The delegated welfare state : medicare, markets, and the governance of social policy / Kimberly J. Morgan and Andrea Louise Campbell.

Format:

Book

Author/Creator:

Morgan, Kimberly J., 1970-

Contributor:

Campbell, Andrea Louise, 1966-

Series:

Oxford studies in postwar American political development

Language:

English

Subjects (All):

Human services--Contracting out--United States.

Human services.

Privatization--United States.

Privatization.

Welfare state.

Human services--Contracting out.

United States.

Welfare state--United States.

United States--Social policy.

Social policy.

Physical Description:

xvi, 305 pages : illustrations ; 24 cm.

Place of Publication:

New York : Oxford University Press, [2011]

Summary:

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 avoided direct governmental provision of benefits and services, turning to non-state actors for the governance of social programs. Utilizing case studies of Medicare and the 2009-10 health care reform, Morgan and Campbell argues that the prevalence of delegated governance reflects the powerful role of interest groups in American politics, the dominance of Congress in social policymaking, and deep contradictions in American public opinion. Americans want both social programs and small government, leaving policy makers is a bind. Contracting out public programs to non-state actors masks the role of the state and enlists private allies who push for passage. Although delegated governance has been politically expedient, enabling the growth of government programs in an anti-government political climate, it raises questions about fraud, abuse, administrative effectiveness, and accountability. 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. Book jacket.

Contents:

Introduction

Exploring the delegated welfare state

Medicare and the delegated welfare state in the post-war era

The rise of the market reform movement

Crafting the Medicare Modernization Act of 2003

Administering the delegated welfare state the cases of medicare and the Medicare Modernization Act

The delegated welfare state and policy feedbacks

Citizens, consumers, and the market model.

Notes:

Includes bibliographical references and index.

ISBN:

9781409403531

140940353X

0199730342

9780199730346

9780199730353

0199730350

OCLC:

703104516