Public Policy

Policy Makers in Public Policy

Administrative Items for Class

Analysis Due On Thursday - 

THE PUBLIC POLICY TOOLKIT

POLICY ACTORS

 

 SUB-GOVERNMENTS

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POLICY ACTORS

OFFICIAL

     Primary and Supplementary

UNOFFICIAL

SUBGOVERNMENTS  (Nuclear)

ISSUE NETWORKS or I.Ts

LOWI's Policy Types:  

  • Regulatory

  • Self-Regulatory

  • Distributive

  • Redistributive

 

Iron Triangles and Issue Networks

 

 

 

 

OLD  - Iron Triangles            http://www.opensecrets.org/

http://www.auburn.edu/~johnspm/gloss/index.html?

Iron Triangles. Congress may choose not to actively pursue its oversight role The reason is that very strong, interdependent relationships may develop between the congressional committee members, lobbyists, and bureaucrats.

Issue Networks. Much larger and more complex than iron triangles, issue networks are composed of multiple policy actors that interact regularly on a particular issue.

NEW - Issue Networks mix of IT + more public private groups sharing interest, expertise, common interests

HUGH HECLO - The "intellectual father" of Issue Networks, which are "shared knowledge groups."

 

HEALTH AND WELFARE POLICY

 Elite and Rational Actor Modeling in Action 

ARE GOOD HEALTH AND A REASONABLE QUALITY OF LIFE A RIGHT or a PRIVILEGE IN AMERICA?  

 

He alth Data-Healthlinks

WELFARE POLICY

History

         Private

         Public-Hybrid

                  PRIV-BRID Health Care system in America and Welfare System in America

 

Policies

Poverty in America

The "culture of poverty," an argument first advanced in the modern American context by political scientist Edward Banfield in a 1970 book.

Banfield split the poor into two groups. 

1.  Some simply lacked money. These included many disabled and unemployed people, and some single mothers who had been widowed, divorced or abandoned. These people had middle-class values and could benefit from government income support. They could usually recover from a setback (job loss, divorce). 

2.  Then there was the true "lower class," who would "live in squalor . . . even if their incomes were doubled," Banfield wrote, because they had a "radically present-oriented" outlook that "attaches no value to work, sacrifice, self-improvement, or service to family, friends or community."

 

The dilemma is to maintain an adequate safety net,

without being so generous as to create more dependency.

 

Reform

1996 – FEDERALISM WRIT LARGE!    

Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA)

Although PRWORA has expired, Congress has continued to fund the program until a new bill is enacted.

To continue to receive federal benefits,  TANF recipients must work or look for work. Some individual state programs emphasized this shift with names for the program such as "Wisconsin Works" or "WorkFirst". Since the Act, enormous numbers of the poor have left or been terminated from the program, with most states' caseloads dropping by 50% over the first few years. Since there is less training and education available than with the earlier JOBS program, these "last hired, first fired" recipients have been returning to welfare and the caseloads have been increasing.

HUGE BLOCK GRANT to all states - a fundamental re-shifting of wealth - what Lowi Policy Type???

http://www.politicsandgovernment.ilstu.edu/downloads/icsps_papers/2006/Hutcheson2006.pdf 

 

And an ideological debate...

http://www.ers.usda.gov/Publications/CCR15/ccr15c.pdf 

 

OR ...

 

The people in the culture of poverty have a strong feeling of marginality, of helplessness, of dependency, of not belonging. They are like aliens in their own country, convinced that the existing institutions do not serve their interests and needs. Along with this feeling of powerlessness is a widespread feeling of inferiority, of personal unworthiness.

 

Now add in Health Issues and Gov't Health Assistance Programs...

 

Evaluating Health Care

         HOW DOES A NATION EVALUATE GOOD HEALTH CARE?  

FIND A HEALTH POLICY ACTOR'S WEB SITE...

         IS IT BY THE SAME MEASURES OR BY HOW A PATIENT/PERSON DEFINES IT  

Strong Private Sector Orientation in Health Care           =  PRIVATE

Public/Gov't Involvement                                               =  hyBRID

                                                                                    PRIV-BRID

 

 

 

Actors and Issue Networks...

         Old v. New 

MD and now Third Party Providers...

         Elites and Masses  

And Health Disparities  http://en.wikipedia.org/wiki/Health_disparities 

        "Old" Players?  - Elderly Health 

http://www.cdc.gov/nccdphp/overview.htm 

 

 

http://www.census.gov/prod/2007pubs/p60-233.pdf 

 

 

 

New players? - Women's Health - A subset of gender equality...

 

 

GENDER EQUALITY

“Equality of Rights under the law shall not be denied or abridged by the United States or by any state on account of sex.” 

Rights and Economics

Work Force and the Earnings Gap  ($0.76 v. $1.00)  not direct but cultural

“White”   “Pink” and “Blue” collar jobs…REALLY?

 THE GLASS CEILING and COMPARABLE WORTH  

 

 

Costs and Services http://www.mnhospitalpricecheck.org/ 

 

Health costs well outpace inflation
Survey finds health costs rose less in 2006 than last year, but far faster than wages and inflation.
By Jeanne Sahadi, CNNMoney.com senior writer
September 26 2006: 10:26 AM EDT

I

 

DIGITAL DIVIDE

ABORTION

1965 - Griswold v. CT                                        

1971 - Roe v. Wade                                          

1989 - Webster v. Reproductive Health Services  

1992 - Planned Parenthood of PA v. Casey

Sexual Harassment - Acts or a "hostile work environment"

 

Health Data-Healthlinks