Health Systems Agencies: A Study of Representation and Policy
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The author will examine the health planning and regulation system using Lowi's analysis of government administration and agencies. I will focus on two aspects of Lowi's theory: policy and representation. If Lowi is correct, then health policy at the federal level is vague and general. This allows power to be delegated down through the administration to a level where agencies, such as Health Systems Agencies, exist as another arena in the political process. These agencies must define and implement the law while interest groups bargain for the best deal. The result: ineffective policy and a government that cannot plan.