This article examines government communication on two large-scale Belgian governmental reforms: the Federal Administration and the police forces. Using Lees-Marshment's typology of marketing processes, we identify the marketing of the changes by the Federal Administration as sales-oriented: a finished product or an expert-developed administrative reform project to be sold to the public. Declining enthusiasm for communication and growing product disagreement gradually forced this reform to disappear from the market. The police reform followed a market-oriented marketing process. It responded to public outrage. The Government merely reacted to external information. This explains why it failed to deal with a changed market situation. A content analysis of articles in both popular and quality newspapers examines the representation of both reforms in the media and seems to confirm our observations. This article shows that marketing reforms are extremely difficult when there is no shared understanding of the product to be marketed.

In managing new cleavages between conflicting values (such as materialism and post-materialism), we cannot simply fall back on a classical approach to cleavage management. The segments surrounding the new cleavage are clearly more fluid than those surrounding the religious or socio-economic cleavages from consociationalism and neo-corporatism, such as is rightly emphasised in the network approach. In the conflict between the materialist and post-materialist value pattern, representation logic is not a given certainty. Not only the facts, but also the negotiating players and the decision-making arenas are the subject of negotiation and strategic action. This is reflected in the new forms of consultation politics. Similarly, consensus formation cannot make do with the (party) political integration of the segments because, given the conditions of post-materialism, this integration can only be partial. It seems important in the new cleavage management to devote attention to the existence of several arenas in which political interests are weighed up. For the players involved in a particular policy issue, this means the lure of strategic forum shopping and thus complication of the conflict-resolving ability of each of the forums.

This article discusses the changes in the safety policy in the Netherlands over about the last fifteen years. These changes are analysed as reactions to the problems that the police and other criminal justice agencies face and which result from the shift from a modern to a late modern society. Five main changes are distinguished: in the organisational and managerial arrangements of the police; in the relation between the state (police) and other (both public and private) agencies; the rise of extra-judicial instruments and the growing attention for the position of victims; the increasing use of technological instruments for surveillance and crime prevention; and a harsher and more punitive policy. These changes create new fundamental questions for a future safety policy.

Although 'integration with retention of "own" culture' has ceased to be the dominant policy principle in Dutch minority policies for quite some time now, there are still remarkably many ethnically specific policy arrangements in the Netherlands. To explain this contradiction this paper introduces an administrative mechanism: the logic of making policy categories conflicts with the logic of policy implementation. The use of 'avoidant categories' – a particular type of policy category discussed in this paper – creates an administrative opportunity structure that unintendedly promotes ethnic fragmentation instead of integration in policy implementation. We illustrate the working of this mechanism in a comparative perspective; the Netherlands is not unique in this respect and experience in other countries is instructive.

This article explores the shifting balance of health care values during the past thirty years. It becomes clear that in health care decision making the values and goals of the government policy gained weight in relation to those of the health care sector itself. The same is true for the health care insurances. The market ideology, the private aspects of health care insurances and in general the economical approach of health care appears to have gained influence compared to the medical approach, the public aspects of the health insurances and the professional interests of the health care sector. This article ends with a discussion about the possible implications of these shifts for the coming change of the health care insurance system.

There is probably no other sector of the welfare state where the gap between citizen's expectations and government's opportunities is deepening so intensely and has such a complex and politicized reform agenda as the health care sector. Health care is a critical case par excellence to study the relation between efficiency and legitimization of welfare state reform. The leading question of this special issue of Beleid & Maatschappij is: how does the Dutch health care system and the connected public policymaking accommodate the different and often conflicting goals (input), organizing concepts (throughput) and outcomes (output)? With these questions in mind the dominant governance principles of Dutch health care, especially the system of regulated competition, are scrutinized. One of the findings is, that 'second best' solutions are the highest achievable in this field, a notion that reform policies should take into account.

This paper addresses the question whether potentially conflicting health policy goals can explain the presence of multiple competing health policy programs. For more than fifteen years, successive government coalitions have proposed to replace the dominating policy program of supply and price regulation by the policy program of regulated competition. Due to its institutional and technical complexity, however, so far most efforts have been focused on the realization of the appropriate preconditions for regulated competition and the actual implementation is still in its infancy. The remarkable perseverance of the market-oriented policy program can be explained by the fact that it offers, at least in theory, a single comprehensive solution for satisfying both efficiency and equity goals. Even if the program succeeds in fostering efficiency while maintaining equity, several reasons are pointed out why the market-oriented program is unlikely to fully replace supply and price regulation. First, the market-oriented program does not seem suitable for all health sectors or even for all geographical markets within a specific sector. Second, the market-oriented program is unlikely to meet political objectives about the desired level of public health spending.

There is probably no other sector of the welfare state where the gap between citizen's expectations and government's opportunities is deepening so intensely and has such a complex and politicized reform agenda as the health care sector. Health care is a critical case par excellence to study the relation between efficiency and legitimization of welfare state reform. The leading question of this special issue of Beleid & Maatschappij is: how does the Dutch health care system and the connected public policymaking accommodate the different and often conflicting goals (input), organizing concepts (throughput) and outcomes (output)? With these questions in mind the dominant governance principles of Dutch health care, especially the system of regulated competition, are scrutinized. One of the findings is, that 'second best' solutions are the highest achievable in this field, a notion that reform policies should take into account.