Legitimizing a world-class hospital: policy mobility and narratives in megaproject planning

Abstract

ABSTRACT Megaprojects are vehicles of change and spatial products of policies from near and far. In this paper, we demonstrate how insights from the policy mobility literature can contribute to a critical analysis of the legitimization of megaprojects. Through a study of the planning of a new ‘world-class' hospital in Stockholm, we show that ideas, experiences and practices from abroad played a decisive role in legitimizing this megaproject. Policies mobilized from elsewhere were strategically used to construct, modify and (re)present a legitimizing narrative centred on the aspiration of excellence and international competitiveness. This narrative emphasized the need to transform both the spatial structure and the organization of the studied welfare institution based on political and value-based rationalities. Initial international references and ideas were adopted in an unstructured and selective manner, but proved enduring throughout the extensive planning process and were eventually consolidated into a coherent concept, effectively excluding alternative development paths. The vague notion of ‘world-class' functioned as a ‘magic concept’ that strengthened this narrative, rendering the project difficult to criticize. In conclusion, the paper emphasizes the importance of considering the temporal dimension of planning processes alongside the relational geographies of policy-mobility in megaproject analyses.