Policymaking/Agenda Setting HAS 4320. Review Define Health Policy Private versus public Forms –Laws –Rules –Operational decisions –Judicial decisions.

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Presentation transcript:

Policymaking/Agenda Setting HAS 4320

Review Define Health Policy Private versus public Forms –Laws –Rules –Operational decisions –Judicial decisions –Macro policies

Review Categories –Allocative –Regulatory –Redistributive

Substantive vs Procedural Adolescent care –Adolescents –Schools –Tobacco companies

Extent of policy change Comprehensive Non-comprehensive

Policy and Health Health Policies – determinants – health Health Services –Money –People –Technology –Healthcare system

Policy Process

Revised Garbage Can Model –Problems –Policies –Politics What is a problem?

Policy Process Advocates oversell Political spins Validity

Context of Policymaking Exchanges –Helping forces –Hindering forces Negotiation –Cooperative –Competitive –Niche

Demanders Individuals Organizations Interest groups Lobbyists PACs Pluralist vs Elitist

Suppliers Legislators Executives and bureaucrats Judiciary

Interplay of Demanders and Suppliers Power and influence Iron Triangle Issue networks Externality groups

Political Competence

Agenda Setting Problems Solutions –Research Political Circumstances

Nature of Agenda Not in a vacuum Policymakers seek to accommodate Multiple and conflicting policies

Congressional Leadership Speaker of the House House majority and minority leaders House majority and minority whips Senate majority and minority leaders Committee chairs

Committees Standing committees Clout Policy committees Conference committees

U.S. House Agriculture Appropriations Armed Services Budget Education/Workforce Energy/Commerce Financial Services Government Reform House Administration Resources Rules Science Standards of Official Conduct Transportation Veteran Affairs

U.S. Senate Agriculture/Nutrition and Forestry Appropriations Armed Services Banking, Housing and Urban Affairs Commerce, Science and Transportation Energy and Natural Resources Environment and Public Works Foreign Relations Governmental Affairs Judiciary Veterans Affairs

Utah Senate Bus/Labor and Economic Dev Education Energy/Natural Resources Health and Environment Judiciary Revenue and Taxation Human Services State and Local Affairs Transportation/Public Safety Rules

Legislative Parties Vote by party, but often crossover Three goals –Reelection –Influence within the house –Good public policy

Entrepreneurial Members Congressional staff Personal staff Committee staff

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