293 Horizontal Policy Integration
doing too little, but in some sense, we will have to wait until the various provisions go into
effect to see how much it really accomplishes and how it affects the provision of healthcare
services and, ultimately, the national level of health.
See Also: Corporate Social Responsibility; Healthcare Delivery; Precautionary Principle
(Ethics and Philosophy).
Further Readings
Alonso-Zaldivar, Ricardo and Jennifer Agiesta. “AP Poll: Repeal? Many Wish Health Reform
Went Further.” Huffington Post (September 25, 2010). http://www.huffingtonpost
.com/2010/09/25/ap-poll-repeal-many-wish-_n_739211.html (Accessed September 2010).
Henry J. Kaiser Family Foundation. “Health Reform Implementation Timeline.” http://www
.kff.org/healthreform/8060.cfm (Accessed September 2010).
“H.R. 3590 Patient Protection and Affordable Care Act.” http://democrats.senate.gov/reform/
patient-protection-affordable-care-act-as-passed.pdf (Accessed September 2010).
Kotlikoff, Laurence J. The Healthcare Fix: Universal Insurance for All Americans. Cambridge,
MA: MIT Press, 2007.
Nather, David. The New Health Care System: Everything You Need to Know. New York:
Thomas Dunne Books, 2010.
Republican National Committee. “Health Care: 2008 Republican Platform.” http://www.gop
.com/2008Platform/HealthCare.htm (Accessed September 2010).
Sack, Kevin and Marjorie Connelly. “In Poll, Wide Support for Government-Run Health.”
New York Times (June 20, 2009). http://www.nytimes.com/2009/06/21/health/
policy/21poll.html (Accessed September 2010).
Tanner, Michael D. “Bad Medicine: A Guide to the Real Costs and Consequences of the New
Health Care Law.” White Paper, Cato Institute (July 12, 2010). http://www.cato.org/pub_
display.php?pub_id11961 (Accessed September 2010).
The White House. “Health Care: Health Reform in Action.” http://www.whitehouse.gov/
healthreform (Accessed September 2010).
Sarah Boslaugh
Washington University in St. Louis
HORIZONTAL POLICY INTEGRATION
Policy integration implies the incorporation of “new” objectives into existing sectoral
policies. It is seen as a strategy for “greening” other policy domains by including environ-
mental concerns. However, relatively autonomous policy sectors obstruct such integration
attempts. Hence, policy integration, including different strategies to it, is a frequently
underestimated challenge.
Policy integration may be referred to as the incorporation of specific policy objectives,
which are extrinsic to a policy domain, into existing sectoral policies. For example, gender
aspect may be integrated into research policy or agricultural policy may be greened by
Copyright © 2011 SAGE Publications. Not for sale, reproduction, or distribution.