scholarly journals Worlds of Welfare and the Health Care Discrepancy

2005 ◽  
Vol 4 (1) ◽  
pp. 31-41 ◽  
Author(s):  
Clare Bambra

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.

2016 ◽  
Vol 7 (2) ◽  
pp. 187 ◽  
Author(s):  
Dorota Kawiorska

This  paper  addresses  issues  related to health care in the context of the debate about the typology of welfare state regimes and comparative studies conducted in reference to the debate. Particular attention has been paid to the phenomenon of decommodification as one of the key dimensions that define welfare regimes identified in the literature associated with this debate. The study presents a health decommodification index, on the basis of which an attempt has been made to assess the decommodification potential of health care, taking into account the situation in the 28 EU Member States in 2012. The identification of a widely understood accessibility of publicly funded health care as a basic measure for assessing the decommodifying features of health programs is an important result of the empirical analysis. The study has also confirmed the views expressed in the literature about the existence of practical obstacles standing in the way of developing a universal typology of welfare states.


2004 ◽  
Vol 3 (3) ◽  
pp. 201-211 ◽  
Author(s):  
Clare Bambra

The nature of welfare state regimes has been an ongoing debate within the comparative social policy literature since the publication of Esping-Andersen's The Three Worlds of Welfare Capitalism (1990). This paper engages with two aspects of this debate; the gender critique of Esping-Andersen's thesis, and Kasza's (2002) assertions about the ‘illusory nature’ of welfare state regimes. It presents a gender-focused defamilisation index and contrasts it with Esping-Andersen's decommodification index to illustrate that, whilst individual welfare states have been shown to exhibit internal variety across different policy areas, they are both consistent and coherent in terms of their policy variation by gender. It concludes, in contrast to both the gender critique of Esping-Andersen, and Kasza's rejection of the regimes concept, that the ‘worlds of welfare’ approach is therefore neither gender blind or illusory, and can, if limited to the analysis of specific areas such as labour market decommodification or defamilisation, be resurrected as a useful means of organising and classifying welfare states.


1982 ◽  
Vol 14 (3) ◽  
pp. 297-310 ◽  
Author(s):  
K Jones ◽  
A Kirby

This paper begins by assessing the state of public facility location research, and follows Dear in suggesting that a new context for analysis is required. Such a context is outlined, placing public goods within a chain of provision that links social policy with the individual's quality of life. Parts of this argument are illustrated with recourse to preliminary empirical work undertaken in Reading on aspects of health-care provision.


1996 ◽  
Vol 26 (1) ◽  
pp. 67-92 ◽  
Author(s):  
Alan Walker ◽  
Chack-Kie Wong

This article employs case studies of China and Hong Kong to question the western ethnocentric construction of the welfare state that predominates in comparative social policy research. The authors argue that welfare regimes, and particularly the “welfare state,” have been constructed as capitalist-democratic projects and that this has the damaging effect of excluding from analyses not only several advanced capitalist societies in the Asian-Pacific area but also the world's most populous country. If welfare state regimes can only coexist with western political democracies, then China and Hong Kong are excluded automatically. A similar result occurs if the traditional social administration approach is adopted whereby a “welfare state” is defined in terms only of direct state provision. The authors argue that such assumptions are untenable if state welfare is to be analyzed as a universal phenomenon. Instead of being trapped within an ethnocentric welfare statism, what social policy requires is a global political economy perspective that facilitates comparisons of the meaning of welfare and the state's role in producing it north, south, east and west.


Author(s):  
David Garland

Every developed country has a distinctive welfare state of its own. Welfare states generally rely on the same basic institutions, but these institutions can operate in different ways. Welfare state programmes are government programmes, but while public authority is necessary to establish, fund, and regulate these programmes, the nature of government involvement varies. Three worlds of welfare have been identified: social democratic; conservative; and liberal. ‘Varieties’ describes the welfare state regimes that developed in Sweden, Germany, and the USA, each of which exemplifies one of these ‘worlds’ of welfare. It goes on to consider briefly the welfare regimes beyond the ‘three worlds’ and how Britain’s welfare regime has changed over time.


2021 ◽  
pp. xxx-20
Author(s):  
Daniel Béland ◽  
Kimberly J. Morgan ◽  
Herbert Obinger ◽  
Christopher Pierson

This synoptic introduction guides the reader through the major themes in this comparative analysis of the developed welfare states. It first outlines the origins of the welfare state and its development down to 1940. It then considers the impact of the Second World War on social policy and traces the apparent successes of expanding welfare state regimes in the thirty years that followed the war. It then assesses the critique and challenges that arose for this welfare state settlement from the mid-1970s onwards and the idea of a ‘crisis of the welfare state’. These challenges were simultaneously ideological, political, economic, and demographic, and are sometimes seen to have created new circumstances of ‘permanent austerity’. The contemporary welfare state faces a set of challenges very different to those which arose after 1945 in which the near-future context is set by the continuing impact of the Great Recession after 2008 and the new world of social policy created by COVID-19.


Author(s):  
Kevin Farnsworth ◽  
Zoë Irving

In their chapter Kevin Farnsworth and Zoë Irving place the UK in comparative context. They examine the workings of the austerity frameworks with which neoliberal states and inter-governmental agencies, such as the IMF, have sought to maintain neo-liberal economics by undermining the remaining elements of social democratic welfare state regimes. Their analysis reveals considerable variation amongst these welfare states and also division and ambivalence amongst the governance bodies overseeing austerity. By identifying countries like Iceland, which have successfully resisted and even partially reversed austerity programmes, Farnsworth and Irving suggest that austerity may not constitute a further entrenchment of neo-liberalism but perhaps the cusp of a shift away from its key principles.


2005 ◽  
Vol 34 (2) ◽  
pp. 195-213 ◽  
Author(s):  
CLARE BAMBRA

Welfare state models have focused almost exclusively on the study of cash benefits, and typologies established on this limited basis have been used to generalise about all forms of welfare state provision. This ignores the fact that welfare states are also about the actual delivery of services and/or that countries vary in terms of the relative emphasis that they place upon cash benefits and welfare state services. This article explores the cash and services mix in, and between, welfare states with reference to recent welfare state typologies, most notably Esping-Andersen's decommodification-centred ‘worlds of welfare’. It compares the decommodification levels of the main cash benefits with the main area of service provision: health care. The resulting analysis suggests that when services are added into the comparative analysis of welfare state regimes there are five welfare state clusters: Social Democratic, Liberal, Conservative, and sub-groups within both the Liberal and Conservative regimes. The article concludes that, in order to maintain integrity or generalisability, future welfare state typologies need to reflect more adequately the role of services in welfare state provision.


2021 ◽  
pp. 111-130
Author(s):  
Anton Hemerijck ◽  
Stefano Ronchi

The trajectory of developed welfare states in the early twenty-first century is perhaps best understood through the idea of ‘social investment’. The first section of the chapter defines social investment as a sui generis welfare paradigm, distinct from both the Keynesian–Beveridgean welfare state and its neoliberal critique, and analytically rooted in the three interrelated policy functions of lifelong human capital stocks, work–life-balanced flows, and inclusive buffers. The second section identifies the trajectories of (non-)social investment reform that have cross-cut welfare regimes in the past two decades. Section three takes stock of the impact of the economic crisis on recent welfare state developments. The final section concludes by reflecting on the challenges and opportunities for welfare reform after the Great Recession. Most notably, it highlights how high public spending on established social protection commitments seemingly operates as a ‘productive constraint’ that accelerates social investment reform, reinforcing employment and productivity growth, to sustain popular welfare states.


Intersections ◽  
2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Terry Cox

The essay assesses the work of Júlia Szalai on the concept of the bifurcated welfare state as a contribution to the debate on welfare regimes in Central and Eastern Europe. It locates her work in the context of the debate around Esping-Andersen’s ideal types of welfare state regimes and sees the bifurcated welfare state as offering a means of understanding the key features of hybrid welfare states in East Central Europe. The essay then examines evidence in support of the concept and explores possible ways in which the idea may contribute to the research agenda on welfare regimes.


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