The (mis)fit of policy programs to political institutions and its influence on programmatic action – How crisis has differently hit French and German health policy

The Programmatic Action Framework (PAF) is a relatively new theoretical perspective that adds a complementary lens to the explanation of policy processes and policy change. Yet, a key requirement of a valid policy process framework is its capacity to be proven wrong. Besides the empirical cases that provide evidence for the occurrence of programmatic action, it is necessary to present examples in which programmatic action did not occur, and to explain why this is the case. Proceeding from the observation that programmatic groups and policy programs existed in French and German health policy throughout the 1990s, this contribution answers the question why in 2020, programmatic action is still present in France but not in Germany and why the German policy program did not survive the financial crisis of 2008. It argues that misfit to pre-existing institutional logics and changing institutional logics in the course of programmatic action hinder program success.