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Books > Social sciences > Politics & government > Central government > Central government policies
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The Delegated Welfare State - Medicare, Markets, and the Governance of Social Policy (Paperback)
Loot Price: R1,304
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The Delegated Welfare State - Medicare, Markets, and the Governance of Social Policy (Paperback)
Series: Studies in Postwar American Political Development, 1
Expected to ship within 12 - 17 working days
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Why are so many American social programs delegated to private
actors? And what are the consequences for efficiency,
accountability, and the well-being of beneficiaries? The Delegated
Welfare State examines the development of the American welfare
state through the lens of delegation: how policymakers have
repeatedly avoided direct governmental provision of benefits and
services, instead turning to non-state actors for the governance of
social programs. More recent versions, such as the Medicare Part D
prescription drug program, delegate responsibility to consumers
themselves, who must choose from an array of private providers in
social welfare marketplaces. Utilizing a case study of Medicare,
along with the 2009-10 health care reform, authors Andrea Campbell
and Kimberly Morgan argue that the prevalence of delegated
governance derives from fundamental contradictions in American
public opinion. Americans want both social programs and small
government, leaving policy makers in a bind. In response, they
contract out public programs to non-state actors as a way to mask
the role of the state. Such arrangements also pull in interest
group allies-the providers of these programs-who help pass policies
in a political landscape fraught with obstacles. Although delegated
governance has been politically expedient, enabling the passage and
growth of government programs in an anti-government political
climate, it raises questions about fraud, abuse, administrative
effectiveness, and accountability. Social welfare marketplaces also
suffer due to the difficulties individuals have in making choices
about the benefits they need. In probing both the causes and
consequences of delegated governance,The Delegated Welfare State
offers a novel interpretation of both American social welfare
politics and the nature of the American state.
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