Remaking Policy

Scale, Pace, and Political Strategy in Health Care Reform

By Carolyn Tuohy | Publisher: University of Toronto Press

About the book

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: largescale and fastpaced ( big bang ), largescale and slowpaced ( blueprint ), smallscale and rapid ( mosaic ), and smallscale and gradual ( incremental ). As Tuohy demonstrates, these strategies are determined not by conditions themselves, but by the ways in which political actors, individually and collectively, assess their prospects for success in the present and over time.

Drawing on interviews as well as primary and secondary accounts of ten cases of major change in health policy over seven decades (19452015) in the US, UK, the Netherlands, and Canada, Remaking Policy represents a bold step toward understanding the scale and pace of change in health policy and beyond.

Editions of Remaking Policy

Hardcover
ISBN 9781487502454
Paperback
ISBN 9781487522537
EBook
ISBN 9781487515379
PDF
ISBN 9781487515362

Read an Excerpt

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: largescale and fastpaced ( big bang ), largescale and slowpaced ( blueprint ), smallscale and rapid ( mosaic ), and smallscale and gradual ( incremental ). As Tuohy demonstrates, these strategies are determined not by conditions themselves, but by the ways in which political actors, individually and collectively, assess their prospects for success in the present and over time.

Drawing on interviews as well as primary and secondary accounts of ten cases of major change in health policy over seven decades (19452015) in the US, UK, the Netherlands, and Canada, Remaking Policy represents a bold step toward understanding the scale and pace of change in health policy and beyond.

Frequently Asked Questions

What is Remaking Policy about?

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: largescale and fastpaced ( big bang ), largescale and slowpaced ( blueprint ), smallscale and rapid ( mosaic ), and smallscale and gradual ( incremental ). As Tuohy demonstrates, these strategies are determined not by conditions themselves, but by the ways in which political actors, individually and collectively, assess their prospects for success in the present and over time.

Drawing on interviews as well as primary and secondary accounts of ten cases of major change in health policy over seven decades (19452015) in the US, UK, the Netherlands, and Canada, Remaking Policy represents a bold step toward understanding the scale and pace of change in health policy and beyond.

What core themes, tropes, or subjects are explored in Remaking Policy?

Society and Social Sciences > Politics and government > Comparative politics

Where can I read a sample of Remaking Policy?

You can read an official preview of the few pages here https://www.book2look.com/book/9781487502454

Who is/are the Author/s of the book Remaking Policy?

Carolyn Tuohy

Who is the Publisher of the book Remaking Policy?

University of Toronto Press

What are the ISBN numbers for the physical and digital editions?

Remaking Policy is available as hardcover(ISBN 9781487502454) and paperback(ISBN 9781487522537) and ebook(ISBN 9781487515379) and pdf(ISBN 9781487515362)

Where can I buy Remaking Policy online or support local independent bookshops?

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Where can I buy Remaking Policy?