The seminar presents the results of research carried out by a team of French and US health policy researchers on the dynamics of reform in the US and Europe, including both the results of past research and prospects for future work in this area. Building on earlier work on European cases, the project “Operationalizing Programmatic Elite Research in America: 2008-2012 (OPERA)” demonstrated the existence and importance in US health policy making of long-serving “insiders” whose influence spanned more than one presidential administration. Competition for authority among groups of such “insiders,” designated as “programmatic elites” emerged as a key endogenous dynamic of policy change. A new project, entitled “Programmatic Action in Times of Austerity (ProAcTA)” will reintroduce a comparative dimension by adding three European cases: Germany, France, UK. It will also consider in an explicit way a competing group of programmatic elites, those focused on budgetary austerity.consider in an explicit way a competing group of programmatic elites, those focused on budgetary austerity.
ctm2101 [at] cumc [dot] columbia [dot] edu