This eloquent book by Lars Tummers develops a framework to understand these important issues with policy implementation, using the innovative concept of ‘policy alienation’. Policies in healthcare, social security, and education are analyzed. The conclusions challenge the common assertions regarding the reasons why professionals resist policies. For instance, the impact of professional influence, often viewed as an end in itself, is nuanced. Lars Tummers reveals that it is far more important for professionals that a policy is meaningful for society and for their clients, than they have an influence in its shaping.