Skip to main content
padlock icon - secure page this page is secure

From quacks to professionals: the importance of changing social constructions in the policy-making process

Buy Article:

$53.00 + tax (Refund Policy)

The social construction of target populations (SCTP) approach assumes that policies are constructed to benefit (or punish) specific groups of citizens based on their relative power and social construction. This contribution tackles one of the most sustained critiques of the SCTP literature, namely, how a group can alter its social construction and power. Stated differently, how does a group move from being constructed as dependent or deviant to contenders or advantaged? In 1991, the government in Ontario, Canada, proclaimed what is arguably the most progressive midwifery legislation in the world. The Midwifery Act established midwifery as a self-regulating profession, fully integrated into the province's public health insurance system, and enables midwives to catch babies in hospitals, homes and birthing centres. What is striking about the legislation is the contentious debate preceding it, in which midwives were constructed as ‘quacks’, incompetent and unclean, compared to professional physicians. In this paper, we explore the role of commissions of inquiries (COI) in shifting social constructions. Specifically, we argue that COI legitimised the authoritative knowledge of moral entrepreneurs and facilitated the necessary interaction between moral and political entrepreneurs, which in turn reconstructed midwives from ‘quacks’ to experts, and resulted in significant policy change.
No Reference information available - sign in for access.
No Citation information available - sign in for access.
No Supplementary Data.
No Article Media
No Metrics

Keywords: commissions of inquiries; health care reform; midwifery; policy change; political and moral entrepreneurs; social construction

Document Type: Research Article

Affiliations: Department of Political Science, Concordia University, Montreal, QC H3G 1M8, Canada

Publication date: July 4, 2014

More about this publication?
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more