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Un marché très exclusif. Les acteurs de la modélisation des réformes de protection maladie aux États-Unis (1993-2010)

Abstract : This paper examines the power that mastering budgetary models can confer on experts who seek to become involved in the public policy process. Referring to US health care reforms from 1993 and 2010, it shows that this skill was an important resource because of the centrality of fiscal issues in the legislative process, but also because of the scarcity of actors entrusted with the modeling responsibility. This scarcity is explained by the hyper-technicity of these tools but also by their opacity, which, in accordance with what Lucien Karpik describes as a “market of singularities”, leads policymakers to rely on the reputation of modelers. The latter can then use their authority to promote reform programs that correspond to their political preferences. They thus overstep the purely technical mission with which models are usually associated. These results are drawn from a qualitative survey, combining interviews and written sources (experts’ CVs, grey literature, press articles).
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https://hal-sciencespo.archives-ouvertes.fr/hal-03450745
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Submitted on : Friday, November 26, 2021 - 10:43:18 AM
Last modification on : Friday, April 1, 2022 - 3:55:21 AM

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Ulrike Lepont. Un marché très exclusif. Les acteurs de la modélisation des réformes de protection maladie aux États-Unis (1993-2010). Terrains et Travaux : Revue de Sciences Sociales, ENS Cachan, 2021, N° 38 (1), pp.23-45. ⟨10.3917/tt.038.0023⟩. ⟨hal-03450745⟩

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