The State as Architect of Political Order

Policy Dynamics in German Health Care

authored by
Marian Döhler
Abstract

The focus of this article is on the state as an actor that can create, rearrange or even destroy established structures of interest representation. Through small, often almost overlooked, and sometimes even failed interventions, governmental policies create a legacy that can serve as a springboard for further political action. This policy dynamic is triggered by “architectural” activities of the state, aiming at the structure of the interest group system. This kind of policy bears the potential not only to manipulate the structure, but also the preferences and strategies of interest groups so as to overcome their veto‐power. The case of German health care reform policies since the late 1970s is used to illustrate how suck a kind of governmental “design” has exerted a decisive impact on the structure of the policy field, culminating in an unexpected legislative success for the federal government.1

External Organisation(s)
University of Potsdam
Type
Article
Journal
Governance
Volume
8
Pages
380-404
No. of pages
25
ISSN
0952-1895
Publication date
07.1995
Publication status
Published
Peer reviewed
Yes
ASJC Scopus subject areas
Sociology and Political Science, Public Administration, Marketing
Electronic version(s)
https://doi.org/10.1111/j.1468-0491.1995.tb00216.x (Access: Closed)