FROM COMPLEXITY TO SIMPLICITY: MORE ON POLICY THEORY AND THE ARENAS OF POWER

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THE SOURCES OF PUBLIC POLICY: WELFARE POLICY IN THE AMERICAN STATES

The conceptualization of political and economic determinants of public policy as interactive rather than sufficient causes is subjected here to a comparative state analysis. An examination of interactive effects of culture, wealth, and gubernatorial power on AFDC grants and Medicaid benefits offers empirical illustration of Stonecash's reconceptualization of the classic politics-process-policy model. The results indicate that political dispositions become more potent in combination with increasing concentrations of wealth and executive power.     

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This essay identifies and analyzes four different paradigms in the study of problems in the American health system. The paradigms, which are labelled the individual–deficiency, the economic, the organizational, and the Marxist perspective, are examined as “diagnostic paradigms” according to the way in which problems are conceptualized and the way in which remedial strategies are chosen. The essay shows the differences and similarities between characteristic diagnoses and policy solutions within the four perspectives. It is argued that such paradigms can easily be identified in recent health reform proposals.