In order for the democratic process to work properly, it is vital that the public pays attention to politics and signals its opinions and preferences back to its representatives; if this is not the case, representatives have less incentive to represent. This article deals with the question of whether and how the public responds to welfare policy change. The thermostatic model departs from the assumption that the public responds to policy change with negative feedback, in relation to its preferred level of policy. The empirical analysis tests this model on public responses following the implementation of a consumer's choice model in Swedish primary health care. Did the reform trigger a thermostatic response from the public, and how should this be interpreted? A contribution in relation to previous research is the inclusion of ideological orientation and proximity, variables which, I argue, condition the nature and direction of public responsiveness. The study was designed as a natural experiment in which preferences of privatization of health care were measured before and after the health care reform of 2009/2010. The results provide partial support for the thermostatic model: preferences for further privatization decrease after the reform, but primarily within one subgroup. Additionally, public responses are demonstrated to vary according to ideological orientation, where the right-oriented react thermostatically and the left-oriented do not. The article contributes to a further understanding of the relation between policymaking and public opinion and to the expansion of thermostatic theory.
How and when does welfare policy contribute to shape public opinion? This article departs from the policy feedback research tradition and seeks to contribute to the understanding of how policy influences public opinion (public responsiveness). The argument here suggests that personal experiences in terms of empowerment condition the dynamics between policy and opinion. The empirical case concerns the implementation of a consumer's choice model in Swedish primary health care, which resulted an intended increase in private health care centres. In this case, empowerment is assumed to be enhanced by increased exit options and freedom of choice. The specific question in the analysis is whether citizens who have empowering experiences, as a consequence of the reform, are more likely to be positive towards further privatization of welfare services. The results show few effects in general, but there seems to be a correlation between the experience of exiting and more positive attitudes towards privatization.
Drinking water provisioning can be approached as a paradigmatic case of transboundary risk management that requires government collaboration. In Sweden, as in most other countries, the provision of safe drinking water and the control of its quality is a responsibility of local governments. This explorative case study investigates how local level decision-makers (politicians and public administrators) identify and understand risks to drinking water services; how they construe governmental responsibility and collaboration between local governments. The empirical results show that decision-makers identify a number of systemically interrelated technical, natural and social risks; that responsibility is understood to be complex and fragmented and that they refrain from collaboration despite clear advantages in theory. Even if the payoff is high from a broad societal perspective for inter-municipal collaborative risk management of drinking water services, collaboration on the local level is low. Institutional uncertainties relating to the allocation of responsibility, transaction costs and political costs for individual municipalities may explain the reluctance to collaborate in this case.
Local policy-makers' incentives to address an issue is conditioned by how they perceive public attention. Our study focuses on drinking water management at the municipal level in Sweden. Provisioning and management of drinking water is a responsibility of the local governments. Interviews with local politicians and public administrators in seven municipalities reveal that local policymakers think that citizens view provisioning of drinking water as a taken for granted service, and also lack knowledge of and interest in drinking water issues. Public attention is further seen as a double-edged sword since engagement in water issues often is a result of problems with water provision. The findings are discussed from a theoretical perspective of the role of agendasetting in public policy. It is argued that the view of policy-makers of citizens as unengaged negatively affects the incentives to bring drinking water to a prominent place on the local policy agenda.
It is hardly an exaggeration to claim that one of the most turbulent political areas in recent years has been asylum policy, which has disclosed a rapidly increasing inflow of asylum seekers, and, in many countries, has been followed by fierce media discussion and political controversies. In Sweden, this development has been heated as the Swedish self‐image is one of providing generous policies, which is also reflected in terms of strong refugee policy. The article uses this example to explore assumptions about public responsiveness in previous policy feedback literature and to examine the link between citizens' attitudes towards immigration and changes in asylum policy output, measured as asylums granted, over time in the period 1990–2015. It focuses especially on the link through which citizens become aware of policy output, operationalized as media visualization, and find that including media reveals a suppressed relationship between policy output and public attitudes. The relationship is negative and thus confirms the assumptions of the thermostatic models. Second, the article shows that feedback is mediated by political orientation: People defining themselves politically as right‐oriented respond with negative feedback when the number of granted asylums increases, while left‐oriented people do not change their attitudes. Based on these findings it is concluded, first, that analyses of democratic responsiveness need to incorporate a clear measure of the link by which exogenous factors become visible. Second, the importance needs to be stressed of considering important cleavages in the population in order to display responsiveness processes fairly.
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