Suchergebnisse

Local democracy has increasingly faced problems such as declining voter turnout and decreasing trust in political parties. Certain forms of participatory democracy have been introduced to address political disengagement. Often these efforts do not deliver the envisaged results, as they exacerbate existing inequalities by attracting only certain groups of citizens. This paper takes a close look at representation to find out if and how it can strengthen local democracy. Non-electoral representation, as manifested by representative claims based on non-electoral grounds, such as identity and expertise, made by local councillors, as well as non-elected individuals and organisations, might serve to mitigate democratic problems. We empirically study manifestations of electoral and non-electoral representation and their interactions. We conclude that non-electoral representation can strengthen local democracy, but its relationship with electoral representation can also be problematic. We make suggestions as to how these problems might be overcome in an effort to strengthen the local representative system.

In many countries patient involvement is high on the healthcare policy agenda, which includes patient representation in collective decision-making. Patient organizations are generally considered to be important representatives of patients. Other actors also claim to represent patients in decision-making, such as politicians, healthcare professionals, and client advisory councils. In this paper we take a broad view of patient representation, examining all the actors claiming to represent patients in the Dutch debate on the decentralization of care. We conclude that variety in forms of representation could help do justice to the variety of patient preferences. In addition we conclude that in order to ensure the democratic quality of patient representation, actors making representative claims have to reflect on how their claims relate to each other and how they can ensure authorization and accountability in the representative relationship with those they claim to represent.