“…Studies have identified the existence of programmatic groups in French defense policy (Faure, 2020; Genieys, 2010) and the health care systems of France, Germany, Spain, and the USA (Hassenteufel et al., 2010). While evidence confirms the occurrence of programmatic action in French and German health policy within a similar period of time alike (Genieys & Hassenteufel, 2015; Hornung & Bandelow, 2020), recent research shows that as opposed to France, the phase of programmatic action in German health policy seems to have ended (Bandelow & Hornung, 2020). The question is, what explains these divergent pathways of previously existent programmatic action in the two countries?…”