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
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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