Zoekresultaat: 2 artikelen

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Jaar 2004 x

    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.


Johan Weggeman
Johan Weggeman is verbonden aan de opleiding bestuurskunde van de Erasmus Universiteit Rotterdam. Hij studeerde politicologie aan de Universiteit Leiden en promoveerde als bestuurskundige aan de Erasmus Universiteit Rotterdam. De titel van zijn proefschrift luidt Controversiƫle Besluitvorming (Lemma 2003). Adres: Erasmus Universiteit Rotterdam, opleiding bestuurskunde, postbus 1738, 3000 DR Rotterdam, tel: 010 4082635, e-mail: weggeman@fsw.eur.nl

    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.


Jan Kasdorp
Jan Kasdorp is jurist en projectleider bij de Raad voor de Volksgezondheid en Zorg. Hij heeft onder andere meegewerkt aan adviezen over marktwerking in de zorg, de samenhang tussen cure en care, de Europese dimensie van het zorgbeleid, maatschappelijk ondernemen, de toekomst van de AWBZ en de keuzeproblematiek in de zorg. Hij was secretaris van de commissie-Dunning. Adres: St. Huybertsgeregt 7, 2741 EM Waddinxveen 0182-619104.
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