Breaking Gridlock: The Determinants of Health Policy Change in Congress Apr 02, 2011 By Craig VoldenAlan E. Wiseman Breaking Gridlock: The Determinants of Health Policy Change in Congress Scholars have often commented that health policymaking in Congress is mired in political gridlock, that reforms are far more likely to fail than to succeed, and the path forward is unclear. To reach such conclusions, scholars of health politics have tended to analyze individual major reform proposals to determine why they succeeded or failed and what lessons could be drawn for the future. Taking a different approach, we examine all health policies proposed in the U.S. House of Representatives between 1973 and 2002. We analyze these bills ’ fates and the effectiveness of their sponsors in guiding their proposals through Congress. Set against a baseline of policy advancements in other policy areas, we demonstrate that health policymaking is indeed far more gridlocked than policymaking in most other areas. We then isolate some of the causes of this gridlock, as well as the some of the conditions that can help to bring about health policy change. Journal of Health Politics, Policy and Law Journal of Health Politics, Policy and Law Areas of focus Health Policy Craig Volden Craig Volden is a professor of public policy and politics at the University of Virginia, with appointments in the Frank Batten School of Leadership and Public Policy and the Department of Politics. He studies the politics of public policy, with a focus on what policy choices arise within legislative institutions and within American federalism. He is founder and co-director of the Center for Effective Lawmaking. Read full bio Alan E. Wiseman Related Content Craig Volden Legislative Effectiveness, Progressive Ambition, and Electoral Success Research Are effective state lawmakers more likely than ineffective state lawmakers to be elected to Congress? Our findings offer important insights into how American federalism contributes to representation by effective lawmakers. The Primary Path for Turning Legislative Effectiveness into Electoral Success Research Effective lawmakers are the workhorses of the US Congress, yet we know little about the electoral payoffs of their efforts. Are effective lawmakers better at warding off challengers in the next election? Do they win at a greater rate? Effective Lawmaking in Virginia: Past, Present and Future News This week’s Batten Hour featured Bill Howell, former Speaker of the House of Delegates, and David Toscano, former House Minority Leader, in a discussion about how the legislature is addressing past, present and future policy challenges. Their discussion was moderated by Craig Volden, professor of public policy and politics and co-director of the Center for Effective Lawmaking. Improving Expertise of Congressional Staff News In an op-ed published in The Messenger, Craig Volden and Alan E. Wiseman of the Center for Effective Lawmaking write that without proper career training for congressional staffers, expertise gaps on Capitol Hill will continue to be problematic.
Craig Volden Craig Volden is a professor of public policy and politics at the University of Virginia, with appointments in the Frank Batten School of Leadership and Public Policy and the Department of Politics. He studies the politics of public policy, with a focus on what policy choices arise within legislative institutions and within American federalism. He is founder and co-director of the Center for Effective Lawmaking. Read full bio
Legislative Effectiveness, Progressive Ambition, and Electoral Success Research Are effective state lawmakers more likely than ineffective state lawmakers to be elected to Congress? Our findings offer important insights into how American federalism contributes to representation by effective lawmakers.
The Primary Path for Turning Legislative Effectiveness into Electoral Success Research Effective lawmakers are the workhorses of the US Congress, yet we know little about the electoral payoffs of their efforts. Are effective lawmakers better at warding off challengers in the next election? Do they win at a greater rate?
Effective Lawmaking in Virginia: Past, Present and Future News This week’s Batten Hour featured Bill Howell, former Speaker of the House of Delegates, and David Toscano, former House Minority Leader, in a discussion about how the legislature is addressing past, present and future policy challenges. Their discussion was moderated by Craig Volden, professor of public policy and politics and co-director of the Center for Effective Lawmaking.
Improving Expertise of Congressional Staff News In an op-ed published in The Messenger, Craig Volden and Alan E. Wiseman of the Center for Effective Lawmaking write that without proper career training for congressional staffers, expertise gaps on Capitol Hill will continue to be problematic.