Hogarty examines both the process of policymaking and the complexities of on-the-ground implementation, identifying the various participants and their roles and strategies. He describes power struggles that are entangled in intricate webs of personal and political relationships, and explores their historical antecedents.
Based on an extensive review of newspaper and media accounts, a survey of the surprisingly scanty professional literature, a close scrutiny of public documents, and dozens of personal interviews, the book addresses such topics as the delivery of mental health services, urban transportation, environmental protection, public safety, welfare, corrections, the death penalty, public higher education, ethnic politics, and state ethics reform. Hogarty analyzes the shifting problems of accountability that arise when public services are provided by a variety of political actors and organizations with a wide range of ideological motivations and social and cultural commitments.