Delegation and Institutional Design in Health‐Care Rationing

The delegation of decision‐making powers to nonmajoritarian, independent agencies has become a significant phenomenon in more and more policy areas. One of these is the health‐care sector, where decisions on the range of services covered within public systems have, in most developed countries, been delegated to specialized bodies. This article offers an analytical framework that seeks to grasp the empirical variety and complexity of delegative processes and appointed institutions. The framework is used to describe decision‐making processes and institutions in six countries: Austria, Germany, Norway, Sweden, New Zealand, and the United Kingdom. We find that, although constrained by preexisting institutional structures and traditions, delegators enjoy a considerable degree of discretion in their institutional design choices and engage in strategic design and redesign of appointed bodies.     

Neighbourhood Ethnic Diversity and Orientations Toward Muslims in Britain: The Role of Intergroup Contact

A persistent theme in the British and international debates about immigration and diversity is the controversial claim that living in diverse areas has negative consequences for intergroup attitudes and community relations. In the present paper we test this claim by investigating the impact of neighbourhood diversity and self‐reported intergroup contact on orientations (outgroup attitudes and social distance) toward one religious outgroup: Muslims. Respondents were both White British majority (N=867) and non‐Muslim ethnic minority (N=567) residents of neighbourhoods in England which varied in their proportion of ethnic minority residents. We tested both direct and indirect (via intergroup contact) effects of diversity on outgroup orientations toward Muslims. Results show that individuals living in more ethnically diverse areas—regardless of whether they are White British members of the majority or non‐Muslim members of ethnic minorities—have more positive contact with Muslims, with positive consequences for intergroup relations with Muslims.     

Where does learning take place? The role of intergovernmental cooperation in policy diffusion

Although it is widely accepted that a decentralised system can enhance policy learning and the spread of best practices, an under‐researched question is where that learning process takes place. Using data on the diffusion of health care policies in Switzerland, this article analyses the role of institutionalised intergovernmental cooperation and its impact on the spread of successful policies. The results show that joint membership of policy makers in health policy specific intergovernmental bodies is related to the diffusion of best practices.     

Bargaining Through Arguing: An Empirical Analysis Based on Speech Act Theory

In a recent debate in political science, the terms "bargaining and arguing" have been construed as semantic opposites. The present article rejects this dichotomy and offers a new theoretical approach to clarify the logical and pragmatic relationship of bargaining and arguing as modes of the resolution of conflicts through communication. On the basis of speech act theory, a method for the empirical analysis of bargaining and arguing is developed and demonstrated with an example of conflict resolution by mediation. Four conclusions can be drawn. First, in empirical processes of communicative conflict resolution, in almost all cases both arguing and bargaining will be present. Second, only in the rare cases of pure conflicts over solely facts or values will arguing appear. Third, within the context of an interest conflict, arguing is not an alternative to bargaining, but a means for bargaining. Fourth, although bargaining and arguing have the potential to resolve certain types of conflicts, their success is difficult to predict and cannot be taken for granted.