The role of cabinet member as policy entrepreneur has received little
attention in the literature of political science and public administra
tion. Cabinet members have no formal authority or constitutional manda
te. Additionally their identification with particular agency missions
has subjected cabinet secretaries to the suspicion of ''going native,'
' thus further diminishing their capacity for policy initiation. Presi
dential concern with controlling the executive branch perhaps reached
its peak during the Reagan administration,when virtually all political
appointments and policy decisions were controlled within the office o
f the president. This research examines the role of Cabinet Secretary
Otis R. Bowen, MD in the evolution of Medicare catastrophic coverage w
ithin the Reagan administration. It demonstrates the potential of the
cabinet member as policy entrepreneur identifying weaknesses in the ab
ility of even an ideologically cohesive administration to controlfully
its legislative agenda.`