Exam 2: Role of the State

Correct Answer:

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The chart on page 64 of the text (Figure 2.1) outlines the four major theoretical models of the state: pluralist, elite, Marxist, and bureaucratic. In small groups, we identified the contemporary issue of healthcare as it relates to the state.

Using the issue of healthcare, we can see how each of the four major theoretical models helps shed light on the issue and the role/function of the state.

The pluralist model suggests that the state acts as a neutral mediator between various interest groups, including healthcare providers, insurance companies, and patients. In this model, the state's role is to balance the competing interests and ensure that healthcare policies are in the best interest of the public.

The elite model posits that the state is controlled by a small, powerful elite who use their influence to shape healthcare policies in their favor. This model helps us understand how certain healthcare policies may benefit the wealthy and powerful at the expense of the general public.

The Marxist model views the state as a tool of the ruling class to maintain their power and control over the means of production. In the context of healthcare, this model helps us understand how the state may prioritize the interests of private healthcare companies over the needs of the working class.

The bureaucratic model sees the state as a complex organization with its own interests and goals. In the case of healthcare, this model helps us understand how bureaucratic inefficiencies and red tape can impact the delivery of healthcare services.

In discussing our findings with the larger class, we can see how each theoretical model offers a different perspective on the issue of healthcare and the role of the state in addressing it. By considering these different models, we can gain a more comprehensive understanding of the complexities of healthcare policy and the state's involvement in addressing this contemporary issue.