Zero-Sum Politics, The Herbert Thesis and the Ryan White Care Act: Lessons from the Local Side of Aids

Abstract

This study examines the dynamics of grass-roots decision making processes involved in the implementation of the Ryan White CARE Act. Providing social services to persons with HIV/AIDS, the CARE act requires participation of all relevant groups, including representatives of the HIV/AIDS and gay communities. Decision making behavior is explored by applying a political (zero-sum) model and a bureaucratic (the Herbert Thesis) model. Using qualitative research techniques, the Kern County (California) HIV Consortium is used as a case study. Findings shed light on the decision making behavior of social service organizations characterized by intense advocacy and structured on the basis of voluntarism and non-hierarchical relationships. Findings affirm bureaucratic behavior predicted by the Herbert Thesis, and they also discern factors which seem to trigger more conflictual zero-sum behavior.

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