The Delegated Welfare State: Medicare, Markets, and the Governance of Social Policy (Studies in Postwar American Political Development)

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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 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 argue 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 in 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.

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About the Author:


Kimberly J. Morgan is Associate Professor of Political Science at George Washington University.

Andrea Louise Campbell is Associate Professor of Political Science at Massachusetts Institute of Technology.

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"The Delegated Welfare State masterfully explains health care policy, welfare reform, and--ultimately--how American government really works. Fresh, powerful, elegant, deeply researched, and highly recommended."-James A. Morone, Professor of Political Science and Urban Studies, Brown University, and author of The Democratic Wish and co-author of The Heart of Power


"Medicare is all over the news these days--and the controversies can be mystifying. How can Republicans oppose cuts in Medicare spending, but still want to abolish the basic structure in favor of private vouchers? What did Democrats do with Medicare in the recent health reform legislation, and why? Answers to these puzzles are found in this excellent dissection of the 'delegated welfare state.' This is an important book, not just for scholars and students, but also for journalists, policymakers, and members of the educated public."*--Theda Skocpol, Professor of Government and Sociology, Harvard University, and co-author of Health Care Reform and American Politics


"A major contribution to our understanding of American politics and the welfare state. Morgan and Campbell expertly use Medicare to explore how and why the private sector is given authority over public programs, and the problems that delegated governance creates."--Jonathan Oberlander, Professor of Social Medicine and Health Policy & Management, University of North Carolina-Chapel Hill, and author of The Political Life of Medicare


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9780199730346: The Delegated Welfare State: Medicare, Markets, and the Governance of Social Policy (Studies in Postwar American Political Development)

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Book Description Oxford University Press Inc, United States, 2011. Paperback. Condition: New. Language: English . Brand New Book ***** Print on Demand *****.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. Seller Inventory # AAV9780199730353

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Book Description Oxford University Press Inc, United States, 2011. Paperback. Condition: New. Language: English . Brand New Book ***** Print on Demand *****. 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. Seller Inventory # AAV9780199730353

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Book Description Oxford University Press, USA. Paperback. Condition: New. 328 pages. Dimensions: 9.2in. x 6.1in. x 0.9in.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 argue 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 in 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. This item ships from multiple locations. Your book may arrive from Roseburg,OR, La Vergne,TN. Paperback. Seller Inventory # 9780199730353

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Book Description Oxford University Press Inc, United States, 2011. Paperback. Condition: New. Language: English. Brand new Book. 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. Morerecent 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 andKimberly 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. Althoughdelegated 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 thedifficulties 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. Seller Inventory # BTE9780199730353

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