Remaking Policy

Scale, Pace, and Political Strategy in Health Care Reform

Carolyn Tuohy author

Format:Paperback

Publisher:University of Toronto Press

Published:4th May '18

Should be back in stock very soon

This paperback is available in another edition too:

Remaking Policy cover

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: large-scale and fast-paced ("big bang"), large-scale and slow-paced ("blueprint"), small-scale and rapid ("mosaic"), and small-scale and gradual ("incremental"). As Tuohy demonstrates, these strategies are determined not by political and institutional conditions themselves, but by the ways in which political actors, individually and collectively, read those conditions to assess their prospects for success in the present and over time.

Drawing on interviews as well as primary and secondary accounts of ten health policy cases over seven decades (1945—2015) in the US, UK, the Netherlands, and Canada, Remaking Policy represents a major advance in understanding the scale and pace of change in health policy and beyond.

  • Winner of The Seymour Martin Lipset Best Book Award from the Canadian Politics section of the American Political Science Association 2020 (Canada)

ISBN: 9781487522537

Dimensions: 229mm x 152mm x 36mm

Weight: 980g

688 pages