Implementing management tools in Turkish public hospitals: the impact of culture,politics and role status

The government of Turkey has attempted to substantially improve the management of its public hospitals. However, an analysis of the performance of the quality certified hospitals finds only minor improvements. This study seeks to explain these disappointing results by interviewing 46 hospital managers and employees about the successes and failures of the management reform effort. The interviews suggest that traditional Turkish organisational culture often hinders attempts to decrease hierarchy, but, more positively, it also encourages the use of frontline teams and group rewards. Moreover, Turkey's hybrid system of allowing public doctors to maintain private practices has provided doctors with both the resources and the incentives to fight management reform efforts. Finally, organisational decentralisation in Turkey has evoked fierce political opposition, ironically even from many pro‐modernising forces that fear it could increase the power of Islamic fundamentalists. Turkey's experience suggests a number of broader points about management reform in non‐western societies. It suggests that decentralisation can often impede, rather than strengthen the other aspects of management reform; that a hybrid market organisation is often harder to move toward market efficiencies than a purely governmental one; and that national cultures should help guide the order in which reform tools are implemented. Copyright © 2008 John Wiley & Sons, Ltd.     

From capacity to sovereignty: Legislative politics and differentiated integration in the European Union

The literature suggests that legislative politics among European Union Member States is characterised by economic exchanges, and constrained by the social norms of a European community of legislators. Both views draw a clear line between the legislative process and the conflicts over sovereignty that have left their mark on treaty making and European public opinion since the 1990s. This article suggests revisiting this view, based on an analysis of why Member States have opted out of legislation from the 1970s to today. It argues that differentiation, while once a response to capacity problems of relatively poor countries, has recently become driven by sovereignty concerns of the Union's wealthy and nationally oriented Members that oppose the EU's intrusion into core state powers. The article presents evidence for the impact on legislative outcomes of factors so far thought not to matter. The results indicate greater European‐level legislative responsiveness towards national sovereignty demands than previously recognised. They underline that the nature of European politics has been changing with the EU's push into core state powers.     

From secessionism to regionalism: The changing nature of territorial politics in Western Australia

The development of territorial politics within federal systems over time, specifically change in the nature and intensity of territorial claims, is an understudied question. This article looks at the case of Western Australia (WA) to gain a better understanding of the political dynamics behind changing territorial politics in a federation, more particularly around economic and fiscal policies. In April 1933, grievances surrounding the economic and fiscal policies of the Commonwealth government grew so loud in WA that a referendum on secession saw a majority of voters opting to leave Australia altogether. In the end, not only did WA not secede but the secessionist movement disappeared. Today, ironically, the equalization system, whose formalization through the creation of the Commonwealth Grants Commission one month following the referendum was designed to reduce regional disparities and discontent, is at the centre of regionalist politics in the state.     

Driving Development from Below: The Advantages and Limitations of Vernacular Politics in the Bolivian Altiplano

Anthropologists studying the Andean community politics have increasingly emphasised the role of pragmatic, informal ‘vernacular’ political strategies in achieving material and political empowerment of the poor. However, while the concept of vernacular politics marks an advancement over binary and often polarised discussions of the role of local communities in development processes, studies have not fully explored the full range of implications of vernacular strategies on development processes. While researchers have demonstrated the substantial agency that local community actors have to influence development processes, the extent to which this influence effectively resists or reinforces the logic of public policy implementation has not been studied. This article explores the techniques used by rural communities in their interactions with public institutions in rural Bolivia. It shows that community organisations' vernacular political strategies have mixed outcomes: on the one hand, they allow the rural poor to assert their own agendas vis‐à‐vis the state so that they can benefit from public spending, while on the other hand, their tactics have the potential to entrench the influence of local power brokers and perpetuate inefficient uses of public funds. Copyright © 2016 John Wiley & Sons, Ltd.     

From absent to present pasts: civil society,democracy and the shifting place of memory in Brazil

This article takes Alexis de Tocqueville’s concern with the emotional life of citizens as a cue for exploring the role of collective memory within ‘the self-organizing sphere’ and asking how the invocation of memory affects progress towards democracy. The article hones in on the Brazilian experience, re-assessing Brazil’s amnesiac past as well as its much-lauded ‘turn to memory’. Against common assertions that Brazil’s ‘turn to memory’ will enhance the country’s democratic credentials, this article argues that the move from an ‘absent’ to a ‘present’ past in Brazil in fact bodes rather mixed prospects for the country’s democratic deepening.     

Mapping deliberation: calculation,articulation and intervention in the politics of organ transplantation

Abstract

This paper reflects on the aims and outcomes of an innovative methodology of participatory technology appraisal, called Deliberative Mapping, which seeks to contribute to theoretical debates and practical experimentation around what it might mean to bring the technosciences into democracy. Deliberative Mapping is a hybrid methodology, involving both calculative and deliberative processes, which seeks to map the entanglements of biotechnological imbroglios, and translate these connections into the contexts of decision-making. Through application to the case study of organ transplantation, these procedures of calculation and articulation are critically examined, exploring their aim to reduce asymmetries between scientific, political, economic and other framings of the issue and their operation in contexts already complexly structured through existing power relations, which indicate the challenge of co-fabricating these experimental forms of intervention into political facts.     

Thinking the crisis politically: lineages of resistance to neo-liberalism and the politics of the present conjuncture

Dominant forms of left theorizing in relation to the crisis have constructed emergent forms of resistance as limited and reactive. This depiction of resistances, however, is created partly by abstracting the crisis from ongoing contestation of neo-liberalism. This paper situates emerging resistances to crisis and austerity in relation to ongoing trajectories of the contestation of neo-liberalism. It examines some of the solidarities and antagonisms being shaped in relation to the crisis. The paper concludes that a focus on the dynamic trajectories of alternative politics can open up different possibilities within the current conjuncture.     

利益政治的失效:利益非和谐的成因分析

利益政治的应然效能就是实现利益的和谐发展,但在实然层面,利益和谐往往被认为可欲而不可求,原因在于利益政治会出现失效,本文着力于此,希望清楚解读这一问题,以便为深入实践研究提供理论支撑。     

Federalism,Physicians, and Public Policy: A Comparison of Health Care Reform in Canada and Brazil

Abstract

This article uses comparative historical analysis to explore physicians’ involvement in health care reform in Canada and Brazil. Drawing on historical institutionalism, the analysis stresses how, beyond partisanship, physicians build consensus around and promote specific policy ideas, and how federal institutions shape physicians’ mobilization. In both countries, physicians’ mobilization shaped the emergence of universal health care coverage, but in quite different ways, because of the differing federal institutions. Although the Brazilian medical lobby was far more heterogeneous than the Canadian profession, one faction was able to mobilize at the local level to pursue policy ideas favorable to universal health coverage.     

Contesting privilege with right: the transformation of differentiated citizenship in Brazil

This paper suggests that new understandings of rights associated with right to the city movements in many cities around the world are subverting special treatment rights (understood as privilege) and the systems of differentiated citizenship that support them. To make this case, it examines the Brazilian formulation of differentiated citizenship as a telling historical example of a politics of difference based on a combination of universal membership and special treatment rights. It argues that by denying the expectation of equality and emphasizing that of compensatory equity in the distribution of rights, Brazilian citizenship became an entrenched regime of legalized privileges and legitimated inequalities. This paper then analyzes the insurgence of an urban citizenship in the poor peripheries of Brazilian cities since the 1970s, which promotes new kinds of contributor rights, the text-based rights, and the right to rights. It ends with a discussion of the entanglements and contradictions of these formulations of citizenship and rights.     

From New Labour to New Conservatism: the changing dynamics of citizenship as self-government

This article examines the shift in discourses of citizenship from Britain from notions of entitlement and obligation to those of self-government, and the reciprocity between the responsibilisation of individual and collective citizen-subjectivities. Against the backdrop of debates about society as the telos of government, this article will interrogate the claim that New Conservatism's ‘Big Society’ represents a unique rationality of government and an alternative formula of advanced liberal rule. By doing so, the article will extend our understanding of ‘post-welfare regimes of the social’ and illustrate precisely how they operate in contemporary Britain.     

Migrant protest in times of crisis: politics,ethics and the sacred from below

This paper focuses on the 300 Migrant Hunger Strikers event in Greece to explore the material conditions of possibility for migrant politics in times of crisis. It identifies three elements that played determinant roles in the articulation of the event: the politics of equality enacted by migrants, the ethics of hospitality and witnessing enacted by the Greek activists and host populations and the sacredness of the event. Critically engaging with the theories of Rancière, Derrida, Agamben and Durkheim, this paper demonstrates how these elements encountered and how their encounter helped migrants to achieve rights, albeit limited and temporary. Moving beyond the particularity of the event, this paper also highlights the event’s importance for migrant politics in times of austerity, and increased surveillance and racism against migrants. Despite its limited and temporary success, the event demonstrates how a politics of equality, ethical openness and respect for human life can form the basis of true cosmopolitan universality. The event also demonstrates how cosmopolitan universality is constructed from below by the migrants, who despite their undocumented status, engaged in an act of citizenship to demand equality.     

The rise and fall of spin: changes of fashion in the presentation of UK politics

Spin is the current dominant form of political presentation in the UK. Politics and presentation are inseparable and before the 1980s, political presenters were less aggressive towards and more respectful of journalists as watchdogs of politics. Labour introduced spin as a defensive response to editorial hostility but since New Labour came to terms with Thatcherism, spin has been used for the offensive promotion of policy. Changes in journalism, particularly a blurring treatment of fact and opinion, were an incubatory environment for spin. Moreover, the term became part of lay language and its vocabulary is deployed as a scrutiny of politicians via ridicule and satire. Conceptually, ‘spin’ can be characterised as an exchange or contest between information and publicity, with contingencies influencing where any presentation lies on that continuum. Wherever it falls, spin demeans elected politicians and tends to reduce their status to celebrities. That reduction is a cost too high for privileging presentation over policy and ought to be reversed. Copyright © 2001 Henry Stewart Publications     

Media and the politics of belonging: Sudanese Australians,letters to the editor and the new integrationism

Nolan, Burgin, Farquharson and Marjoribanks focus on media as a significant site through which a politics of belonging is played out, focusing particularly on coverage of Sudanese Australians. To this end, they analyse letters to the editor that concern Sudanese Australians in three Victorian newspapers in 2007, a highly significant year in which this group became the focus of significant levels of (predominantly negative) media coverage. Through textual and thematic analysis, the authors demonstrate how such letters worked to reiterate and extend a politics of ‘integrationism’ that, without entirely departing from Australia's commitment to multiculturalism, has rearticulated the latter along neo-assimilationist lines. In doing so, they show how, in many letters, Sudanese Australians are problematized for their failure or refusal to ‘integrate’ in ways that involve an explicit or implicit process of racialization. In the process, the article also critically considers the important role performed by media in the politics of belonging, particularly through their reiteration and contestation of the politics of race and multiculturalism in Australia. Rather than simply a matter of reproducing a hegemonic politics, it shows how such processes, despite the marked limitations of their framing within a ‘race debate’, also serve to demonstrate significant fault lines in the politics of belonging.     

From Hybridity to Standardization: Rethinking State-Making in Contexts of Fragility

Having been top of the agenda for the past two decades, debates on state fragility have recently witnessed the emergence of pluralist concepts. While the concept of ‘hybrid political orders’ has invigorated our thinking about fragile states, it yields to the fallacy that pluralism constitutes the birth certificate of statehood. This article introduces an alternative concept to better grasp state trajectories, proposing an understanding of state developments in terms of institutional and identity standardization. Rooted in existing accounts of state-making, the analytical prism of ‘rule standardization’ is original in that it conceptually bridges the gap between statebuilding and nation-building as well as between state-making and state-breaking. Substantiating the theoretical discussion with three case studies from the Somali territories, the paper fundamentally proposes that what is required to sustain states should not be confused with what is required to initiate them.     

In The Thick of It: ‘high politics’ and the Holocaust in millennial Britain

ABSTRACT

Over the past twenty years, state-sponsored activities related to the Holocaust have been numerous in Britain. Beginning with the creation of Holocaust Memorial Day at the turn of the millennium, successive governments have followed a policy trajectory that has brought forth a slew of new initiatives and projects related to the Holocaust and its memory. Most recently, this has included the creation of a new national memorial and learning centre, to be housed adjacent to the Palace of Westminster. With cross-party support and the pledge of £50 million of public funds, this lieu de memoire is due to open in January 2020. Conceiving of these activities as exercises in ‘high’ Holocaust politics, Pearce’s article examines the various memory-projects of recent decades and argues they reveal much about millennial Britain and its Holocaust culture. He contends that the nature of these and other initiatives means high Holocaust politics must be subject to continued scrutiny and interrogation.     

Authoritarian populism and response to COVID-19: A comparative study of the United States,India, and Brazil

As the phenomenon of populism is in the preliminary stages of exploratory research, the present study involves an empirical investigation involving a case study of the United States, India, and Brazil to examine whether a correlation exists between populism and management of COVID-19. The study adopts the ideational approach of populism as a set of ideas or discourse to review how core conceptual features of populism have impacted on management of COVID-19. The study has two main objectives: (1) to examine whether populism in the United States, India, and Brazil has determined “a populist response” to the pandemic in dealing with the health crises and (2) to explore the management of COVID-19 in the states led by right-wing populism and the commonality of populist approaches adopted in handling the health crisis. Comparing the three states' statistical data of management models, the study has argued that common populist mechanisms such as distrust for experts, contempt for institutions, and suspicion of “others” have guided the US, India, and Brazilian leadership response to COVID-19. It further argues that leadership in the United States, India, and Brazil has prevented effective management by politicizing the crisis, aggravating social polarization, and contradicting expert advice. Moreover, populist and nationalist orientation of the leadership has evaded responsibility in these states with the leadership blaming ethnicities for spreading the virus and by weakening societal solidarity.     

Telangana and the politics of State formation in India: Recognition and accommodation in a multinational federation

This article examines the politics of State formation in India by taking up the case of Telangana. Drawing from the emerging literature on the politics of recognition and territorial accommodation in multinational federations, I argue that territorial accommodation of Telangana was made possible by the convergence of strategic interests and role of multiple actors to recognize Telangana’s distinctive territorial identity and accommodate its Statehood demand when an opportune ‘political opportunity structure’ emerged in the late 1990s till 2014. It extends the insights of ‘actor-centred’ institutionalism and contributes to an emerging literature which emphasizes the ‘multi-centred origins’ of border change and State formation in India in particular, and in multinational federations in general. By underscoring State formation as a complex process, this article cautions against a simplistic reading of the politics of State formation in India as an act of one-upmanship whereby the Centre can unilaterally make or break State borders.     

Competing loyalties in electoral reform: An analysis of the U.S. electoral college

A central tenet in the electoral systems subfield is that parties, when in power and motivated by partisan interest, seek desired outcomes via the strategic adoption of electoral rules. Such a focus, however, omits a key point: electoral rules also distribute power among geographic units. If, within a party, the partisan and geographic interests of some members conflict, then the canonical relationship between partisanship and rule choice may be conditional. The U.S. electoral college provides an opportunity to test for such intra-party variation, because it advantages some states over others and thus makes salient geographic allegiances. Using an original dataset on one reform proposal—the National Popular Vote Interstate Compact (NPVIC)—I find evidence of competing loyalties. Although NPVIC advances furthest when Democrats control state lawmaking, a state's status as a swing—but not as an overrepresented—state weakens the relationship to the point where even Democrats are unlikely to aid NPVIC.     

Making sense of multilevel governance and governance coordination in Brazil: The case of the Bolsa Verde Programme

Brazil is an example of a challenging governance context par excellence: continental size, multi-levelled governance structures and diverse administrative cultures meet with ambitious, large-scale policy needs and objectives. The multilevel governance approach is applied here to analyse implementation and governance coordination of the Bolsa Verde Programme (BVP). Through a close reading of the narratives told by three programme officials – and zooming in on jointly exercised governance functions known from the metagovernance approach – we analysed how BVP’s programmatic governance coordination was made sense of. The analysis showed that our interviewees were well aware of the shortcomings of the governance coordination in BVP, understood as rather hierarchical, centrally driven and often tackling challenges of vertical multi-actor coordination in a reactive ad-hoc manner. However, since the implementers have been able to creatively and skilfully solve governance coordination challenges, possibilities for developing more systematic and inclusive (meta)governance approaches seem feasible.