Title
The Delegated Welfare State: Medicare, Markets, and the Governance of Social Policy (Studies in Postwar American Political Devel,Used
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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 wellbeing 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 nonstate actors for the governance of social programs. Utilizing case studies of Medicare and the 200910 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 nonstate 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 antigovernment 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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