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Table of Contents
Cover; Page i; Copyright; Dedication; Contents; Preface; Part I: Overview and Theory; 1 Overview; Mis-en-scène; Introduction; The Scale and Pace of Change: Big Bangs, Blueprints, Mosaics, and Increments; Defining the pace of change: Enactment and implementation; Defining the scale of policy change: Influence, instruments, organizing principles, and logics; Four strategy types; four strategic domains; The Evolving Agenda of Welfare-State Politics and the Case of Health Care; Phases of welfare-state politics; The case of health care policy: The agenda of market-oriented redesign
The Politics of Scale and Pace in Health Care ReformImplementation and the Role of Institutional Entrepreneurs; 2 Defining the Scale and Pace of Policy Change; Elements of Scale: Influence, Instruments, Principles, and Policy Logics; The balance of influence: The state, private finance, and providers; The mix of instruments: Hierarchy, exchange, and peer control; Organizing principles: The basis of entitlement and the functional role of the state; Policy logics: The intersection of influence, instruments, and principles; Transforming the logics of health care policy: Four nations
The Pace of Policy Change: Historical and Strategic PerspectivesTiming as history: Continuous and discontinuous change; Timing as strategy: Pace as a strategic choice; Bringing Scale and Pace Together: A Simplified Decision Tree; Part II: The Founding and Evolution of the Health Care State to the 1980s; 3 The Establishment and Evolution of the British and US Health Care States to the 1980s; Britain: The Big Bang of the NHS; The window: A landslide election and a sweeping agenda; The strategy: An appointed date for a new institution; The United States: Medicare/Medicaid Mosaic
The precursor: The big bang of Social SecurityThe window: A landslide election and a broad social policy agenda; Policy Cycling in the 1970s and 1980s; Britain: Centralization/decentralization; integration/independence; professionalism/managerialism; The United States: Regulation versus deregulation; largesse versus constraint; Conclusion; 4 The Establishment and Evolution of the Dutch and Canadian Health Care States to the 1980s; The Netherlands: Consensus, Corporatism, and Coalition Governments under Stress; Solidarity, subsidiarity, and the "social middle ground"
The Dutch health care state as of the 1970sCanada: Regionalism, Federalism, and the Scope and Limits of the "Sharing Community"; Regional differences and coping mechanisms; The evolving institutions, agenda, and tone of intergovernmental relations; Health care in the evolving federation; Establishing the Canadian health care state: The warm-up
universal hospital insurance; Establishing the Canadian health care state: The main event
universal physician services insurance; Denouement: "Paradigm freeze" and policy cycling; Conclusion
The Politics of Scale and Pace in Health Care ReformImplementation and the Role of Institutional Entrepreneurs; 2 Defining the Scale and Pace of Policy Change; Elements of Scale: Influence, Instruments, Principles, and Policy Logics; The balance of influence: The state, private finance, and providers; The mix of instruments: Hierarchy, exchange, and peer control; Organizing principles: The basis of entitlement and the functional role of the state; Policy logics: The intersection of influence, instruments, and principles; Transforming the logics of health care policy: Four nations
The Pace of Policy Change: Historical and Strategic PerspectivesTiming as history: Continuous and discontinuous change; Timing as strategy: Pace as a strategic choice; Bringing Scale and Pace Together: A Simplified Decision Tree; Part II: The Founding and Evolution of the Health Care State to the 1980s; 3 The Establishment and Evolution of the British and US Health Care States to the 1980s; Britain: The Big Bang of the NHS; The window: A landslide election and a sweeping agenda; The strategy: An appointed date for a new institution; The United States: Medicare/Medicaid Mosaic
The precursor: The big bang of Social SecurityThe window: A landslide election and a broad social policy agenda; Policy Cycling in the 1970s and 1980s; Britain: Centralization/decentralization; integration/independence; professionalism/managerialism; The United States: Regulation versus deregulation; largesse versus constraint; Conclusion; 4 The Establishment and Evolution of the Dutch and Canadian Health Care States to the 1980s; The Netherlands: Consensus, Corporatism, and Coalition Governments under Stress; Solidarity, subsidiarity, and the "social middle ground"
The Dutch health care state as of the 1970sCanada: Regionalism, Federalism, and the Scope and Limits of the "Sharing Community"; Regional differences and coping mechanisms; The evolving institutions, agenda, and tone of intergovernmental relations; Health care in the evolving federation; Establishing the Canadian health care state: The warm-up
universal hospital insurance; Establishing the Canadian health care state: The main event
universal physician services insurance; Denouement: "Paradigm freeze" and policy cycling; Conclusion