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KMID : 1011120130070020065
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Bioethics Policy Studies
2013 Volume.7 No. 2 p.65 ~ p.88
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Clashing Public Vlaues, Advocacy Coalitions and Policy Changes
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Lim Won-Hee
Kim Hui-Jeong
Kang Min-Ah
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Abstract
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In this paper, we applied the advocacy coalition framework (ACF) to analyze the policy changes surrounding the fluoridation program in Korea. While fluoridation programs were actively pursed by the Ministry of Health and Welfare in Korea to promote preventive public health efforts, opponents raised questions on the safety of the fluoride and argued that implementation of the program violates individuals’ right to refuse fluoride treatment. Opponents, especially environmentalists, also raised issues with potential harms to environment. As commonly found in the ACF analysis, a diverse array of coalitions were formed, taking positions on the fluoridation program, based on their core values surrounding the issue, such as public responsibility to protect health and prevent diseases of vulnerable groups versus protection of individual rights and environment from potential harms. To note, we were able to find coalitions’ persistent and active efforts to influence decision-making process with new knowledge and information regarding the effectiveness, safety, and efficiencies of the fluoridation program. The prominent role of knowledge transfer and validation should be evaluated further in future research to understand the impact of such strategies.
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KEYWORD
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fluoridation, policy values, advocacy coalition framework
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