When Effective Implementation Meets Paradigmatic Failure: Evaluating Colombia’s Medical Cannabis Policy

This article evaluates Colombia’s medical cannabis reform by distinguishing paradigmatic failure from implementation failure and policy design failure. While most studies of policy evaluation focus on the performance of instruments and outcomes, it integrates insights from the literature on policy p...

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Detalles Bibliográficos
Publicado en:URI:https://journals.openedition.org/irpp,
Autor Principal: Rivera-Vélez, Luis
Formato: Article ou chapitre numérique
Idioma:Anglais
Publicado: International Review of Public Policy 2026
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Acceso en liña:Accès Université d'Orléans et IFPM
Accès Université d'Orléans et IFPM
Descripción
Résumé:This article evaluates Colombia’s medical cannabis reform by distinguishing paradigmatic failure from implementation failure and policy design failure. While most studies of policy evaluation focus on the performance of instruments and outcomes, it integrates insights from the literature on policy paradigms to assess whether the ideas underpinning a policy remain aligned with evolving social, economic, and political realities. Drawing on 25 semi-structured interviews with public officials, entrepreneurs, and civil society actors, the analysis shows that Colombia’s pharmaceutical model of medical cannabis was largely successful at the level of implementation: regulations were adopted swiftly, a licensing system was established, and a small export-oriented industry emerged. However, overregulation, the exclusion of small producers, and limited domestic access reveal a growing misalignment between the policy’s underlying assumptions and the social, therapeutic, and market realities it seeks to govern. To capture this dynamic, the article distinguishes between evaluation within a policy paradigm – assessing performance according to a paradigm’s own logic – and evaluation of a policy paradigm – examining the continued relevance of its foundational assumptions. It shows that governments can implement reforms effectively while remaining constrained by outdated ways of conceptualizing policy problems.