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[정책] Rhetorical and regulatory boundary-work: The case of medical cannabis policy-making in Israel

이스라엘 국외연구자료 학술논문 - Social Science & Medicine, 발간일 : 2018-11-30 등록일 : 2019-01-18 원문링크


Recent studies have explored how professionals draw boundaries to reach workable solutions in conflictual and contested areas. Yet they neglected to explore the relationships and dynamics between how boundaries are demarcated in rhetoric and in policy. This article examines these relationships empirically through the case of medical cannabis (MC) policy-making in Israel. Drawing on interviews with key stakeholders in the MC policy field, formal policy documents, and observations of MC conferences, this article sheds light on the dynamics between rhetorical boundary-work and what we term regulatory boundary-work, namely setting rules and regulations to demarcate boundaries in actual practice. Results show how certain definitions of and rationales for a discursive separation between “medical” and “recreational” cannabis and between cannabis “medicalization” and “legalization” prevailed and were translated into formal policy, as well as how stakeholders’ reactions to this boundary-work produced policy changes and the shifting of boundaries. Both rhetorical and regulatory boundary-works emerge as ongoing contested processes of negotiation, which are linked in a pattern of reciprocal influence. These processes are dominated by certain actors who have greater power to determine how and why specific boundaries should be drawn instead of others. •Qualitative study exploring boundary-work in MC policy-making in Israel.•Most stakeholders draw boundaries between medical and recreational cannabis.•Rhetorical boundary work is translated into regulatory boundary-work.•Rhetorical and regulatory boundary-work are interrelated processes.•MC emerges as a classification system with distinct local meanings.

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