Governance dilemmas in an age of ambiguous authority

Abstract

A convergence of functions, financing and governance arrangements between “public” and “private” sectors of society cloud the study and understanding of policy making, implementation and evaluation. Forces creating and shaping the interpenetrated society are trends toward professionalism and corporatism. The health industry provides an example. Increasingly, but with little formal guidance from political theory, the American system has authorized privately constituted citizen governing boards to spend tax dollars, make and implement policy choices, and evaluate outcomes. This essay argues for closer examination of the nature of representation and accountability in these little studied creatures of governance and introduces the subsequent articles addressed to the subject.