Zoekresultaat: 89 artikelen

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Dossier

De Europese vakbeweging en de vormgeving van sociaal beleid

Tijdschrift Beleid en Maatschappij, Aflevering 1 2019
Trefwoorden Social Europe, European Union, Social policy, Trade unions, ETUC
Auteurs Drs. Saskia Boumans
SamenvattingAuteursinformatie

    The European project currently faces not only an economic crisis, but a moral one as well. The economic growth model of social justice combined with market-oriented policies, also referred to as the European social model has lost much of its meaning after ten years of austerity and financial calamities. In 2012 ECB President Draghi says in the Wall Street Journal that the European social model is “gone”, a thing of the past. While only a couple of years later the European Pillar of Social Rights is put in place. What is happening with ‘Social Europe’? And how do trade unions, as a historical motor of social policy in the member states, relate to the European social model, especially since the financial crisis. This article deals with the position of trade unions vis-à-vis European social policy and the European institutions. The European social model, economic governance and the collective bargaining system are discussed as examples of post-crisis European social policy. It will be argued that although the European Commission gives institutional space to social policy and to a role for trade unions, it has always been subordinate to economic integration. And moreover that the recent economic crisis is used at the European level to obtain almost complete control over social policy in the member states.


Drs. Saskia Boumans
Drs. Saskia Boumans werkt als promovendus bij AIAS-HSI (UvA) aan een onderzoek naar werkgeversorganisaties in collectieve onderhandelingen, en heeft de afgelopen vijftien jaar voor de vakbeweging gewerkt.
Dossier

De schuldencrisis in de eurozone: oorzaken, aanpak en implicaties

Tijdschrift Beleid en Maatschappij, Aflevering 1 2019
Trefwoorden Eurozone crisis, Financialization, Bail-outs, Austerity, Banking union, Quantitative easing
Auteurs Dr. Henk Overbeek
SamenvattingAuteursinformatie

    Ten years ago, now, the Eurozone began to shake on its foundations. This article traces the genesis of the crisis and the present state of affairs. As to the causes of the global financial crisis in 2008, I argue that contrary to common understanding, the financial crisis had its deeper causes in a decades old tendency towards crisis in the real economy, produced by the continuous overaccumulation of capital which can only return profits by undertaking speculative short-term investments (a phenomenon known as ‘financialisation’). I then trace how the global financial crisis morphed into a crisis of public deficits and debt in 2010-2011, particularly in the Eurozone. Three factors are shown to be responsible: financialization, design faults in the European monetary union, and the neo-mercantilist strategy of especially Germany and the Netherlands. The paper next looks at the five main traits of the policy responses in the Eurozone: bailing out governments and banks through creating emergency funds; imposition of austerity and budget discipline for member state governments; attempting to create and complete a Eurozone banking union; subsequently the European Central Bank engaged on an unprecedented scale in ‘quantitative easing’; and finally, institutional reform in an attempt to repair the most pressing design faults of the EMU. The paper concludes that the underlying structural factors leading up to the crisis have only been addressed incompletely: the overaccumulation of capital continues, the completion of the banking union is in an impasse, quantitative easing has mostly just intensified financialization by pushing up asset prizes, and institutional reform has taken the form of a fundamentally undemocratic attempt at monetary and political union by stealth. The broader legitimacy of the European project has been substantially undermined, and Europe is not in a better position than eight years ago in case of a new global crisis.


Dr. Henk Overbeek
Henk Overbeek is Emeritus Hoogleraar Internationale betrekkingen aan de afdeling Bestuurswetenschap en Politicologie van de Vrije Universiteit Amsterdam.
Artikel

Voorlopige contouren van bestuursgericht toezicht

Empirische inzichten in jonge praktijken van bestuursgericht toezicht

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden Governance, Regulation, Oversight
Auteurs Prof. dr. Thomas Schillemans, Dr. Meike Bokhorst, Dr. Marieke van Genugten e.a.
Samenvatting

    The regulatory agencies in various public service sectors are said to be changing (some) of their regulatory attention issues of internal governance of organizations in education, health care en social housing. This paper aims to assess how (if, at all) responsible actors within those organizations experience this shift in regulatory focus. We report on the findings from a survey with modest N, distributed at an early stage of this new policy. The paper shows that respondents have fairly divergent views on whether or not this regulatory shift has indeed occurred, something which is not uncommon for a new policy. We distinguish three mechanisms through which governance-based oversight may have an impact on public service providers. This new regulatory regime could 1) have an agenda-setting effect within organizations, could 2) stimulate organizational decision-makers to take well-considered decisions and could 3) induce a sense of relational felt accountability towards the regulator.


Prof. dr. Thomas Schillemans

Dr. Meike Bokhorst

Dr. Marieke van Genugten

Dr. Mirjan Oude Vrielink
Artikel

Naar bestuursgericht toezicht in de zorg: een zoektocht naar passendheid

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden healthcare governance, management-oriented regulation, experimenting, recoupling, reflective regulation
Auteurs Dr. Annemiek Stoopendaal en Dr. Hester van de Bovenkamp
Samenvatting

    In this article, we discuss how regulation of governance in healthcare has been shaped over the past decade. We describe the presuppositions under this movement. Searching and balancing was needed to meet the complexity of care management. This has to do with the fact that the external pressure on the regulator after incidents is high. Due to this pressure, it is necessary to constantly ensure that management-oriented regulation does not narrow to the supervision on the actor with final responsibility. The regulation of good governance requires reflectivity of the inspectors and is aimed at stimulating recoupling between management and shop floors. This requires space for experimentation for both managers and inspectors. To provide this space, we do not only need a political and social debate about the quality of care and its management, but also attention and appreciation for the difficult considerations of organizing care.


Dr. Annemiek Stoopendaal

Dr. Hester van de Bovenkamp
Artikel

Aangescherpt bestuursgericht toezicht in de corporatiesector

Het wakend oog van de Autoriteit woningcorporaties onder de loep genomen

Tijdschrift Bestuurskunde, Aflevering 4 2018
Trefwoorden public accountability, regulation strategies, policy change, policy implementation, (social) housing sector
Auteurs Olga Verschuren Msc en Dr. Stefanie Beyens
Samenvatting

    The Dutch social housing sector is still recovering from a series of incidents that harmed the sector’s reputation drastically. Part of the recovery plan is the installation of an independent Housing Authority, who focuses specifically upon the ‘governance’ of housing corporations. This article explores the implementation and development of the Authority’s regulation strategy. It finds that although the strategy sharpens the focus of housing corporations and limits risky circumstances and behavior, it also triggers adverse effects. The Authority should therefore adopt a broader outlook, that is more sensitive to (1) the complexity of the social housing task, and (2) the pathologies of multiple accountabilities being placed upon the corporation(sector).


Olga Verschuren Msc

Dr. Stefanie Beyens
Artikel

Slimme handhaving in de sociale zekerheid

Lessen uit een landelijke enquête onder uitkeringsgerechtigden

Tijdschrift Beleid en Maatschappij, Aflevering 4 2018
Trefwoorden Regulatory enforcement, Social security, Compliance, Motivational postures, Procedural justice
Auteurs Dr. Marc Hertogh en Dr. Willem Bantema
SamenvattingAuteursinformatie

    Using survey data from 1,300 welfare recipients in the Netherlands, this paper explores the effects of different enforcement styles in the field of social security law. Although most policy debates focus on punitive and persuasive enforcement, our findings suggest that both styles only play a limited role in explaining regulatory compliance. Our study also shows that the level of compliance among welfare recipients is related to their ‘motivational postures’ (Braithwaite 2003; 2009; 2011). While some of these ‘postures’ are shaped by elements of procedural justice, others are related to the perceived legitimacy of laws or to instrumental motives. Given these findings, we suggest that compliance with social security laws may not only depend on punitive or persuasive enforcement, but also on the degree in which regulatory enforcement is attuned to the individual characteristics of welfare recipients. Finally, these ideas are translated into several practical suggestions for the ‘smart enforcement’ of social security law.


Dr. Marc Hertogh
Prof. dr. M.L.M. Hertogh is Hoogleraar rechtssociologie aan de Rijksuniversiteit Groningen.

Dr. Willem Bantema
Dr. W. Bantema is Senior onderzoeker bij de Onderzoeksgroep Cybersafety aan de NHL Stenden Hogeschool Leeuwarden
Artikel

De opkomst van voedselbeleid: voorbij de tekentafel

Tijdschrift Beleid en Maatschappij, Aflevering 4 2018
Trefwoorden Food policy, Food system, Agricultural policy, Policy integration, Policy instruments
Auteurs Dr. Jeroen Candel
SamenvattingAuteursinformatie

    To address a range of interconnected food-related challenges, Dutch policymakers have invested in the development of integrated food policy in recent years. This article discusses this development in two parts. The first part contains a detailed description of the main events and lines of thinking that characterized the food policy process. From this description it becomes clear that food policy has been gradually developing towards a separate institutionalized policy domain. In the second part, this development is analysed from a policy integration perspective. This analysis shows that although considerable steps towards strengthened policy integration have been made, the Dutch ‘Food agenda’ does not yet proceed beyond symbolic levels. This particularly shows in the absence of concrete policy goals and in a policy instrument mix that has not been adjusted to strengthen consistency and effectiveness. In addition, the involvement of relevant ministries gradually decreased after the initial stages. The article concludes that the food policy process has arrived at a critical juncture: the next steps of the new government will prove decisive for whether food policy integration intentions will advance beyond the drawing board. Political and administrative leadership are identified as key conditions for such further steps to occur.


Dr. Jeroen Candel
Dr. Jeroen Candel is universitair docent bij de Bestuurskundegroep van de Wageningen Universiteit.
Wel beschouwd

Algoritmisch bestuur

Tijdschrift Bestuurs­wetenschappen, Aflevering 4 2018
Auteurs Prof. dr. Albert Meijer
Auteursinformatie

Prof. dr. Albert Meijer
Prof. dr. A.J. Meijer is hoogleraar Publieke Innovatie aan de Universiteit Utrecht en redacteur van Bestuurswetenschappen.
Artikel

De ongekende effecten van deregulering: een experiment in Hollands Kroon

Tijdschrift Bestuurskunde, Aflevering 3 2018
Trefwoorden deregulation, deviant behavior, policy experiment, social control
Auteurs Dr. Peter Kruyen, Prof. dr. Taco Brandsen en Dr. Berry Tholen
Samenvatting

    What happens in the case of massive deregulation in the local public domain? Despite the widespread call for ‘less regulation’, the effects of large-scale deregulation have received surprisingly little academic attention. In this article, we present the results of a longitudinal study on the effects of deregulation in the Dutch municipality of Hollands Kroon. The municipality abolished a vast number of regulations on public order offences in a radical two-year policy experiment, encouraging citizens to exercise more social control. In contrast, criticasters expected that the experiment would lead to more public offenses and conflict. Based on our data collected over three survey rounds; focus groups with citizens, politicians and civil servants; and several secondary data sources, we conclude that there was little effect: neither an increase in public order offences, nor an increase in social control. Our research shows that, in the short term, deregulation did not significantly affect the behavior of citizens.


Dr. Peter Kruyen

Prof. dr. Taco Brandsen

Dr. Berry Tholen
Dossier

Access_open De politiek van buy-to-let

Tijdschrift Beleid en Maatschappij, Aflevering 3 2018
Trefwoorden Housing, Financialization, Private investors, Buy-to-let, Private rent
Auteurs Jelke Bosma MSc, Dr. Cody Hochstenbach, Dr. Rodrigo Fernandez e.a.
SamenvattingAuteursinformatie

    In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.
    Mounting concerns exist that small private investors exacerbate the urban housing crisis, by purchasing dwellings to rent out so-called ‘buy-to-let’ purchases. By buying up property, they may drive up house prices and exclude regular house-seekers. In this paper, we show that buy-to-let purchases constitute an increasing share of all purchases on the Dutch housing market, and especially so in larger cities and university cities. We argue these local trends do not emerge out of thin air and are not a ‘natural’ market process but should be considered the product of both global economic developments and national policies supporting these changes. Global developments include the increased mobility and ample availability of capital, exemplified by a prolonged low interest environment and a growing scarcity of high quality collateral and investment opportunities, making housing attractive for storing capital. Dutch housing policies have increasingly restricted access to social rent to low-income groups, while blowing up house prices fuelled with mortgage debts. As a consequence, a growing number of households falls in-between these two tenures: they have to resort to private rent. Private investors respond to and accommodate this demand through buy-to-let investments. Furthermore, the Dutch national government has made steps to relax regulation on the private-rental market and weakened tenant rights. In so doing, it sets the scene for amplifying social and spatial inequalities between the property rich and the property poor.


Jelke Bosma MSc
Jelke Bosma MSc is junior onderzoeker aan de Universiteit van Amsterdam.

Dr. Cody Hochstenbach
Dr. Cody Hochstenbach is postdoctoraal onderzoeker stadsgeografie aan de Universiteit van Amsterdam, en redactielid van Beleid en Maatschappij.

Dr. Rodrigo Fernandez
Dr. Rodrigo Fernandez is postdoc aan de KU Leuven en onderzoeker bij SOMO.

Prof. dr. Manuel Aalbers
Prof. dr. Manuel Aalbers is hoogleraar sociale en economische geografie aan de KU Leuven.
Artikel

Lokale netwerken als instrument voor centraal beleid?

De relativiteit van metagovernance

Tijdschrift Bestuurskunde, Aflevering 2 2018
Trefwoorden metagovernance, Local networks
Auteurs Filip De Rynck, Caroline Temmerman en Joris Voets
Samenvatting

    Collaboration between public actors and social partners is becoming increasingly important as an administrative solution for complex societal challenges in health care, spatial development, mobility management or water management. In this article we focus on the relationship between the central Flemish government and local networks that are set up by this government. In the scientific literature much attention is paid to the concept of metagovernance as analytical perspective to analyze the relationship between the government and networks. The concept offers the government a toolbox with roles and instruments from which it can choose to support and stimulate networks in order to achieve the desired network results. However, our research shows that such an approach is not sufficient to capture the relationship between the central government and local mandated networks in Flanders. We argue for a broader interpretation of the concept of metagovernance, in which the dynamics of local networks are viewed as the outcome of power relations between actors that are represented at both local and central level and that are intertwined with each other. Only in this way will we we understand why certain choices are made about local mandated networks, why local networks show a lack of dynamism and why local actors in local networks also do not want local networks to become more dynamic and effective. We do notice that the pressure on these arrangements is increasing, partly due to new actors who are not involved in these arrangements.


Filip De Rynck

Caroline Temmerman

Joris Voets
Artikel

Lokaal bestuur en burgerkracht: slimme sturing in het sociale domein

Tijdschrift Bestuurskunde, Aflevering 2 2018
Trefwoorden Family Group Conference, participatory governance, professional care worker, care system reform, municipal care teams
Auteurs Dr. Annie de Roo en Dr. Rob Jagtenberg
Samenvatting

    The Dutch social care system was fundamentally reformed in 2015. A key policy aim was to activate citizens and their social networks, turning them from mere consumers into co-producers of care. The expectation was that, by doing so, public spending could be reduced and community engagement could be restored at the same time. Regulation was put in place to incentivize network support.
    Whether this constitutes ‘smart governance’, however, depends on whether the variety of factors determining sustainable network support can be identified in the first place. At present, the new care policy is supposed to apply indiscriminately, and is as such not yet evidence based. In addition, flaws in the present budgetary and regulatory steering mechanisms need to be addressed. Potential users are not very familiar with the regulation in place for incentivizing network support, and the regulation is currently neutralized by law courts, unaware of the participatory relationship between care authorities and citizens as envisaged by the 2015 reform. Moreover, engaging networks is time-consuming and requires investments before returns can start to materialize. From a normative stance, network volunteers moreover ought to participate in decision-making, as they will be investing their private resources (such as time) instead of tax payers money. Effectiveness and legitimacy are thus two prerequisites for governance in the social domain to be genuinely ‘smart’.


Dr. Annie de Roo

Dr. Rob Jagtenberg
Artikel

Access_open Hybride stadsregionaal bestuur belicht: effectiviteit en legitimiteit in vier grootstedelijke gebieden

Tijdschrift Bestuurskunde, Aflevering 2 2018
Trefwoorden hybrid governance, city-region, effectiveness, legitimacy
Auteurs dr. Linze Schaap, dr. Carlo Colombo, dr. Maaike Damen e.a.
Samenvatting

    This article reports on an analysis of the effectiveness and legitimacy of modes of governance in four European regions that clearly show signs of hybridity, that is, they have private as well as public characteristics. Berlin, Eindhoven, Copenhagen-Malmö and Zurich thus aim to increase the problem-solving capacity of their regional governance and to govern ‘smartly’ in a complex and multi-level context. The individual cities search for effective links with private and societal actors, each in its own way. Legitimacy is an issue that is hardly reflected upon, though. Hybrid modes of governance may have negative impacts on both effectiveness and legitimacy, but also offer new opportunities for good governance. ‘Hybrid’ and ‘smart’ do not always go hand in hand, but they are not mutually exclusive either.


dr. Linze Schaap

dr. Carlo Colombo

dr. Maaike Damen

dr. Niels Karsten Msc MA
Artikel

De dynamiek van slimme sturing voor de verduurzaming van handelsketens

Tijdschrift Bestuurskunde, Aflevering 2 2018
Trefwoorden smart governance, global value chains, Partnerships, voluntary sustainability standards
Auteurs Prof. dr. ir. Katrien Termeer, Dr. Hilde Toonen, Drs. Marcel Kok e.a.
Samenvatting

    Traditional state-centered governance systems have failed to effectively tackle the transnational problem of the sustainability of global value chains (GVCs). To fill this ‘institutional void’, industry and NGOs established a series of global partnerships that designed standards and certification schemes for global commodities. This paper uses different theoretical lenses to address the question as to what extent these arrangements can be evaluated as smart, and for what and for whom they are smart? Despite their relative success, these partnerships face some serious challenges. Consequently, smart governance also requires adaptiveness and the prevention of path dependencies.


Prof. dr. ir. Katrien Termeer

Dr. Hilde Toonen

Drs. Marcel Kok

Prof. dr. Esther Turnhout

    An element of the theme of the VNG 2018 ‘Across boundaries’ annual conference in Maastricht is the necessity for Dutch politicians and administrators to push existing boundaries. In many cases this will involve a national border, which is closer in the region than in the national administrative center in The Hague. More than half of the twelve Dutch provinces have national borders, so cross-border cooperation is a regular phenomenon. National or EU regulations and subsidies may help to realize policy goals that are found important at a regional or local level, but when policy crosses national borders in practice it is also confronted with other ‘European’ boundaries. If there are incomprehensible, impracticable or conflicting rules, there is tension between common European policy and Dutch decentralization. Therefore this essay focuses on the control that the European Union has as an administrative challenge. It first discusses the shaky European consciousness and then the actions taken to break this vicious circle.


Dr. Mendeltje van Keulen
Dr. M. van Keulen is lector Europese Studies bij de Haagse Hogeschool. Van 2011 tot 2017 was zij griffier Europese Zaken bij de Tweede Kamer.
Artikel

Waarderen of veroordelen?

De betekenis van kritische burgers die niet meepraten voor lokale participatieprocessen

Tijdschrift Bestuurs­wetenschappen, Aflevering 2 2018
Auteurs Drs. Christine Bleijenberg, Prof. dr. Noëlle Aarts en Dr. Reint Jan Renes
SamenvattingAuteursinformatie

    To be able to realize the ambitions of citizen participation, diversity of participants is a crucial condition. At the same time excluding groups of citizens, amongst them critical citizens, is inextricably linked with citizen participation. In this article in the series ‘Local democratic audit’, the authors wonder what the exclusion of critical citizens means for the process and outcome of citizen participation. Through two empirical studies during a spatial intervention in different municipalities in the Netherlands, they investigated how people involved in a participation process spoke about critical citizens and their manifestations. The results show that the way these critical citizens are discussed either legitimizes exclusion or questions it critically. The legitimization of exclusion is detrimental to the support for spatial intervention. The problematization of exclusion results in a responsive approach to critical citizens, which is beneficial for both the course of the participation process and for the support for the spatial intervention.


Drs. Christine Bleijenberg
Drs. C. Bleijenberg is promovendus aan de Radboud Universiteit Nijmegen en is verbonden aan het lectoraat Crossmediale Communicatie in het Publieke Domein van de Hogeschool Utrecht.

Prof. dr. Noëlle Aarts
Prof. dr. M.N.C. Aarts is hoogleraar Socio-Ecological Interactions aan het Institute for Science in Society (ISiS) van de Radboud Universiteit Nijmegen.

Dr. Reint Jan Renes
Dr. R.J. Renes is lector Crossmediale Communicatie in het Publieke Domein aan de Hogeschool Utrecht en universitair hoofddocent aan de Wageningen Universiteit.

    In the last few years, platform work and the so-called ‘gig economy’ have been growing across countries. While policy makers are debating the gig economy, there is no single agreed definition of this new type of work and systematic academic reviews are missing. This literature review provides main findings of relevant papers on working in the gig economy. The article shows that the growth of the gig economy fits well into the increasing hybridisation of work, which raises some political questions.


Fabian Dekker
Fabian Dekker is als arbeidssocioloog verbonden aan Regioplan Beleidsonderzoek en lid van de redactie van Beleid en Maatschappij.
Artikel

Slanker maar topzwaar, meer vrouwen maar vergrijsd: het veranderende gezicht van de rijksoverheid 2002-2015

Tijdschrift Beleid en Maatschappij, Aflevering 1 2018
Trefwoorden Cutbacks, Government spending, Civil servants, Public service, Open data
Auteurs Dr. Dimiter Toshkov, Eduard Schmidt MSc en Prof. dr. Caspar van den Berg
SamenvattingAuteursinformatie

    This article analyses the transformations of the Dutch civil service over the last 15 years, during which numerous cutbacks and reorganizations took place. While existing research predominantly focused on changes in the total number of civil servants, we examine how the distribution of civil servants changed in terms of rank, gender and age. We theorize four methods for shrinking the government apparatus, and for each method, we identify the possible consequences for the composition of the central civil service in terms of hierarchical make-up and of age. Our results indicate that the total number of civil servants only slightly decreased, but the decrease affected differentially the various ranks of the civil service. While at the lower ranks the number of civil servants decreased strongly, at the upper ranks the number actually increased slightly. The number of women in the civil service increased, also in the higher echelons. Regarding the age distribution, we found considerable changes, with the modal age shifting upwards with up to ten years. Altogether, the civil service has become slightly smaller, more gender-balanced, and significantly more senior (both in terms of ranks and age). The results of this study show that it is important for researchers and practitioners to look beyond the trends in the total number of civil servants and explore the deeper changes within the civil service.


Dr. Dimiter Toshkov
Dr. Dimiter Toshkov is werkzaam bij het Instituut Bestuurskunde, Faculty of Governance and Global Affairs, Universiteit Leiden.

Eduard Schmidt MSc
Eduard Schmidt MSc is werkzaam bij het Instituut Bestuurskunde, Faculty of Governance and Global Affairs, Universiteit Leiden.

Prof. dr. Caspar van den Berg
Prof. dr. Caspar van den Berg is werkzaam bij de Campus Fryslan, Rijksuniversiteit Groningen.
Artikel

Verkeer als stelsel met stelselverantwoordelijkheid voor veiligheid?

Naar een moderne governance opvatting van ‘co-responsibility’ bij stelsels

Tijdschrift Bestuurskunde, Aflevering 1 2018
Trefwoorden traffic safety, systems approach, governance, co-responsibility
Auteurs Dr. mr. Dick Ruimschotel
Samenvatting

    Lack of safety leading to death or injury has many aspects: personal violence, traffic, accidents at home or the work place, not to mention other external sources as radiation and fine dust or internal sources like diseases. In this paper we restrict ourselves to the lack of safety in traffic as a system, and address the following questions: (1) Is traffic a system with one dominant responsible actor (Ministry of Traffic)? (2) What explanations are offered for the lack of safety? (3) Who is responsible for safety? (4) What sort of interventions are suitable for enhancing safety? and (5) What type of process/consultancy is most appropriate for answer the preceding questions?
    The paper arrives at its conclusions via an indirect way, namely a short analysis of what a system comprises and what constitutes an explanation, responsibility and effectiveness. It appears that we are all causally involved in the lack of safety, and we are all responsible at all levels of society: micro-individual, meso-organizational and macro-societal. Therefore a promising route to maximize safety is a governance perspective comprising multiple stakeholder co-responsibility. It remains to be seen whether this perspective should replace the predominant command and control governance or complement it.


Dr. mr. Dick Ruimschotel
Artikel

Verantwoordelijkheid en voorzorg bij ‘de overgewichtepidemie’

Onzekerheid en transparantie bij preventief leefstijlbeleid

Tijdschrift Bestuurskunde, Aflevering 1 2018
Trefwoorden prevention, precaution, lifestyle policy, obesogenic society, obesity epidemic
Auteurs Dr. Roel Pieterman
Samenvatting

    Since the start of the 21st century, most nations have followed the lead of the World Health Organization and developed specific policies to tackle the ‘global obesity epidemic’. The medical reasoning is that non-contagious diseases are the most important causes of mortality and morbidity, especially in prosperous nations. As these diseases are conceptualized as ‘caused’ by ‘unhealthy lifestyle choices’, there is dire need for preventive lifestyle policies that help people make ‘the healthy choice’. Seen from this perspective the distribution of responsibilities between governments and their citizens is made in accordance to the ‘intervention ladder’, which has been developed from a stewardship model.
    Regarding the ‘obesity epidemic’, this contribution tests the basic medical claims behind this science policy complex. We find that the knowledge base for these claims is highly uncertain and that interventions lack efficacy. Furthermore, research points to increased levels of stigmatization of ‘fat people’, leading more discrimination. All this changes the status of the policies from preventive (i.e. proportionate) to precautionary (i.e. disproportionate). Further analysis of the preventive medical and policy paradigms shows both are by default biased towards precaution. Combined with the notion that citizens of democratic societies are entitled to trustworthy and transparent information, this contribution concludes that a reorientation of both paradigms is called for.


Dr. Roel Pieterman
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