Long regarded as a "laggard" among welfare states in advanced industrial co
untries, the USA may be emerging as a "leader" in the reformation of social
programmes and the relationship between government, the market economy, an
d civil society, The dissemination and impact of this new orthodoxy is real
ized, in large part, through discursive practices. Fiscalization and market
ization are two processes central to this growing influence of American soc
ial policy. Fiscal and market discourse, while not new, have increased in a
cceptance and influence, and are changing the welfare state from within by
altering perceptions of issues, vocabularies used and programme reforms ado
pted.