches of government play active roles in policy modification. Judicial: policies can be modified at multiple points in the policymaking process.
