Motivation, Agency, and Public Policy: Of Knights and Knaves, Pawns and Queens

Motivation, Agency, and Public Policy: Of Knights and Knaves, Pawns and Queens

by JulianLeGrand (Author)

Synopsis

Can we rely on the altruism of professionals or the public service ethos to deliver good quality health and education services? And how should patients, parents, and pupils behave - as grateful recipients or active consumers? This book provides new answers to these questions - a milestone in the analysis and development of public policy, from one of the leading thinkers in the field. It provides a new perspective on policy design, emphasising the importance of analysing the motivation of professionals and others who work within the public sector, and both their and public service beneficiaries' capacity for agency or independent action. It argues that the conventional assumption that public sector professionals are public-spirited altruists or 'knights' is misplaced; but so is the alternative that they are all, in David Hume's terminology, 'knaves' or self-interested egoists. We also must not assume that individual citizens are passive recipients of public services (pawns); but nor can they be untrammelled sovereigns with unrestricted choices over services and resources (queens). Instead, policies must be designed so as to give the proper balance of motivation and agency. The book illustrates how this can be done by detailed empirical examination of recent policies in health services, education, social security and taxation. It puts forwards proposals for policy reform, several of which either originated with the author or with which he has been closely associated: universal capital or 'demogrants', discriminating vouchers, matching grants for pensions and for long-term care, and hypothecated taxes.

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More Information

Format: Illustrated
Pages: 250
Edition: Illustrated
Publisher: OUP Oxford
Published: 18 Sep 2003

ISBN 10: 0199266999
ISBN 13: 9780199266999

Media Reviews
This important book develops a number of arguments ... The book is bold and ambitious in the way that it moves from concepts to policies ... The book is also powerful and compelling in its advocacy of quasi-markets ... works best as an analysis of how the diverse motivations of welfare providers can be channelled to ensure that benefits and services are both delivered more efficiently and become more responsive to the needs and aspirations of those who receive them. * Social Policy and Society *
... splendid book. * The Spectator *
... a compelling argument for the denationalisation of public service provision. * Prospect *
This book is significant on two counts: for what it says and for who is saying it. * Prospect *
Professor Le Grand is interested in both the theory and the practice of social policy. His book will therefore appeal to teachers, students and policy makers. In around 200 pages, it offers a lucid review in which empirical data and economic analysis are used to unravel the changing perceptions of policy makers. * Health Service Journal *
... a timely and welcome contribution to current debates about social policy reform. * Health Service Journal *
... an important book ... well written and free of jargon. * Prospect *
... a fascinating new book ... short, accessible and profound. * The Economist *
His arguments are lively and original. * John Rentoul The Independent *
Author Bio
Julian Le Grand is the Richard Titmuss Professor of Social Policy at the London School of Economics. He is an Honorary Fellow of the Faculty of Public Health Medicine, a Founding Academician of the Academy of Learned Societies for the Social Sciences and a Senior Associate of the Kings Fund. He has acted as an advisor and consultant to the World Bank, the European Commission, the World Health Organisation, The Cabinet Office at No.10 Downing Street, HM Treasury, the UK Departments of Health and Social Security and the National Audit Office on health policy, welfare policy and social exclusion. He is the author, co-author or editor of twelve books and over ninety articles and book chapters on public policy, including health.