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Exit, Choice -- and What About Voice?

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  • Alexander Haarmann
  • Tanja Klenk
  • Philine Weyrauch

Abstract

The challenges of the post-golden age of the welfare state have led to reforms, which also concern the governance of welfare organizations. Linking public administration and social policy research, the article sheds light on the transformation of health insurance administration in the three corporatist welfare states Germany, France, and the Netherlands. The article concentrates on stakeholder participation via boards. The findings are assessed using an analytical framework based on the trichotomy exit, choice, and voice, which is a further development of the work of Albert O. Hirschman (1970). The article shows that the dimension of public involvement (‘collective voice’), although in urgent need of adaption, has been neglected in the process of reforms, especially in Germany and France.

Suggested Citation

  • Alexander Haarmann & Tanja Klenk & Philine Weyrauch, 2010. "Exit, Choice -- and What About Voice?," Public Management Review, Taylor & Francis Journals, vol. 12(2), pages 213-231, March.
    • Handle: RePEc:taf:pubmgr:v:12:y:2010:i:2:p:213-231
    DOI: 10.1080/14719031003616289
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    References listed on IDEAS

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    1. Le Grand, Julian, 2006. "Motivation, Agency, and Public Policy: Of Knights and Knaves, Pawns and Queens," OUP Catalogue, Oxford University Press, number 9780199298914.
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    Cited by:

    1. Ellen A. Stewart & Scott L. Greer & Iain Wilson & Peter D. Donnelly, 2016. "Power to the people? An international review of the democratizing effects of direct elections to healthcare organizations," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(2), pages 69-85, April.
    2. Pendzialek, Jonas B. & Danner, Marion & Simic, Dusan & Stock, Stephanie, 2015. "Price elasticities in the German Statutory Health Insurance market before and after the health care reform of 2009," Health Policy, Elsevier, vol. 119(5), pages 654-663.

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