The Rational Actor Reform Paradigm
Delivering the Goods but Destroying Public Trust?
in European Journal of Social QualityAll currencies in US Dollar
This paper discusses the impact of an important trend in service delivery in response to the substantial pressures that now face European welfare states: the New Public Management, combining centrally imposed targets and the promotion of market systems within state services. It traces the logic underlying the reform back to the rational self-regarding actor theories of human behaviour of the Enlightenment. Using the example of the UK NHS, recently reformed in a way that follows the rational actor paradigm, it considers the impact on long-term public trust.