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A case study of the military's Integrated Disability Evaluation System: Utilizing the political process to advance the public's health
We conducted a case study of IDES passage and applied political science theory to understand factors that influenced passage. We collected data from congressional documents, media reports, and in-depth interviews with stakeholders involved in the legislative process.
Three elements led to political support for IDES. First: timing. The pilot passed following a newspaper story about deplorable conditions at Walter Reed Medical Center. Data indicated that people concerned with veterans' disability process recognized the opportunity and sought change. This is consistent with Kingdon’s concept of a “window of opportunity” in setting the policy agenda. Second was the formation of coalitions within, and across, different Congressional committees and political parties. Martin, DiSalvo, and Elmer emphasize the coalitions’ role in the passage of legislation. Coalition members coalesced around the politically advantageous features of IDES, including fiscal savings and tangible benefits to veterans, a politically powerful group. Third, IDES supporters understood the legislative process. Funding for the pilot was included in the 2008 National Defense Authorization Act, which, according to interview data, is considered “a must pass bill.”
By recognizing the importance of timing, forming a coalition, and understanding the legislative process, public health practitioners can use the political process to advance public health policy initiatives.
Learning Areas:
Advocacy for health and health educationOccupational health and safety
Public health or related public policy
Learning Objectives:
Demonstrate how the Integrated Disability Evaluation System (IDES) was accomplished legislatively.
Demonstrate how political science theory applies to the IDES case to understand why IDES received legislative support.
Explain the policy process and the politics surrounding IDES as predictable events that offer a viable venue for advancing public health policy initiatives.
Keyword(s): Politics, Disabilities
Qualified on the content I am responsible for because: I am a PhD student in the Health Policy and Management Department at Johns Hopkins School of Public Health. As a student I have worked on several projects using both qualitative and quantitative methods. I have already completed my oral exams and my general exams. Prior to returning to school I was a staff member for a Member of Congress.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.