Eric M. Patashnik

An essential look at how and why backlash movements are inherent to US policymaking. The most successful policies not only solve problems. They also build supportive coalitions. Yet, sometimes, policies trigger backlash and mobilize opposition. Although backlash is not a new phenomenon, today’s political landscape is distinguished by the frequency and pervasiveness of backlash in nearly every area of US policymaking, from abortion rights to the Affordable Care Act. Eric M. Patashnik develops a policy-centered theory of backlash that illuminates how policies stimulate backlashes by imposing losses, overreaching, or challenging existing arrangements to which people are strongly attached. Drawing on case studies of issues from immigration and trade to healthcare and gun control, Countermobilization shows that backlash politics is fueled by polarization, cultural shifts, and negative feedback from the activist government itself. It also offers crucial insights to help identify and navigate backlash risks.

An essential look at how and why backlash movements are inherent to US policymaking. The most successful policies not only solve problems. They also build supportive coalitions. Yet, sometimes, policies trigger backlash and mobilize opposition. Although backlash is not a new phenomenon, today’s political landscape is distinguished by the frequency and pervasiveness of backlash in nearly every area of US policymaking, from abortion rights to the Affordable Care Act. Eric M. Patashnik develops a policy-centered theory of backlash that illuminates how policies stimulate backlashes by imposing losses, overreaching, or challenging existing arrangements to which people are strongly attached. Drawing on case studies of issues from immigration and trade to healthcare and gun control, Countermobilization shows that backlash politics is fueled by polarization, cultural shifts, and negative feedback from the activist government itself. It also offers crucial insights to help identify and navigate backlash risks.

How partisanship, polarization, and medical authority stand in the way of evidence-based medicineThe U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.

How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures--and too few treatments that really work. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation. This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending. It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." The book shows how the government's efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us. Unhealthy Politics offers vital insights not only into health policy but also into the limits of science, expertise, and professionalism as political foundations for pragmatic problem solving in American democracy.

Reforms at Risk is the first book to closely examine what happens to sweeping and seemingly successful policy reforms after they are passed. Most books focus on the politics of reform adoption, yet as Eric Patashnik shows here, the political struggle does not end when major reforms become enacted. Why do certain highly praised policy reforms endure while others are quietly reversed or eroded away? Patashnik peers into some of the most critical arenas of domestic-policy reform--including taxes, agricultural subsidies, airline deregulation, emissions trading, welfare state reform, and reform of government procurement--to identify the factors that enable reform measures to survive. He argues that the reforms that stick destroy an existing policy subsystem and reconfigure the political dynamic. Patashnik demonstrates that sustainable reforms create positive policy feedbacks, transform institutions, and often unleash the "creative destructiveness" of market forces. Reforms at Risk debunks the argument that reforms inevitably fail because Congress is prey to special interests, and the book provides a more realistic portrait of the possibilities and limits of positive change in American government. It is essential reading for scholars and practitioners of U.S. politics and public policy, offering practical lessons for anyone who wants to ensure that hard-fought reform victories survive.

Drawing on more than 40 years of experience with policy analysis, best-selling authors Eugene Bardach and Eric M. Patashnik use practical tips and real-world examples to equip effective, accurate, and persuasive policy analysts. The Seventh Edition of A Practical Guide for Policy Analysis offers new case studies, expanded discussion, new guidance for policy analysis in a polarized age, and step-by-step strategies for the budding analyst as well as the seasoned professional.

Eugene Bardach and co-author Eric Patashnik draw on more than 40 years of experience teaching students to be effective, accurate, and persuasive policy analysts. This bestselling handbook presents dozens of concrete tips, interesting case studies, and step-by-step strategies for the budding analyst as well as the seasoned professional.

In the United States many important programs are paid from trust funds. At a time when major social insurance funds are facing insolvency, this book provided the first comprehensive study of this significant yet little-studied feature of the American welfare state. Equally importantly, the author investigates an enduring issue in democratic politics: can current officeholders bind their successors? By law, trust funds, which get most of their money from earmarked taxes, are restricted for specific uses. Patashnik asks why these structures were created, and how they have affected political dynamics. He argues that officeholders have used trust funds primarily to reduce political uncertainty, and bind distant futures. Based on detailed case studies of trust funds in a number of policy sectors, he shows how political commitment is a developmental process, whereby precommitments shape the content of future political conflicts. This book will be of interest to students of public policy, political economy and American political development.

In the United States many important programs are paid from trust funds. At a time when major social insurance funds are facing insolvency, this book provides the first comprehensive study of this significant yet little-studied feature of the American welfare state. Equally importantly, the author investigates an enduring issue in democratic politics: can current officeholders bind their successors? By law, trust funds, which get most of their money from earmarked taxes, are restricted for specific uses. Patashnik asks why these structures were created, and how they have affected political dynamics. He argues that officeholders have used trust funds primarily to reduce political uncertainty, and bind distant futures. Based on detailed case studies of trust funds in a number of policy sectors, he shows how political commitment is a developmental process, whereby precommitments shape the content of future political conflicts. This book will be of interest to students of public policy, political economy and American political development.