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PPA
1.
2.
3. Determining which of various
alternative policies will most
achieve a given set of goals
in light of the relationship
between the policy
and the Analysis of policy
goals
Analysis for policy
8. Ethical Values Beliefs
Public Acquisition
Money of more
Good power
9. ANALYZE
HEALTH
POLICY!
So in the context of policy process, we…
10. Policy “should” achieve maximum benefits
at minimal cost
Verify, define and detail the
problem
Establish evaluation criteria Identify alternative policy options
Monitor implemented
Evaluate alternative Display and distinguish
policy after
policies among alternatives
enactment
11. Define the problem
Assemble evidence
Construct alternatives
Select evaluation criteria
Project outcomes
Confront trade-offs
Decide on “best” policy to promote
Tell story to your policy audience
12. Define problem
Set evaluation criteria
Identify alternative policies
Evaluate alternative policies
Select preferred policy
Re-define problem
13. Always a paradox
Rationality in the political
process is an irrational dream
Analysis itself is political – carefully
crafted to support positions
Policy is about ideas that often clash in
the political arena
14. Rational attempt to attain objectives
strategic representations of situations put forth by the proponents of a
political position
Structuring relationships and coordinating behavior to achieve goals
(hopefully for the common good)
Of policy is analytical and descriptive – explains policies, their developmentFor policy is prescriptive – formulates policies and proposals
Not a linear process; values are enmeshed; personal experiences, opinions and motives abound; politics rulePolicies can be enacted in spite of hard data that says they are crazy and impractical
AS – identifying societal problems and bringing them to attention of government – who does that?LR – formal governmental responses to a problem – who does that?I – execution of policies or programs to solve problemsE – appraisal of policy performance or outcomes
Politics is a market of quid pro quoLegislators, executives and bureaucrats, judgesAnyone who considers potential or actual policies to be relevant to the pursuit of health for themselves or others (multiple motivations)What is the dynamic that drives the interaction? POWER – the potential to influence
Who has all this power? Suppliers? Demanders? In what ways?
Who is involved in the power play? Is power a good thing or a bad thing? (It’s just a fact of life)
What are some flaws in this process? lowest cost may not be best solution emotional issues POLITICSWhat about these evaluation criteria? What could they be? (cost, access for greatest # people, political acceptability to voters or wealthy supporters, maximum revenue generation, maybe even public good as defined by a specific group)
These authors separate policy planning research (in-depth, longer term project conducted by academic researchers with basic policy analysis that seeks answers to more immediate problemsIn their view, basic analysis results in issue papers, recommendations to legislators, policy papers, all prepared for a specific client or political purpose – while policy planning results in extensive and in-depth exploration of a problem from the perspective of public good.Rational separation??
Bob Dole example “we really win if we win, but we win if we lose too” regarding Senate rejection of BBA in 1994 (p.2)Policy and politics are inseparable – we can’t get above the fray and mess of politicsRational decision-making approach doesn’t often work in the real worldl society does not function exactly like a market; rational model of policy-making is not orderly and defined any nore than rational decision-makingSometimes the solution comes before the analysis – facts are culled and shaped to match what we want to do
What comes first, the goal or the solution? Answer – it depends on who is shaping things equity, efficiency, security, libertyHow are problems defined? Answer – it depends on who is shaping the problems, whose interest is being served problems are not the same for a Wall Street Banker and a laid off steel worker from Ohio symbols, numbers, causes, interests, decisions (remember the purpose of policy is to accomplish someone’s agenda)Solutions use some form of power to change or coordinate behavior inducements (persuade), rules (command), facts (from rational persuasion or propaganda), rights, powersSolutions are temporary, fleeting resolutions of conflict through deliberate attempts to change people’s behavior through policy.
Obama support for women’s healthHRSA confirmation of benefits for women from legislationRomney accuses obama campaign of using woman’s death for political gain CNN John King analysis of Romney position on women’s issues