Stakeholder Analysis and Coalition Building: Mapping the Political Terrain

Learn to identify and engage stakeholders in health policy advocacy. Master the Power/Interest Grid, Advocacy Coalition Framework, and the Bootleggers and Baptists strategy for building winning coalitions.

Stakeholder Analysis and Coalition Building: Mapping the Political Terrain

You have written a brilliant policy brief. The logic is sound, the evidence is compelling, the recommendation is clear. Now you have to get it passed. This is where most policy professionals fail. They assume that having the right answer is enough.

It is not.

Politics is a contact sport. To pass legislation, you need votes. To get votes, you need a coalition. Understanding how to map the political terrain, identify potential allies and opponents, and build alliances—sometimes with unlikely partners—is essential for anyone seeking to translate policy analysis into policy change.

Defining Stakeholders

A stakeholder is anyone affected by your policy or anyone with power to influence it. This extends far beyond the legislators who will vote.

Stakeholders include patients, providers, insurance companies, employers, unions, professional associations, advocacy organizations, media outlets, and taxpayers. Missing any key stakeholder creates vulnerability. If you forget to consult a powerful interest group, they will appear at the hearing and undermine your proposal.

We distinguish between Primary Stakeholders—those directly targeted or affected by the policy, like patients in a healthcare reform—and Secondary Stakeholders—intermediaries who shape the debate, like professional associations, media organizations, or think tanks.

Both types matter. Primary stakeholders provide legitimacy; secondary stakeholders provide amplification.

The Power/Interest Grid

The standard tool for mapping stakeholders is the Power/Interest Grid. Draw a box with four quadrants. The vertical axis represents Power—how much ability does this stakeholder have to block or pass the policy? The horizontal axis represents Interest—how much do they care about this specific issue?

This creates four types of stakeholders:

High Power / High Interest: These are your Key Players. They have the ability to determine outcomes and are paying close attention. You must manage them closely, engaging them early and often.

High Power / Low Interest: These are Sleeping Giants. They could stop your proposal if aroused but currently are not paying attention. Your strategy: keep them satisfied without awakening their opposition. Do not make unnecessary enemies.

Low Power / High Interest: These are your Cheerleaders. They care deeply but lack direct influence over decision-makers. Keep them informed and mobilize them for grassroots pressure, testimony, and media presence.

Low Power / Low Interest: Monitor these stakeholders but do not invest significant resources. They are unlikely to affect outcomes.

The Advocacy Coalition Framework

Political scientist Paul Sabatier developed the Advocacy Coalition Framework (ACF) to explain how policy change happens. His central insight: people do not organize around technical details. They organize around core beliefs.

Sabatier distinguished between Deep Core Beliefs—fundamental values like "liberty is paramount" or "equality is paramount"—and Policy Core Beliefs—applications of those values to specific domains, like "government should regulate markets" or "individuals should make their own choices."

Coalitions are glued together by shared values, not shared policy preferences. To build a coalition, you do not lead with Section 4, Paragraph C of your proposed legislation. You lead with values. You signal to potential allies: "I am one of you. We believe in the same things."

This explains why coalitions often include strange bedfellows who agree on nothing except this one issue. Their deep beliefs align even when their broader agendas differ.

The Bootleggers and Baptists Strategy

Economist Bruce Yandle observed that the most effective coalitions often combine groups who would otherwise oppose each other. He called this "Bootleggers and Baptists."

His example: Sunday closing laws for liquor stores were supported by two groups who despised each other. Baptists supported the laws for moral reasons—alcohol is sinful, and Sunday should be holy. Bootleggers supported the same laws for economic reasons—if legal stores close, illegal moonshine sales increase.

Politicians loved this arrangement. They could vote for the law and tell Baptists they were defending morality while telling bootleggers they were protecting their market.

The lesson for health policy: look for your Bootlegger. If you want a soda tax (the Baptist health goal), ally with the dental association (economic interest in reducing cavities), budget hawks (economic interest in reducing healthcare costs), or bottled water companies (competitive interest in displacing soda).

Unlikely alliances are often the strongest because they signal broad appeal and make opposition harder.

The Logic of Concentrated Benefits and Diffuse Costs

Why do special interests often defeat public health initiatives? The answer lies in the asymmetry between concentrated benefits and diffuse costs.

If a policy costs every taxpayer one dollar but gives one industry a billion dollars, the taxpayers will barely notice while the industry will fight to the death. They will hire lobbyists, fund campaigns, and mobilize every resource available.

The public, bearing diffuse costs, lacks incentive to organize. Each person's stake is too small to justify engagement.

To win against concentrated opposition, you have two options: mobilize the diffuse public through compelling narratives and media advocacy, or find a counter-interest with concentrated power. Identify a large organization that loses money if the harmful policy continues. Their concentrated interest can match the opponent's.

Mapping the Opposition

Know your opposition better than they know themselves. Study their arguments until you can articulate them more effectively than they can. This allows you to anticipate objections and address them preemptively.

Identify the Veto Players—specific individuals with institutional power to stop your proposal. Committee chairs, agency heads, and key legislators can kill initiatives regardless of broader support. Know who they are and what motivates them.

Ask: Is their opposition ideological or economic?

If it is economic—they lose money—you may be able to neutralize them through compensation, phase-in periods, or carve-outs that protect their interests while achieving your goals.

If it is ideological—they believe your policy is fundamentally wrong—you cannot buy them off. You must defeat them by building a coalition strong enough to overwhelm their resistance.

Knowing the difference saves enormous time in negotiation.

The Policy Entrepreneur as Connector

The policy entrepreneur connects stakeholders who do not naturally interact. They introduce the Baptist to the Bootlegger. They build relationships across coalitions before crises emerge.

Effective entrepreneurs invest in networks continuously. They help legislators with small problems so that when major policy windows open, their phone calls get returned. They maintain credibility across ideological lines by demonstrating reliability and expertise.

You cannot build a coalition during the crisis. The relationships must exist beforehand. Advocacy is relationship-based, requiring sustained investment in political capital that can be spent when opportunities arise.

Practical Application

When approaching any policy initiative:

  1. List all stakeholders who are affected or have influence. Be comprehensive—missing key players creates vulnerability.

  2. Map them on the Power/Interest Grid. Identify where to invest your limited engagement resources.

  3. Identify potential coalition partners by looking for shared values, not just shared policy preferences. Who else wants this outcome, even for different reasons?

  4. Identify and analyze opposition. Distinguish economic from ideological resistance. Develop strategies for each.

  5. Find your Bootlegger. What unlikely ally would strengthen your coalition and confuse your opponents?

  6. Build relationships before you need them. The time to cultivate a legislator is before you need their vote.

Conclusion

Politics is not a dirty word. It is the mechanism through which change happens in a democracy. If you refuse to engage in coalition building because you want to remain "pure," you are choosing to be ineffective. You are choosing to let those you could help suffer to protect your own comfort.

Understanding stakeholder analysis and coalition building transforms well-meaning advocates into effective change agents. The tools are learnable. The strategies are replicable. What remains is the willingness to engage with the messy reality of how policy actually changes.

Deepen Your Policy Advocacy Skills

This article is part of our comprehensive Free Bioethics and Healthcare Policy Course. Watch the full video lectures to master stakeholder analysis and coalition building with real-world case studies.

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