This book departs from traditional decision analysis based on game theory and decision trees and addresses how policy proposals are made in the public arena, with reference to the social security reform process in Uganda. It analyses decision making and suggests that the mode of interaction between various actors affects the outcome and the nature of policy options. In this regard, three processes could be envisaged: a) Institutional, b) Strategic, c) Consensual. These processes may enable us capture patterns through which actors interact, choose, reject and accept policy options. These forms of interaction do not only inform policies, but also determine the nature of established policies. These patterns are not absolute in themselves, but together, they led to the twenty four policy proposals for reforming the social security and pensions sector in Uganda. This work provides powerful insights for public sector reformers, decision making analysts, graduate-level students, social security and pensions organisations, social security and pension reform consultants and scholars, as well as other professionals interested in decision analysis and pension reforms.