Revising the Bargain?

2020 ◽  
pp. 85-108
Author(s):  
Timothy Hellwig ◽  
Yesola Kweon ◽  
Jack Vowles

This chapter examines the effect of the GFC on mass policy preferences. We argue that preferences are not only shaped by the individual’s position in the social structure, but also by the set of feasible options provided by competing political elites. The theory of constrained partisanship views public policy preferences as rooted in institutions, economic circumstances, and past policy legacies. Parting ways with this view, we argue that parties can shape citizens’ preferences through policy efforts and rhetoric. We test a set of arguments on preferences for spending in two areas: health care (a universal benefit) and unemployment assistance (a targeted benefit). Consistent with other research, we find that individual-level attributes associated with labour market positions, skills, and wealth inform policy preferences. But party politics also mattered. Both the depth of the crisis and the extent of the recovery shaped some post-GFC policy demands by way of party cues. We also show that the scope of the crisis recovery influenced how preferences react to past policy efforts. In strong recoveries, there was a strong negative thermostatic relationship, but in weak recoveries, path dependence ruled. Implications for policy responsiveness are discussed.

2016 ◽  
Vol 24 (91) ◽  
pp. 477-491
Author(s):  
Claudio de Moura Castro ◽  
Philip Musgrove

Abstract Education and health – or more precisely, schooling and health care – are often lumped together as the major components of something called “the social sector”. There are some important similarities, but they are outweighed by greater and more significant differences. Most of these differences are intrinsic to knowledge and learning or to disease and dealing with it. Other distinctions arise from how society organizes and pays for schooling and medical care. The differences matter for costs, day-to-day management, and reform efforts in each sector. Treating the two sectors as highly comparable is both sloppy thinking and conducive to bad public policy.


2020 ◽  
pp. medethics-2020-106059
Author(s):  
Thomas Søbirk Petersen

The aim of this article is to provide a systematic reconstruction and critique of what is taken to be a central ethical concern against the use of non-medical egg freezing (NMEF). The concern can be captured in what we can call the individualisation argument. The argument states, very roughly, that women should not use NMEF as it is an individualistic and morally problematic solution to the social problems that women face, for instance, in the labour market. Instead of allowing or expecting women to deal with them on an individual level, we should address them by challenging the patriarchal structures of the labour market—for example, by securing equal pay, or paid maternal leave, or ‘paid paternal [partner] leave and sick leave and affordable child care’. It will be made clear that there are several versions of this argument. The author will try to elaborate this claim, and it will be explained that the differences depend on the way in which bioethicists believe that individuals use of NMEF is morally problematic, compared with the alternative of securing social change for women in, say, the labour market. Finally, a critical discussion of three versions of the individualisation argument will follow, and it will be shown why all versions are on rather thin ice, or in other words, that they are implausible.


1997 ◽  
Vol 1 (1) ◽  
pp. 12-17
Author(s):  
Mary Ramos,

Caring as a concept is widely discussed and debated within nursing. It is typically understood conceptually as a quality of a human interaction, usually the nurse’s interaction with a patient, client, family, or group (Gaut & Boykin, 1994; Eriksson, 1992; Leininger, 1980, 1984; Watson, 1985). Caring is culturally bound, laden with positive value. But common understanding may limit the scope of this foundational concept, for nursing, nurses, patients, and health care exist in societal context. As roles in health care are expanding and changing in light of health care reform, our professional adaptation is ideally based on caring relationships with individuals and also with institutions, populations and health care delivery systems. As with caring on an individual level, individual nurses have left an example of caring for society on a larger scale, literally a global level. Lavinia Lloyd Dock is an obvious example of international caring. This diminutive woman had a voice and intellect that has survived.Nursing history is replete with stories of caring nurses, angels of mercy, somehow with a strength of character unreconciled to the ‘gentle spirit of Victorian womanhood.’ The political skill of nursing leaders a hundred years ago cannot be underestimated. The work of establishing nursing as a profession took untold tact, manipulation, pointed subservience, and an ability to withstand frustration at the hand of individuals, institutions, and a culture that held rather circumscribed roles and expectations for women. Certain women attacked the system in a direct fashion; Lavinia Dock was one of those.


Liquidity ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 110-118
Author(s):  
Iwan Subandi ◽  
Fathurrahman Djamil

Health is the basic right for everybody, therefore every citizen is entitled to get the health care. In enforcing the regulation for Jaringan Kesehatan Nasional (National Health Supports), it is heavily influenced by the foreign interests. Economically, this program does not reduce the people’s burdens, on the contrary, it will increase them. This means the health supports in which should place the government as the guarantor of the public health, but the people themselves that should pay for the health care. In the realization of the health support the are elements against the Syariah principles. Indonesian Muslim Religious Leaders (MUI) only say that the BPJS Kesehatan (Sosial Support Institution for Health) does not conform with the syariah. The society is asked to register and continue the participation in the program of Social Supports Institution for Health. The best solution is to enforce the mechanism which is in accordance with the syariah principles. The establishment of BPJS based on syariah has to be carried out in cooperation from the elements of Social Supports Institution (BPJS), Indonesian Muslim Religious (MUI), Financial Institution Authorities, National Social Supports Council, Ministry of Health, and Ministry of Finance. Accordingly, the Social Supports Institution for Helath (BPJS Kesehatan) based on syariah principles could be obtained and could became the solution of the polemics in the society.


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