The weakness of strong policies and the strength of weak policies: Law, experimentalist governance, and supporting coalitions in European Union health care policy
dc.contributor.author | Greer, Scott L. | en_US |
dc.date.accessioned | 2011-11-10T15:33:40Z | |
dc.date.available | 2012-07-12T17:42:24Z | en_US |
dc.date.issued | 2011-06 | en_US |
dc.identifier.citation | Greer, Scott L. (2011). "The weakness of strong policies and the strength of weak policies: Law, experimentalist governance, and supporting coalitions in European Union health care policy." Regulation & Governance 5(2). <http://hdl.handle.net/2027.42/86909> | en_US |
dc.identifier.issn | 1748-5983 | en_US |
dc.identifier.issn | 1748-5991 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/86909 | |
dc.description.abstract | The experience of European Union (EU) health care services policy shows the importance of supporting coalitions in any effort to effect policy change and the extent to which the presence or absence of such coalitions can qualify generalizations about policymaking. EU health care services law is substantively liberalizing and procedurally driven by the courts, with little legislative input. But the European Court of Justice (ECJ) has been much better at establishing an EU competency in law than in causing policy development in the EU or member states. Literature on courts helps to explain why: courts are most effective when they enjoy supporting coalitions and the ECJ does not have a significant supporting coalition for its liberalizing health care services policy. Based on interview data, this article argues that the hard law of health care services deregulation and the newer forms of health care governance, such as the Open Method of Coordination and the networks on rare diseases, depend on supporting coalitions in member states that are willing to litigate, lobby, budget, decide cases, and otherwise implement EU law and policy. Given the resistance that the Court has met in health care sectors, its overarching deregulatory approach might produce smaller effects than expected, and forms of experimentalist governance that are easy to deride might turn out to have supporting coalitions that make them unexpectedly effective. | en_US |
dc.publisher | Blackwell Publishing Asia | en_US |
dc.publisher | Wiley Periodicals, Inc. | en_US |
dc.subject.other | European Union | en_US |
dc.subject.other | Experimentalist Governance | en_US |
dc.subject.other | Courts | en_US |
dc.subject.other | OMC | en_US |
dc.subject.other | Health Care | en_US |
dc.subject.other | Health Policy | en_US |
dc.title | The weakness of strong policies and the strength of weak policies: Law, experimentalist governance, and supporting coalitions in European Union health care policy | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Political Science | en_US |
dc.subject.hlbtoplevel | Government, Politics and Law | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, USA | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/86909/1/j.1748-5991.2011.01107.x.pdf | |
dc.identifier.doi | 10.1111/j.1748-5991.2011.01107.x | en_US |
dc.identifier.source | Regulation & Governance | en_US |
dc.identifier.citedreference | C‐120/95 (1998) Nicolas Decker v Caisse de Maladie des Employés Privé. | en_US |
dc.identifier.citedreference | C‐157/99 (2001) B.S.M. Geraets‐Smits and Stichting Ziekenfonds VGZ and between H.T.M. Peerbooms and Stichting CZ Groep Zorgverzekeringen. | en_US |
dc.identifier.citedreference | C‐158/96 (1998) Raymond Kohll v Union des Caisses de Maladie. | en_US |
dc.identifier.citedreference | C‐173/09 (2010) Georgi Ivanov Elchinov v Natsionalna zdravnoosiguritelna kasa. | en_US |
dc.identifier.citedreference | C‐322/01 (2003) Deutscher Apothekerverband eV v DocMorris NV and Jacques Waterval. | en_US |
dc.identifier.citedreference | C‐372/04 (2005) Yvonne Watts v Bedford Primary Care Trust and Secretary of State for Health. | en_US |
dc.identifier.citedreference | C‐475/99 (2001) Firma Ambulanz Glöckner v Landkreis Südwestpfalz. | en_US |
dc.identifier.citedreference | C‐199/58 (2007) Asklepios Kliniken GmbH v Commission of the European Communities. | en_US |
dc.identifier.citedreference | C‐79/48 (2008) BUPA and others v. Commission. | en_US |
dc.identifier.citedreference | Alter KJ ( 2001 ) Establishing the Supremacy of European Law. Oxford University Press, Oxford. | en_US |
dc.identifier.citedreference | Alter KJ, Vargas J ( 2000 ) Explaining Variation in the Use of European Litigation Strategies: European Community Law and British Gender Equality Policy. Comparative Political Studies 33, 452 – 482. | en_US |
dc.identifier.citedreference | Anderson P ( 2009 ) The New Old World. Verso, London. | en_US |
dc.identifier.citedreference | Baeten R, Vanhercke B, Coucheir M ( 2010 ) The Europeanisation of National Health Care Systems: Creative Adaptation in the Shadow of Patient Mobility Case Law. Observatoire Social Européenne, Brussels. [Last accessed 14 March 2011.] Available from URL: http://www.ose.be. | en_US |
dc.identifier.citedreference | Börzel TA ( 2006 ) Participation through Law Enforcement: The Case of the European Union. Comparative Political Studies 39, 128 – 152. | en_US |
dc.identifier.citedreference | Briatte F ( 2010 ) The Europeanization of Health System Performance: The EUROCARE Study and Cancer Control in England. CERAPS, Lille. | en_US |
dc.identifier.citedreference | Busse R, Wismar M, Berman PC (eds) ( 2002 ) The European Union and Health Services: The Impact of the Single European Market on Member States. IOS/European Health Management Association, Amsterdam. | en_US |
dc.identifier.citedreference | Canon BC, Johnson CA ( 1999 ) Judicial Policies: Implementation and Impact. CQ, Washington, DC. | en_US |
dc.identifier.citedreference | Carboni N ( 2009 ) Advocacy Groups in the Multilevel System of the European Union: A Case Study in Health Policy‐making. Observatoire Social Européenne, Brussels. [Last accessed 14 March 2011.] Available from URL: http://www.ose.be. | en_US |
dc.identifier.citedreference | Carrera P, Lunt N ( 2010 ) A European Perspective on Medical Tourism: The Need for a Knowledge Base. International Journal of Health Services 40, 469 – 484. | en_US |
dc.identifier.citedreference | Cichowski RA ( 2007 ) The European Court and Civil Society: Litigation, Mobilization and Governance. Cambridge University Press, Cambridge. | en_US |
dc.identifier.citedreference | Conant L ( 2002 ) Justice Contained: Law and Politics in the European Union. Cornell University Press, Ithaca, NY. | en_US |
dc.identifier.citedreference | Cram L ( 2009 ) From “Integration by Stealth” to “Good Governance” in EU Social Policy. In: Tömmel I, Verdun A (eds) Innovative Governance in the European Union: The Politics of Multilevel Policymaking, pp. 87 – 101. Lynn Rienner, Boulder, CO. | en_US |
dc.identifier.citedreference | Crespy A ( 2010 ) When Bolkestein is Trapped by the French Anti‐liberal Discourse: A Discursive Institutionalist Account of the French Position on the EU Services Directive. Journal of European Public Policy 17, 1253 – 1270. | en_US |
dc.identifier.citedreference | Epp CR ( 2008 ) Law as an Instrument of Social Reform. In: Whittington KE, Kelemen RD, Caldeira GA (eds) The Oxford Handbook of Law and Politics, pp. 595 – 613. Oxford University Press, Oxford. | en_US |
dc.identifier.citedreference | European Commission ( 2001 ). European Governance: A White Paper. COM(2001)428. European Commission, Brussels. | en_US |
dc.identifier.citedreference | European Commission ( 2008a ) Proposal for a Directive of the European Parliament and of the Council on the application of patients' rights in cross‐border healthcare. COM(2008)414. European Commission, Brussels. | en_US |
dc.identifier.citedreference | European Commission ( 2008b ). Commission staff working document –“A renewed commitment to social Europe: reinforcing the open method of coordination for social protection and social inclusion”– Impact assessment. COM(2008) 418 final; SEC(2008) 2170. European Commission, Brussels. | en_US |
dc.identifier.citedreference | Faber J‐C ( 2004 ) The European Blood Directive: A New Era of Blood Regulation Has Begun. Transfusion Medicine 14, 257 – 273. | en_US |
dc.identifier.citedreference | Farrell A‐M ( 2005 ) The Emergence of EU Governance in Public Health: The Case of Blood Policy and Regulation. In: Steffen M (ed.) Health Governance in Europe, pp. 134 – 151. Routledge, London. | en_US |
dc.identifier.citedreference | Ferrera M ( 2005 ) The Boundaries of Welfare: European Integration and the New Spatial Politics of Social Protection. Oxford University Press, Oxford. | en_US |
dc.identifier.citedreference | Glinos IA, Baeten R, Helble M, Maarse H ( 2010a ) A Typology of Cross‐border Patient Mobility. Health & Place 16, 1145 – 1155. | en_US |
dc.identifier.citedreference | Glinos IA, Baeten R, Maarse H ( 2010b ) Purchasing Health Services Abroad: Practices of Cross‐border Contracting and Patient Mobility in Six European Countries. Health Policy 95, 103 – 112. | en_US |
dc.identifier.citedreference | Graziano P, Vink MP (eds) ( 2007 ) Europeanization: New Research Agendas. Palgrave Macmillan, Basingstoke. | en_US |
dc.identifier.citedreference | Greer SL ( 2006 ) Uninvited Europeanization: Neofunctionalism and the EU in Health Policy. Journal of European Public Policy 13, 134 – 152. | en_US |
dc.identifier.citedreference | Greer SL ( 2008 ) Choosing Paths in European Union Health Policy: A Political Analysis of a Critical Juncture. Journal of European Social Policy 18, 219 – 231. | en_US |
dc.identifier.citedreference | Greer SL ( 2009 ) The Politics of European Union Health Policies. Open University Press, Buckingham. | en_US |
dc.identifier.citedreference | Greer SL ( 2010 ) Standing Up for Health? Health Departments in EU Health Policy Formulation. Social Policy and Administration 44, 208 – 224. | en_US |
dc.identifier.citedreference | Greer SL, Rauscher S ( 2011a ) When Does Market‐marking Make Markets? EU Health Services Policy at Work in the United Kingdom and Germany. Journal of Common Market Studies, DOI: 10.1111/j.1468‐5965.2010.02157.x. | en_US |
dc.identifier.citedreference | Greer SL, Rauscher S ( 2011b ) Destabilization Rights and Restabilization Politics: Policy and Political Reactions to European Union Health Care Services Law. Journal of European Public Policy 18, 220 – 240. | en_US |
dc.identifier.citedreference | Greer SL, Vanhercke B ( 2010 ) The Hard Politics of Soft Law. In: Mossialos E, Permanand G, Baeten R, Hervey T (eds) Health Systems Governance in Europe: The Role of EU Law and Policy, pp. 186 – 230. Cambridge University Press, Cambridge. | en_US |
dc.identifier.citedreference | van de Gronden J ( 2009 ) The Services Directive and Services of General (Economic) Interest. In: Krajewski M, Neergaard U, van de Gronden J (eds) The Changing Legal Framework for Services of General Interest in Europe: Between Competition and Solidarity, pp. 233 – 254. TMC Asser, The Hague. | en_US |
dc.identifier.citedreference | Hatzopoulos V ( 2007 ) Why the Open Method of Coordination Is Bad for You: A Letter to the EU. European Law Journal 13, 309 – 342. | en_US |
dc.identifier.citedreference | Hatzopoulos V ( 2010 ) Public Procurement and State Aid in National Health Care Systems. In: Mossialos E, Permanand G, Baeten R, Hervey T (eds) Health Systems Governance in Europe: The Role of EU Law and Policy, pp. 379 – 418. Cambridge University Press, Cambridge. | en_US |
dc.identifier.citedreference | Héritier A ( 2001 ) Differential Europe: The European Union Impact on National Policymaking. In: Héritier A, Klerwer D, Knill C, Lehmkuhl D, Teutsch M, Douillet A‐C (eds) Dfferential Europe: The European Union Impact on National Policymaking, pp. 1 – 22. Rowman and Littlefield, Lanham, MD. | en_US |
dc.identifier.citedreference | Hervey T, Vanhercke B ( 2010 ) Health Care and the EU: The Law and Policy Patchwork. In: Mossialos E, Permanand G, Baeten R, Hervey T (eds) Health Systems Governance in Europe: The Role of EU Law and Policy, pp. 84 – 133. Cambridge University Press, Cambridge. | en_US |
dc.identifier.citedreference | Jarman H (Forthcoming) Collaboration and Consultation: Functional Representation in EU Stakeholder Dialogues. Journal of European Integration. | en_US |
dc.identifier.citedreference | Jarman H, Greer SL ( 2010 ) Crossborder Trade in Health Services: Lessons from the European Laboratory. Health Policy 94, 158 – 163. | en_US |
dc.identifier.citedreference | Jarman H, Kowalski K, Amodeo J ( 2010 ) Medical Tourism: The Implications of European Union Debates for Healthcare Quality and Access in the United States. Rockefeller College of Public Affairs, Albany, NY. | en_US |
dc.identifier.citedreference | Kelemen RD ( 2010 ) Eurolegalism. Harvard University Press, Cambridge, MA. | en_US |
dc.identifier.citedreference | Kleinman M ( 2002 ) A European Welfare State? European Union Social Policy in Context. Palgrave Macmillan, Basingstoke. | en_US |
dc.identifier.citedreference | Lamping W, Steffen M ( 2009 ) European Union and Health Policy: The “Chaordic” Dynamics of Integration. Social Science Quarterly 90, 1361 – 1379. | en_US |
dc.identifier.citedreference | Laugesen MJ, Vargas‐Bustamente A ( 2010 ) A Patient Mobility Framework That Travels: European and United States‐Mexican Comparisons. Health Policy 97, 225 – 231. | en_US |
dc.identifier.citedreference | Leibfried S, Pierson PA (eds) ( 1995 ) European Social Policy: Between Fragmentation and Integration. Brookings Institution, Washington, DC. | en_US |
dc.identifier.citedreference | Martinsen DS ( 2005 ) Towards an Internal Health Market with the European Court. West European Politics 28, 1035 – 1056. | en_US |
dc.identifier.citedreference | Martinsen DS, Blomqvist P ( 2009 ) The European Union: Single Market Pressures. In: Magnussen J, Vrangbaek K, Saltman RB (eds) Nordic Health Care Systems: Recent Reforms and Current Policy Challenges, pp. 294 – 315. European Observatory on Health Systems and Policies, Brussels. | en_US |
dc.identifier.citedreference | McKee M, Mossialos E, Baeten R ( 2002a ) EU Law and the Social Character of Health Care. Peter Lang, Brussels. | en_US |
dc.identifier.citedreference | McKee M, Mossialos E, Baeten R ( 2002b ) The Impact of EU Law on Health Care Systems. Peter Lang, Brussels. | en_US |
dc.identifier.citedreference | Martinsen DS, Vrangbaek K ( 2008 ) The Europeanization of Health Care Governance: Implementing the Market Imperatives of Europe. Public Administration 86, 169 – 184. | en_US |
dc.identifier.citedreference | Moravcsik A ( 2002 ) In Defence of the “Democratic Deficit:” Reassessing Legitimacy in the European Union. Journal of Common Market Studies 40, 603 – 624. | en_US |
dc.identifier.citedreference | Newdick C ( 2009 ) Cross‐border Health Care Rights, the European Court of Justice and Social Citizenship: Accidental Death of A Concept? Wisconsin International Law Journal 26, 844 – 868. | en_US |
dc.identifier.citedreference | Obermaier AJ ( 2009 ) The End of Territoriality? The Impact of ECJ Rulings on British, German and French Social Policy. Ashgate, Aldershot. | en_US |
dc.identifier.citedreference | Page EC ( 2005 ) Joined‐up Government and the Civil Service. In: Bogdanor V (ed.) Joined‐up Government, pp. 139 – 155. Oxford University Press/British Academy, Oxford. | en_US |
dc.identifier.citedreference | de la Porte C, Pochet P, Room G ( 2002 ) Social Benchmarking, Policy‐making and the Instruments of New Governance. Journal of European Social Policy 11, 291 – 307. | en_US |
dc.identifier.citedreference | Rogers E ( 2003 ) The Diffusion of Innovation, 5th edn. Free Press, New York, NY. | en_US |
dc.identifier.citedreference | Rosenberg GN ( 1991 ) The Hollow Hope: Can Courts Bring About Social Change? University of Chicago Press, Chicago, IL. | en_US |
dc.identifier.citedreference | Rosenmöller M, McKee M, Baeten R (eds) ( 2006 ) Patient Mobility in the European Union: Learning From Experience. European Observatory on Health Systems and Policies, Brussels. | en_US |
dc.identifier.citedreference | Sabel CF, Zeitlin J ( 2007 ) Learning from Difference: The New Architecture of Experimentalist Governance in the European Union. European Law Journal 14, 271 – 327. | en_US |
dc.identifier.citedreference | Sabel CF, Zeitlin J (eds) ( 2010 ) Experimentalist Governance in the European Union: Towards A New Architecture. Oxford University Press, Oxford. | en_US |
dc.identifier.citedreference | Scharpf FW ( 2002 ) The European Social Model: Coping with the Challenges of Diversity. Journal of Common Market Studies 40, 645 – 670. | en_US |
dc.identifier.citedreference | Schout A, Jordan A, Twena M ( 2010 ) From “Old” to “New” Governance in the EU: Explaining a Diagnostic Deficit. West European Politics 33, 154 – 170. | en_US |
dc.identifier.citedreference | Shore C ( 2007 ) European Integration in Anthropological Perspective: Studying the “Culture” of the EU Civil Service. In: Rhodes RAW, t'Hart P, Noordegraf M (eds) Observing Government Elites: Up Close and Personal, pp. 180 – 205. Palgrave Macmillan, Basingstoke. | en_US |
dc.identifier.citedreference | Smith MP ( 2005 ) States of Liberalization: Redefining the Public Sector in Integrated Europe. SUNY, Albany, NY. | en_US |
dc.identifier.citedreference | Sokol T (Forthcoming) Rindal and Elchinov: An (Impending) Revolution in the EU Law on Patient Mobility? Croatian Yearbook of European Law and Policy. | en_US |
dc.identifier.citedreference | Steffen M (Forthcoming) The Europeanization of HIV and AIDS Politics. Journal of Health Politics, Policy and Law. | en_US |
dc.identifier.citedreference | Streeck W, Schmitter PC ( 1991 ) From National Corporatism to Transnational Pluralism. Politics and Society 19, 133 – 165. | en_US |
dc.identifier.citedreference | Trubek L, Nance M, Hervey T ( 2008 ) The Construction of Healthier Europe: Lessons from the Fight against Cancer. Wisconsin International Law Journal 26, 804 – 844. | en_US |
dc.identifier.citedreference | Weber M ( 1946 ) “Class, Status, Party” In: Gerth HH, Mills CW (eds) From Max Weber: Essays in Sociology, pp 180 – 195. New York: Oxford University Press. | en_US |
dc.identifier.citedreference | Wincott D ( 2003 ) Implementing the “New Open Method of Coordination” in the Field of Social Inclusion. Public Administration 81, 533 – 553. | en_US |
dc.identifier.citedreference | Wismar M, Palm W, Figueras J, Ernst K, van Ginneken E (eds) ( 2010 ) Cross‐border Healthcare in the EU: Mapping and Analysing Practices and Policies. European Observatory on Health Systems and Policies, Brussels. | en_US |
dc.identifier.citedreference | Zeitlin J ( 2005 ) Introduction: The Open Method of Co‐ordination in Question. In: Zeitlin J, Pochet P (eds) The Open Method of Co‐ordination in Action: The European Employment and Social Inclusion Strategies, pp. 19 – 35. Peter Lang, Brussels. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.