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1

Robertson, Andrew. "Policy-based reasoning in duty of care cases." Legal Studies 33, no. 1 (March 2013): 119–40. http://dx.doi.org/10.1111/j.1748-121x.2012.00242.x.

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This paper seeks to develop a deeper understanding of the role of policy-based reasoning in the determination of duty of care questions. In order to do this, the first part explores the distinction between considerations of interpersonal justice and considerations of community welfare in the determination of duty questions. While imperfect, the distinction illuminates the nature of the factors taken into account by courts in determining duty of care questions and has practical as well as theoretical implications. The second part of the paper analyses the respective roles of interpersonal justice considerations and community welfare considerations in a sample of first instance and intermediate appellate cases from England and Canada. That study suggests that community welfare considerations play a far less significant role in determining duty cases at the first instance and intermediate appellate level than at the ultimate appellate level. Analysis of the cases also reveals significant differences between the English and Canadian courts in their approaches to the interpersonal justice and community welfare aspects of duty of care questions.
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Goldman, Howard H. "Deinstitutionalization and Community Care: Social Welfare Policy as Mental Health Policy." Harvard Review of Psychiatry 6, no. 4 (January 1998): 219–22. http://dx.doi.org/10.3109/10673229809000332.

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3

Kanokthet, Thanach. "The Policy Development of Social Welfare for Elderly Health Care in the Community: A Case Study of Phitsanulok Municipality, Thailand." Asian Social Science 14, no. 7 (June 22, 2018): 1. http://dx.doi.org/10.5539/ass.v14n7p1.

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This research was aimed at developing a social welfare policy on elderly health care in the community through a case study of Phitsanulok Municipality. The objectives of the study were 1) to develop elements and indicators of social welfare for elderly health care, 2) to develop a model for developing social welfare for elderly health care and 3) to investigate the policy development of social welfare for elderly health care. Mixed Method was utilized using survey component analysis research method, content analysis, component confirmation, deep interview and group discussion. The sample groups in this research are 759 elders and 60 organization managers who are involved in social welfare policy for long term elderly health care. Results showed 1) social welfare for elderly health care is included in the existing policy in the area and is operational, but it lacks policy contents which are consistent with the needs of the elderly. Additionally, 2) 34 indicators and five elements were identified as components and parameters of social welfare for the elderly in Phitsanulok. Analysis showed the three elements and six indicators are important and two of the six relate to public health. Analysis by Kaiser-Meyer-Olkin Measure of Sampling Adequacy found KMO value equal to 0.912 and structural reliability α= 0.83-0.97. Lastly, 3) the evaluation results revealed that social welfare policy for elderly health care in Phitsanulok is suitable at a high level.
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4

Seccombe, Karen, Jason Newsom, and Kim Hoffman. "Access to Health Care after Welfare Reform." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 43, no. 2 (May 2006): 167–78. http://dx.doi.org/10.5034/inquiryjrnl_43.2.167.

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5

WOLF, DOUGLAS A., and FREYA L. SONENSTEIN. "Child-Care Use Among Welfare Mothers." Journal of Family Issues 12, no. 4 (December 1991): 519–36. http://dx.doi.org/10.1177/019251391012004007.

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The current welfare policy environment places considerable emphasis on employment as a means for reducing welfare dependency. Policy provisions that subsidize child-care use are aimed at encouraging work, exit from welfare, and sustained independence from public support. Yet there has been very little research on the child-care usage patterns of welfare mothers, particularly with respect to factors associated with the persistence of such patterns. This study analyzes the durability of child-care arrangements, using data from a 1983-1984 longitudinal survey of welfare mothers conducted in three cities. The specific questions addressed included the following: What are the correlates of durability of a child-care arrangement, especially those related to type and cost of care; and, how are a mother's subjective ratings of child-care quality related to the probability of ending or changing her current arrangement? The findings indicate that family day-care arrangements are the least durable; however, care in a center is not more durable than care provided by a child's relatives. Among several dimensions along which mothers rated their child-care arrangements, only convenience — with respect to location and timing — emerged as a significant correlate of durability.
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6

Fisher, Karen R., Xiaoyi Zhang, and Max Alston. "Shanghai aged care and Confucian welfare." International Journal of Sociology and Social Policy 38, no. 9/10 (September 10, 2018): 722–35. http://dx.doi.org/10.1108/ijssp-01-2018-0003.

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Purpose Some social policy theorists assert that East Asia has a distinct social welfare regime that due to the influence of Confucian values relies on families more than in other countries. This theorisation has been questioned, partly because it is a static, reductive generalisation. The purpose of this paper is to ask whether this characterisation is relevant to aged care services in Shanghai. Design/methodology/approach This study uses data from ageing profile statistics, policy documents and ethnographic fieldwork to examine Shanghai aged care services. Findings These data show a growing reliance and preference for state aged care service provision to complement family care. It finds that changes in Shanghai aged care services in the last ten years have moved towards a model with similar patterns in high-income countries. It suggests that differences in the service system that were attributed to Confucian values were more likely due to the degree of economic development and internationalisation. Originality/value This paper contributes to the literature by re-examining the structure of Shanghai’s welfare regime in the context of the dynamic nature of aged care services and preferences of older people.
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7

de Swaan, Abram. "Perspectives for Transnational Social Policy." Government and Opposition 27, no. 1 (January 1, 1992): 33–51. http://dx.doi.org/10.1111/j.1477-7053.1992.tb00765.x.

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WELFARE STATES ARE NATIONAL STATES, AND IN EVERY country welfare is a national concern, circumscribed by the nation's borders and reserved for its residents alone. In the course of centuries, these states have emerged from and against one another, in mutual competition, and in the past century this process of state formation in the West went in tandem with the collectivization of care. The welfare state is the national state in its latest phase. It may be succeeded by another stage which we may eventually see.
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8

Arrow, Kenneth J. "Uncertainty and The Welfare Economics of Medical Care." Journal of Health Politics, Policy and Law 26, no. 5 (October 2001): 851–83. http://dx.doi.org/10.1215/03616878-26-5-851.

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9

Emanuel, Ezekiel J., and Lee Goldman. "Protecting Patient Welfare in Managed Care: Six Safeguards." Journal of Health Politics, Policy and Law 23, no. 4 (January 1, 1998): 635–59. http://dx.doi.org/10.1215/03616878-23-4-635.

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10

Stoddart, Mark C. J., Liam Swiss, Nicole Power, and Lawrence F. Felt. "Taking Care of Companion Animals." Society & Animals 24, no. 5 (October 11, 2016): 423–44. http://dx.doi.org/10.1163/15685306-12341425.

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Focusing on local government and non-governmental nonhuman animal welfare organizations, this paper reports survey results on institutional policies, interpretive frameworks, and practices regarding companion animals in Newfoundland and Labrador, Canada. The findings suggested that local governments and animal shelters use different interpretive frameworks of companion animal welfare, with the former taking a human-centric position and the latter focusing on animal well-being. The results showed that most local governments are not well engaged with animal welfare issues. Instead, these issues are more often dealt with by non-governmental organizations that operate on limited budgets and rely heavily on volunteer labor. Whereas federal and provincial governments are responsible for legislating companion animal welfare, practical implementation of animal welfare has been largely the responsibility of non-governmental organizations. Our findings demonstrated that the ways that animal welfare policy is interpreted and enacted at the local level have significant implications for animal well-being more broadly.
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11

Mendoza, Roger Lee. "Which moral hazard? Health care reform under the Affordable Care Act of 2010." Journal of Health Organization and Management 30, no. 4 (June 20, 2016): 510–29. http://dx.doi.org/10.1108/jhom-03-2015-0054.

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Purpose – Moral hazard is a concept that is central to risk and insurance management. It refers to change in economic behavior when individuals are protected or insured against certain risks and losses whose costs are borne by another party. It asserts that the presence of an insurance contract increases the probability of a claim and the size of a claim. Through the US Affordable Care Act (ACA) of 2010, this study seeks to examine the validity and relevance of moral hazard in health care reform and determine how welfare losses or inefficiencies could be mitigated. Design/methodology/approach – This study is divided into three sections. The first contrasts conventional moral hazard from an emerging or alternative theory. The second analyzes moral hazard in terms of the evolution, organization, management, and marketing of health insurance in the USA. The third explains why and how salient reform measures under the ACA might induce health care consumption and production in ways that could either promote or restrict personal health and safety as well as social welfare maximization. Findings – Insurance generally induces health care (over) consumption. However, not every additional consumption, with or without adverse selection, can be considered wasteful or risky, even if it might cost insurers more in the short run. Moral hazard can generate welfare and equity gains. These gains might vary depending on which ACA provisions, insured population, covered illnesses, treatments, and services, as well as health outcomes are taken into account, and because of the relative ambiguities surrounding definitions of “health.” Actuarial risk models can nonetheless benefit from incorporating welfare and equity gains into their basic assumptions and estimations. Originality/value – This is the first study which examines the ACA in the context of the new or alternative theory of moral hazard. It suggests that containing inefficient moral hazard, and encouraging its desirable counterpart, are prime challenges in any health care reform initiative, especially as it adapts to the changing demographic and socio-economic characteristics of the insured population and regulatory landscape of health insurance in the USA.
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12

Bambra, Clare. "Worlds of Welfare and the Health Care Discrepancy." Social Policy and Society 4, no. 1 (January 2005): 31–41. http://dx.doi.org/10.1017/s1474746404002143.

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The nature of welfare regimes has been an ongoing debate within the comparative social policy literature since the publication of Esping-Andersen's ‘Three Worlds of Welfare’ (1990). This article draws upon recent developments within this debate, most notably Kasza's assertions about the ‘illusory nature’ of welfare regimes, to highlight the health care discrepancy. It argues that health care provision has been a notable omission from the wider regimes literature and one which, if included in the form of a health care decommodification typology, can give credence to Kasza's perspective by highlighting the diverse internal arrangements of welfare states and welfare state regimes.
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13

Basta, Mona. "The Difficulty of Obtaining a Child Care Subsidy: Implications for Policy and Practice." Families in Society: The Journal of Contemporary Social Services 88, no. 3 (July 2007): 427–36. http://dx.doi.org/10.1606/1044-3894.3652.

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Single mothers leaving welfare face a web of obstacles in accessing child care subsidies. This paper develops a model of child care selection and subsidy use among welfare leavers. Findings suggest that the level of trust between parents and child care providers and the availability of information about facilities were important decision-making criteria. Efforts to work with this population need to address their lack of information about subsidies to increase the range of child care alternatives and quality and also to promote trusting relationships between social workers and welfare leavers. Specific recommendations include combining ongoing case management with education about child care alternatives and subsidies. However, child care information services should be separated from subsidies to promote trust in relationships with clients.
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14

Courtney, Mark E. "Beyond safety and permanency: Making well-being a focus of policy and practice for children in state care." Children Australia 34, no. 1 (2009): 15–20. http://dx.doi.org/10.1017/s1035077200000493.

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This essay explores some of the reasons why child welfare policy has too often avoided an explicit focus on child well-being. The historical origins of child welfare services contribute to avoidance of child well-being in policy discourse. In addition, program administrators are reluctant to explicitly take responsibility for the well-being of children they serve because of concerns about added liability, the belief that public institutions other than the child welfare system should be held responsible, and the fear that child welfare services will be unable to ameliorate the damage that children often suffer before entering care. Three empirical studies of child welfare populations in the US are used to examine the inextricable links between child safety, permanency and well-being. It is argued that broadening child welfare policy to embrace child well-being as a policy goal will only enhance the likelihood that child welfare agencies will improve child safety and permanency outcomes.
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15

McCain, Gail. "Babies and Public Policy." Neonatal Network 27, no. 3 (May 2008): 149. http://dx.doi.org/10.1891/0730-0832.27.3.149.

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WE CARE ABOUT GIVING THE BEST CARE TO OUR INFANT patients while they are hospitalized in our nurseries, and we care about their welfare after we discharge them home. We love it when our “graduates” return to visit and they are healthy, growing, and developing appropriately. As nurses and citizens, we need to be aware that all social policies impact infants. The presidential contenders are addressing policies related to health care, poverty, Head Start, immigration, substance abuse, employment, and child care. How we deal with all these issues has the potential to affect infant growth, development, and well-being.
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16

Takahashi, Mutsuko. "Beyond Crisis and Dissonance – the Restructuring of the Japanese Welfare State under Globalisation." Social Policy and Society 3, no. 3 (June 22, 2004): 283–90. http://dx.doi.org/10.1017/s1474746404001794.

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The crisis and dissonance in a society under globalisation tend to be associated with suspicion against the welfare state. This article however attempts to argue for the crucial role of the welfare state in the formation of the politics of welfare that shapes a basic framework for a policy response to changes in the welfare society. The discussion sets out by illustrating the impacts of globalisation in contemporary Japan with special reference to the change in family and working practices. It goes on to analyse the current policy debates regarding socialisation of care in which ideological conflicts are manifested. Despite growing vulnerability of the family in Japan's ageing society, informal care-giving work tends to be undervalued and the stigma attached to the welfare state regarding elderly care and public assistance is persistent. It will be discussed how the long-run welfare reforms, as efforts of policy change, can be made sense of in Japan for escaping from a vicious circle of crisis and dissonance.
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17

WHITE, LINDA A. "Ideas and the Welfare State." Comparative Political Studies 35, no. 6 (August 2002): 713–43. http://dx.doi.org/10.1177/0010414002035006004.

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This article examines the legacy of American and Canadian welfare state development to explain surprisingly comparable levels of child care provision. It highlights the ironies of policy history while demonstrating the importance of ideas as independent causal factors in the development of public policies and the effect of their institutionalization on future policy development. Maternalist, nativist, and eugencist imperatives led U.S. governments to intrude in areas normally considered part of the private sphere and led to the adoption of policies to respond to a perceived decline primarily of the White population. These policies provided a normative and institutional basis for future government involvement in child care funding and programs, even after the conditions that led to the original policies changed. In Canada, the lack of large-scale entrenchment of similar ideas constrained an otherwise more interventionist government and made it more difficult for child care policies to find governmental and societal acceptance.
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18

Grogan, Colleen M. "The Medicaid Managed Care Policy Consensus for Welfare Recipients: A Reflection of Traditional Welfare Concerns." Journal of Health Politics, Policy and Law 22, no. 3 (January 1, 1997): 815–38. http://dx.doi.org/10.1215/03616878-22-3-815.

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19

Bertogg, Ariane, and Susanne Strauss. "Spousal care-giving arrangements in Europe. The role of gender, socio-economic status and the welfare state." Ageing and Society 40, no. 4 (October 8, 2018): 735–58. http://dx.doi.org/10.1017/s0144686x18001320.

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AbstractSpouses (and partners) are the most important source of care in old age. Informal care for frail spouses is provided by both sexes and across all socio-economic backgrounds and welfare policy contexts. There are, however, interesting differences as to whether spouses care alone, receive informal support from other family members or formal support from professional helpers, or outsource the care of their spouse completely. The present article contributes to the literature by differentiating between solo spousal care-giving and shared or outsourced care-giving arrangements, as well as between formal and informal care support. Moreover, we show how care-giving arrangements vary with gender, socio-economic status and welfare policy. Adding to previous research, we compare 17 countries and their expenditures on two elder-care schemes: Cash-for-Care and Care-in-Kind. The empirical analyses draw on the most recent wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) data from 2015. Our results show that men have a higher propensity to share care-giving than women, albeit only with informal supporters. As expected, welfare policy plays a role insofar as higher expenditure on Cash-for-Care schemes encourage informally outsourced care-giving arrangements, whereas Care-in-Kind reduce the likelihood for informally shared or outsourced care-giving arrangements. Moreover, the influence of these welfare policy measures differs between individuals of different socio-economic status but not between men and women.
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20

Harris, Margaret. "Quiet Care: Welfare Work and Religious Congregations." Journal of Social Policy 24, no. 1 (January 1995): 53–71. http://dx.doi.org/10.1017/s0047279400024521.

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ABSTRACTThe potential of non-governmental agencies as providers of welfare services is increasingly recognised but little attention has been given to the welfare-providing role of religious congregations. This article draws on four case studies to describe and analyse the range of congregational welfare activities. Six types of welfare work are distinguished: welfare projects, indirect welfare work, informal care, informal care in an organised framework, mutual aid and social integration. Distinctive features of congregational welfare work are identified. The article concludes by discussing the implications of the findings and considering whether there is scope for expanding the contribution of congregations to the mixed economy of welfare.
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21

Danziger, Sheldon, Matthew M. Davis, Sean Orzol, and Harold A. Pollack. "Health Insurance and Access to Care among Welfare Leavers." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 45, no. 2 (May 2008): 184–97. http://dx.doi.org/10.5034/inquiryjrnl_45.02.184.

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22

Andreeva, Tamara, Alexander Kozyrev, and Stela Bivol. "Long-Term Care for the Elderly and Persons With Disabilities in Saratov Region, Russia." Care Management Journals 7, no. 2 (June 2006): 92–99. http://dx.doi.org/10.1891/cmaj.7.2.92.

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In Russia, charity started developing into a public welfare system after the transition to Christianity. Peter the Great played an important role in establishing the social welfare system. According to his decree from June 8, 1701, “charity houses for beggars, sick people, and elderly” started their existence. During the reign of Catherine II, also known as Catherine the Great, decrees about public welfare were approved at regional levels.
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23

Cuadra, Carin Björngren. "Irregular migrants challenging policy hierarchies and health professions - the case of Sweden." Journal of Hospital Administration 1, no. 2 (August 29, 2012): 34. http://dx.doi.org/10.5430/jha.v1n2p34.

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In a European comparative perspective Sweden, though upholding a universal welfare model is one of the most restrictive countries as regards irregular migrants’ right to access health care. They do not access care via the legal framework beyond emergency care upon payment of the full cost. The aim of this article is to present initial findings from a study exploring the Swedish policy answers as regards right to access health care for irregular migrants residing in the country. Sweden’s policy answers is put in a European comparative perspective as well as discussed with an interest for suggested changes involving access on the same terms as resident and the role of health and welfare professions’ is regard. By claiming that their jurisdiction within health and welfare services is independent from the state’s interest of control of migration a prevailing hierarchical relationship between social policies and those of migration is renegotiated.
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24

Haylett, Chris. "Class, Care, and Welfare Reform: Reading Meanings, Talking Feelings." Environment and Planning A: Economy and Space 35, no. 5 (May 2003): 799–814. http://dx.doi.org/10.1068/a35120.

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This paper presents a way of looking at welfare as a realm of affective well-being, which challenges dominant liberal and rationalist views of welfare as unemployment compensation or support on the route back to ‘work’. With reference to welfare-to-work reform in Britain and, the United States, I examine liberal feminist and neoliberal policy discourses on women, work, and welfare. The rationale underlying these discourses is argued to effect an erasure of meaning and feeling from conceptions of care, with serious consequences for the caring choices of poor working-class mothers. The potential of a nonreductive feminist ethics of care, to oppose the work-centric notion of welfare promoted in prevailing approaches to reform, is considered. Ethical thinking is shown to promote an expanded concept of welfare based on caring interrelations and interdependencies, and a way of seeing the emotional geographies of welfare reform. I conclude by arguing the need for labour politics to engage with the emotional geographies of welfare reform.
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Morel, Nathalie, Chloé Touzet, and Michaël Zemmour. "Fiscal welfare in Europe: Why should we care and what do we know so far?" Journal of European Social Policy 28, no. 5 (October 25, 2018): 549–60. http://dx.doi.org/10.1177/0958928718802553.

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This article offers a reflection on how integrating fiscal welfare into welfare state research can shed light on some subtle, yet important, transformations of welfare states and social citizenship in Europe. We begin by clarifying the concepts of fiscal welfare and social tax expenditures (STEs), by reviewing and critically assessing the various related concepts found in the literature. We also map out the empirical knowledge currently available, highlighting the limitations in the available data. Then, drawing on both existing knowledge (developed especially in the context of the US welfare state) and the emerging literature on fiscal welfare in Europe, we identify a number of trends and set out some hypotheses as to why tax expenditures have become a privileged instrument in the field of social policy: not only do STEs appear as a useful instrument to build consensus across party lines in a context of budgetary austerity and strong control of public expenditures, they also enable the discreet privatization of social insurance schemes. Fiscal welfare also allows for a new mode of governing social policy through incentives, which entails a different mode of redistribution than traditional social policy instruments. Finally, we identify the remaining empirical and theoretical gaps to guide future research on the subject.
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26

Mizrahi, Shlomo, and Nissim Cohen. "Privatization Through Centralization in the Israeli Health Care System." Administration & Society 44, no. 4 (July 12, 2011): 412–37. http://dx.doi.org/10.1177/0095399711412736.

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This article addresses a policy paradox that characterizes many health care systems and the Israeli system in particular, that is, the existence of two parallel yet seemingly contradictory policy trends: reducing public financing for health care services while increasing governmental involvement in health-system management. The authors characterize this process as privatization through centralization; that is, to control welfare-state expenses and be able to reduce them, the government must first control the funding and management of welfare-state mechanisms and organizations. They develop a theoretical rationale for explaining this policy paradox and demonstrate it through analyzing the legislative changes that followed the legislation of the National Health Insurance Law in Israel.
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Wang, Yingqi, and Tao Liu. "The “Silent Reserves” of the Patriarchal Chinese Welfare System: Women as “Hidden” Contributors to Chinese Social Policy." International Journal of Environmental Research and Public Health 17, no. 15 (July 22, 2020): 5267. http://dx.doi.org/10.3390/ijerph17155267.

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Scholars of social inequality in China have commonly concentrated on strata-related social welfare systems that divide the population into urban and rural dwellers, and additionally, into different welfare classes such as civil servants, employees, and migrant workers. Following Esping-Andersen, Siaroff, Sainsbury, and others, this paper brings the perspective of “gendering welfare” into the study of Chinese social policy. Focusing upon two major social policy branches in China—the old age pension insurance system and care services within the household—it discusses the role of Chinese women in these two fields. Through a gender-sensitive analysis, this paper elaborates the social phenomenon of “silent reserves” (namely, women) within the Chinese welfare regime. While women assume a crucial role in intrafamily care services, constituting the chief contributors of long-term care and childcare, their care contributions at home are not recognized as “social achievements” and are not monetarily compensated by the patriarchal Chinese welfare state. In addition, this paper argues that women are systematically disadvantaged by pension insurance arrangements. Furthermore, the individualization of care services in the intrafamily context weakens the pension entitlements of women, since their unpaid care constrains their ability to maintain full-time jobs in the labor market.
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KONO, MAKOTO. "The Impact of Modernisation and Social Policy on Family Care for Older People in Japan." Journal of Social Policy 29, no. 2 (April 2000): 181–203. http://dx.doi.org/10.1017/s0047279400005948.

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In Japan the ideology of familism has reproduced patriarchal family values. It successfully retained family centred welfare provision and gender inequality in informal care work, and ensured formal care services were residual. However, the advancement of modernisation has weakened the effectiveness of the informal care sector, and the demand for care has increased steadily along with the ageing of the population. Moreover, informal care based on the self-sacrifice of family carers tends to be less popular. This tendency is especially evident in the opinions of the younger generation and females. Furthermore, structural shifts in their working circumstances, particularly of females, makes the continuation of the patriarchal approach to informal care more difficult. In the field of the care of older people, as part of the strategy for restructuring the Japanese welfare system, the emphasis is now more on market activities, which is in accord with the assumptions underlying ‘the residual welfare model of social policy’ (Titmuss, 1974).
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29

Mason, Jan. "Privatisation and substitute care: recent policy developments in New South Wales and their significance." Children Australia 21, no. 1 (1996): 4–8. http://dx.doi.org/10.1017/s1035077200004715.

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During recent years a significant change has occurred in child welfare policy in New South Wales as a large component of the government's substitute care program has been, or is in the process of being, shifted away from direct government provision to non-government agencies. Analysis of some aspects of the policy process by which this change has occurred illustrates the complexity of social policy development. In particular this analysis highlights the importance of the ideological and political context of child welfare policy development and the way in which this contributes to contradictions between official policy statements and policy as experienced by the recipients of the implementation of these policies.
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Michaeli, Dan. "Crisis and Challenges in the Health Care System: A Personal Point of View." International Journal of Technology Assessment in Health Care 5, no. 1 (January 1989): 1–4. http://dx.doi.org/10.1017/s0266462300005882.

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Public health care systems in countries all over the world are confronted with increasing difficulties. The problems are mainly economic, but they also reflect difficulties of adaptation to changes both in society as a whole and within the health care services.The atmosphere of a crisis results from internal struggles within the health care system and with other welfare and social services that face economical difficulties, while confronting accelerated demographical, social, technological, and cultural changes.The situation is more acute because of the inability of modern society to provide the public health care system with resources (human and financial) according to the expectations that have developed in the welfare state since the end of World War II.New welfare policy, adjusted to the changes that occur within the society, is needed. In this struggle, the public health services find themselves in the center of the discussion as one of the whole of public social services and in competition with other public welfare systems.Economical and organizational problems are the most acute and attract a great deal of interest, and they are amply discussed in many articles and conferences. I shall not deal with them in this article.
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Chien, Yi-Chun. "The Struggle for Recognition: The Politics of Migrant Care Worker Policies in Taiwan." Critical Sociology 44, no. 7-8 (April 19, 2018): 1147–61. http://dx.doi.org/10.1177/0896920518763916.

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This article investigates how local political context—including civil society and political parties—influences the development of migrant care worker policies in Taiwan. This is particularly important in a national context where the government has actively utilized migrant care worker policies to solve the crisis in the social welfare sector. This article draws upon documentary analysis of policy debates on the proposed implementation of Long-Term Care Insurance and in-depth interviews with government officials, public service providers and non-governmental organizations to explore how the political alliances of political parties, social organizations, and interest groups affect policy outcomes. While current research focuses on the relationship between social welfare policies and the employment of migrant care workers, this article highlights the local political context and explores how political alliances have influenced the development of migrant care worker policies. This article argues that institutional path dependency and the strong policy alliance between the progressive party and social welfare organizations have stymied changes in migrant care worker policies and prevented Taiwan from further socializing the eldercare sector.
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32

HARRISON, GLENN W. "Field experiments and public policy: festina lente." Behavioural Public Policy 5, no. 1 (July 14, 2020): 117–24. http://dx.doi.org/10.1017/bpp.2020.28.

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AbstractThe current state of the art in field experiments does not give me any confidence that we should be assuming that we have anything worth scaling, assuming we really care about the expected welfare of those about to receive the instant intervention. At the very least, we should be honest and explicit about the need for strong priors about the welfare effects of changes in averages of observables to warrant scaling. What we need is a healthy dose of theory and the implied econometrics.
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33

DAATLAND, SVEIN OLAV, and KATHARINA HERLOFSON. "‘Lost solidarity’ or ‘changed solidarity’: a comparative European view of normative family solidarity." Ageing and Society 23, no. 5 (September 2003): 537–60. http://dx.doi.org/10.1017/s0144686x03001272.

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This paper discusses filial norms, personal preferences for care, and policy opinions about the proper role of the family and the welfare state in elder care, by drawing from a comparative study of urban populations in Norway, England, Germany, Spain and Israel. Support for filial norms has a north-south dimension in Europe, and is highest in Spain and Israel and lowest – but still substantial – in Norway, England and Germany. National differences in preferences and policy opinions are more substantial, and more or less congruent with national family and social policy traditions. Filial solidarity is, however, not incompatible with generous welfare state arrangements, nor do filial obligations necessarily imply that the family is seen as the ‘natural’ care provider. In fact, many in the countries with the highest scores for filial responsibility still find the welfare state to be the main source of care provision. Normative familism is correlated with expressed familism in individuals' preferences and in policy opinions, but the correlations are weak, implying that while filial solidarity may be resilient, as circumstances alter its expressions change.
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Moran, Michael. "Understanding the Welfare State: The Case of Health Care." British Journal of Politics and International Relations 2, no. 2 (June 2000): 135–60. http://dx.doi.org/10.1111/1467-856x.00031.

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This article redresses an imbalance in the study of the welfare state: the comparative neglect of health-care programmes as sources of evidence about the changing politics of the welfare state. It explains why health care should be central to our understanding of the welfare state; summarises the present debates about the pressures on welfare states; explains how to think about health-care governance in this connection; develops a typology of ‘health-care states'; and shows how the experience of health care reflects, and how it departs from, the wider experience of welfare states.
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COSTA-FONT, JOAN, LUIS SALVADOR-CARULLA, JUAN M. CABASES, JORDI ALONSO, and DAVID McDAID. "Tackling Neglect and Mental Health Reform in a Devolved System of Welfare Governance." Journal of Social Policy 40, no. 2 (July 13, 2010): 295–312. http://dx.doi.org/10.1017/s0047279410000553.

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AbstractA system of devolved welfare governance, it is argued, increases participation in welfare services. However, limited empirical evidence has been reported on how it influences welfare reform. This paper draws upon evidence from the mental health system in Spain, where health care is devolved to the regional states (autonomous communities), to examine whether policy reform of neglected policy areas may be triggered through heightened policy awareness and better participation of interested stakeholders. We find that regional devolution has helped to scale up mental health in some of Spain's autonomous regions relative to support for other services. Evidence suggests that whilst fragmentation and certain historical legacies remain path dependent, regional devolution has indeed enhanced experimentation, reform and policy innovation in mental health care. However, the expansion of mental health care coverage has been constrained by the lack of a clear definition of public coverage, as well as the need to meet the demands of evidence-based policy in an era of cost-containment. Inequalities in access to mental health care remain; they are compounded by the stigma and discrimination experienced by people with mental health problems, which is a common challenge for all health systems in Europe.
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36

Dannreuther, Charles. "Silencing the social: Debt and depletion in UK social policy." Capital & Class 43, no. 4 (October 30, 2019): 599–615. http://dx.doi.org/10.1177/0309816819880793.

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This article draws on a social reproduction approach to examine how debt informed the development of UK welfare provision. A brief history of the Public Works Loan Board introduces its centrality not only in the delivering of welfare institutions but also in the typographies and social values that informed welfare policies. The depletion of social care services today may be evident in the extensive use of debt to deliver social policy across the United Kingdom. However, in the past access to publicly backed borrowing enabled local authorities to deliver social rights that had been legislated for by central government. We can therefore see that it was not debt but its democratic accountability that played a central role in the changing fortunes of the UK’s welfare state.
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YILMAZ, VOLKAN. "The Emerging Welfare Mix for Syrian Refugees in Turkey: The Interplay between Humanitarian Assistance Programmes and the Turkish Welfare System." Journal of Social Policy 48, no. 4 (December 18, 2018): 721–39. http://dx.doi.org/10.1017/s0047279418000806.

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AbstractThis paper explores the key features of the emerging welfare mix for Syrian refugees in Turkey and identifies the modes of interaction between humanitarian assistance programmes, domestic policy responses and the Turkish welfare system. The welfare mix for Syrian refugees is a joint product of humanitarian assistance programmes implemented by international and domestic non-governmental organisations (NGOs) and domestic social policy programmes. Three policy domains are considered: social assistance schemes, employment and health care services. The paper suggests that granting of temporary protection status to Syrian migrants in Turkey and the agreement between Turkey and the EU shaped the welfare mix by empowering the public sector mandate vis-à-vis the humanitarian actors. As a result, the role of the public sector increases at the expense of NGOs, especially in social assistance and health care, while NGOs are increasingly specialised in protection work (especially in mental health support), where the Turkish welfare system has been weak. Employment has been essentially disregarded, in both humanitarian and social policy programmes, which casts doubt on the prospect of successful economic integration. Finally, this paper argues that the convergence of the rights of immigrants and citizens may well occur in mature components of less comprehensive welfare systems.
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38

Frick, Kevin D., and Michael E. Chernew. "Beneficial Moral Hazard and the Theory of the Second Best." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 46, no. 2 (May 2009): 229–40. http://dx.doi.org/10.5034/inquiryjrnl_46.02.229.

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This article examines the welfare consequences of moral hazard, and brings together several arguments suggesting that, in many cases, the additional consumption associated with health insurance could be welfare enhancing. Since conditions for maximum economic efficiency fail to hold in the market for medical care, the theory of the second best is useful. We focus on three efficiency-related reasons why insurance-induced consumption may improve welfare: 1) insurance can offset market power; 2) insurance can remedy some externalities; and 3) insurance can mitigate problems that are associated with misinformation and result in the underutilization of many types of care. These arguments strengthen the case for expanding coverage.
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39

Roumpakis, Antonios. "Revisiting Global Welfare Regimes: Gender, (In)formal Employment and Care." Social Policy and Society 19, no. 4 (September 23, 2020): 677–89. http://dx.doi.org/10.1017/s1474746420000342.

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Gender critiques of comparative welfare state research have so far predominantly focused on OECD countries but less so in countries across Africa, Asia and Latin America. Existing comparative social policy research in these regions often cites the importance of informal networks and family for social protection but less attention is paid into gender relations and their importance for the social reproduction of these welfare regimes. The article comparatively analyses gender differences in the sphere of production (captured by the gender gap in formal and informal employment) and social reproduction (captured by time spent on unpaid domestic work). The article identifies regional patterns and explores implications for women’s ability to access welfare and the labour market. Additionally, it shows that informal activities (employment, domestic work) are extensive among many African, Asian, Latin American, but also specific OECD, welfare regimes. The article contributes first by incorporating gender in the analysis of global welfare regime and second by highlighting the importance of informal relationships for the analysis of welfare regimes.
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40

Murphy, Caroline, and Thomas Turner. "Formal and informal long term care work: policy conflict in a liberal welfare state." International Journal of Sociology and Social Policy 37, no. 3/4 (April 11, 2017): 134–47. http://dx.doi.org/10.1108/ijssp-06-2015-0069.

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Purpose The undervaluing of care work, whether conducted informally or formally, has long been subject to debate. While much discussion, and indeed reform has centred on childcare, there is a growing need, particularly in countries with ageing populations, to examine how long-term care (LTC) work is valued. The purpose of this paper is to provide an overview of the way in which employment policies (female labour market participation, retirement age, and precarious work) and social policies (care entitlements and benefits/leave for carers) affect both informal carers and formal care workers in a liberal welfare state with a rapidly ageing population. Design/methodology/approach Drawing the adult worker model the authors use the existing literature on ageing care and employment to examine the approach of a liberal welfare state to care work focusing on both supports for informal carers and job quality in the formal care sector. Findings The research suggests that employment policies advocating increased labour participation, delaying retirement and treating informal care as a form of welfare are at odds with LTC strategies which encourage informal care. Furthermore, the latter policy acts to devalue formal care roles in an economic sense and potentially discourages workers from entering the formal care sector. Originality/value To date research investigating the interplay between employment and LTC policies has focused on either informal or formal care workers. In combining both aspects, we view informal and formal care workers as complementary, interdependent agents in the care process. This underlines the need to develop social policy regarding care and employment which encompasses the needs of each group concurrently.
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41

Makita, Meiko. "Gender roles and social policy in an ageing society." International Journal of Ageing and Later Life 5, no. 1 (October 13, 2010): 77–106. http://dx.doi.org/10.3384/ijal.1652-8670.105177.

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This article reviews the major underpinnings of the Japanese welfare state in the context of social care from a feminist perspective. In Japan, familycare responsibilities have traditionally been assigned to women; hence, care has long been a women’s issue. However, as the social contract of a male breadwinner and a ’’professional housewife’’ gradually fades out, Japanese women find more opportunities to renegotiate their caring roles. Of course, this social transformation did not occur in isolation, it was influenced by patterns in economic development, state policies and mainly demographic changes. All this has stimulated new state responses in the form of social welfare expansion that arguably aim to relieve women of the burdens of family-care. The issue remains, however, as to whether Japan would be able to recognise that the main structural issues of population ageing do not originate from demographic changes, but from a strict gendered division of labour and gender inequality.
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42

Ward, Ashley B., Kate Stephen, Caroline McGregor Argo, Patricia A. Harris, Christine A. Watson, Madalina Neacsu, Wendy Russell, Dai H. Grove-White, and Philippa K. Morrison. "COVID-19 impacts equine welfare: Policy implications for laminitis and obesity." PLOS ONE 16, no. 5 (May 28, 2021): e0252340. http://dx.doi.org/10.1371/journal.pone.0252340.

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The COVID-19 pandemic continues to impact human health and welfare on a global level. In March 2020, stringent national restrictions were enforced in the UK to protect public health and slow the spread of the SARS-CoV-2 virus. Restrictions were likely to have resulted in collateral consequences for the health and welfare of horses and ponies, especially those at risk of obesity and laminitis and this issue warranted more detailed exploration. The current study utilised qualitative methodology to investigate the implications of COVID-19 related policies upon equine management and welfare with a focus on horses and ponies at risk of laminitis and obesity. Twenty-four interviews with five sub-groups of key equestrian welfare stakeholders in the UK were conducted between May and July of 2020 to understand the challenges facing equine welfare in the context of laminitis and obesity susceptible animals. Thematic analysis revealed lockdown-associated factors with the potential to compromise welfare of horses and ponies at risk of obesity and laminitis. These included: disparate information and guidance, difficulties enacting public health measures in yard environments, and horses having reduced exercise during the pandemic. Positive examples of clear and consistent information sharing by farriers were reported to have improved horse owner understanding of routine hoof care during lockdown. Analysis suggested that the recommendations for supporting the management-based needs of horses under reduced supervision were not clearly defined, or were not sufficiently disseminated, across the equine industry. These findings support the development of guidelines specific to the care of horses and ponies at risk of obesity and laminitis through collaborative input from veterinary and welfare experts, to reduce the negative impacts of future lockdown events in the UK.
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43

Blomqvist, Paula, and Joakim Palme. "Universalism in Welfare Policy: The Swedish Case beyond 1990." Social Inclusion 8, no. 1 (March 18, 2020): 114–23. http://dx.doi.org/10.17645/si.v8i1.2511.

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Despite its broad usage, universalism as a concept is not always clearly defined. In this article, a multidimensional definition of universalism in social policy is developed, based on four policy characteristics: inclusion, financing, provision, and the adequacy of benefits. In the empirical part of the article, the feasibility of this definition is tested by an analysis of recent changes in the Swedish welfare state, which is typically described as universal but has undergone substantive reforms since 1990. Four social policy areas are examined: pensions, social insurance, health care, and family policy. The results indicate that Swedish welfare policies retain their universalistic character in some dimensions but have become less universalistic in others. This demonstrates that a multidimensional approach is best suited to capture in full the nature and implications of welfare state reform.
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44

Kwon, Soonman. "Health Care Policy and Reform in Korea: Challenges to the Welfare State." Korean Review of Public Administration 3, no. 1 (January 1998): 71–89. http://dx.doi.org/10.1080/12264431.1998.10804900.

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45

Sevenhuijsen, Selma, Vivienne Bozalek, Amanda Gouws, and Marie Minnaar-McDonald. "South African Social Welfare Policy: An Analysis Using the Ethic of Care." Critical Social Policy 23, no. 3 (August 2003): 299–321. http://dx.doi.org/10.1177/02610183030233001.

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46

Gulland, Jackie. "Book Review: Justice, Care and the Welfare State, Family Policy and Disability." European Journal of Social Security 18, no. 3 (September 2016): 324–27. http://dx.doi.org/10.1177/138826271601800307.

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47

Levaggi, Laura, and Rosella Levaggi. "Welfare properties of restrictions to health care based on cost effectiveness." Health Economics 20, no. 1 (November 27, 2009): 101–10. http://dx.doi.org/10.1002/hec.1566.

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48

Levaggi, Laura, and Rosella Levaggi. "Rationing in health care provision: a welfare approach." International Journal of Health Economics and Management 17, no. 2 (December 21, 2016): 235–49. http://dx.doi.org/10.1007/s10754-016-9209-1.

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49

Morgan, Kimberly J. "The Politics of Mothers' Employment: France in Comparative Perspective." World Politics 55, no. 2 (January 2003): 259–89. http://dx.doi.org/10.1353/wp.2003.0013.

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Contemporary theories and typologies of welfare states in Western Europe assume that social democratic parties are the engine behind progressive policies on gender roles and on the participation of women in the labor force. The French case challenges these assumptions—this conservative welfare state, surprisingly, provides an extensive system of public day care along with other forms of support that facilitate mothers' employment. This article explains the existence of the French system through a comparative historical analysis of child care policy in France and other European welfare states. The mainfindingsconcern the role of organized religion in shaping contemporary public day care policies. In contrast to most conservative welfare regimes, the French welfare state has been shaped not by clericalism and Christian democracy but by secularism and republican nationalism—forces that influenced some of the earliest public policies for the education of young children in the late nineteenth and early twentieth centuries and that later affected the founding of the contemporary day care system in the 1970s. In that latter period of propitious economic circumstances, pragmatic policy elites eschewed moralizing critiques of mothers' employment and established a system of financing that has enabled the long-term expansion of public day care. These findings have implications for our understanding of gender politics and welfare regimes in Western Europe. The secularization of political life—not social democratic power—best explains why public policies in France and in many Scandinavian countries have promoted the demise of the traditional family model.
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Helderman, Jan-Kees. "The crisis as catalyst for reframing health care policies in the European Union." Health Economics, Policy and Law 10, no. 1 (July 21, 2014): 45–59. http://dx.doi.org/10.1017/s1744133114000231.

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AbstractSeen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare states, health care has always belonged to the sovereignty of European Member States. However, in past two decades, European welfare states have in fact become semi-sovereign states and the European Union (EU) no longer is an exogenous actor in European health policy making. Today, the EU not only puts limits to unsustainable growth levels in health care spending, it also acts as an health policy agenda setter. Since the outbreak of the GFC, it does so in an increasingly coercive and persuasive way, claiming authority over health system reforms alongside the responsibilities of its Member States.
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