Download Health Policy: A Critical Perspective by Iain Crinson PDF

By Iain Crinson

This e-book presents a serious evaluate of advancements in overall healthiness and healthcare coverage. essentially targeting the united kingdom, the chapters disguise matters comparable to the policy-making strategy; the advance of the NHS; overall healthiness care governance; well-being merchandising; and the comparative research of well-being care platforms in the ecu and US. every one bankruptcy brings jointly social and political issues to bargains a different blend of thought, old aspect, and wider social statement.

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Foucault developed the concept of ‘governmentality’ (or the ‘art of government’) in order to analyse the ‘regulatory’ (or interventionist) role of the state. This approach focuses attention on the ways in which power is present at all levels of society, serving to regulate the activities of the population (Foucault’s conception of power, knowledge and discipline was described in Chapter 1). Foucault likened governmentality ‘… to a form of surveillance, of control which is as watchful as that of the head of a family over his household and his goods’ (Foucault, 1979b: 10).

22 HEALTH POLICY The issue though, is whether corporatist theory is seen as an ideal model of government, or whether it actually represents an over-estimate of the power the state bureaucracy has to effect change and direct the structuring of the economy and business (Pierson, 1996: 88). A general critique of elitist theories is that they do not fundamentally diverge from pluralist models in that most recognise a circulation of social elites rather than a fixed ruling class. With the possible exception of Wright Mills, elite theories also share with pluralist models a disregard for the question of how elites acquire and hold on to power; these are the structural questions which are emphasised in the alternate models of the state discussed below.

Each approach has a different object of explanation – such as the rational behaviour occurring within institutions, their historical structures, or their institutional norms and culture. Many of these approaches focus less on the role of the state itself, and more on the different kinds of action occurring within institutions of the state. Below, we will examine two of the more developed forms of new institutionalism, ‘rational choice’ and ‘historical institutionalism’. rational choice institutionalism Rational choice institutionalism theorises the state in terms of it being a rational actor pursuing a ‘logic of interest’, or as a structure of incentives within which rational policy actors follow their preferences.

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