scholarly journals Healthcare in the light of the concept of welfare state regimes – comparative analysis of EU member states

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.

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.


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. 095892872110023
Author(s):  
Sofia Strid ◽  
Anne Laure Humbert ◽  
Jeff Hearn ◽  
Dag Balkmar

The aim of the article is to examine if and how the welfare state regime typology translates into a violence regime typology in a European context. It builds on the concept of violence regimes (Strid et al. 2017; Hearn et al. 2020) to empirically examine whether the production of interpersonal violence constitutes distinct regimes, and how these correspond (or not) with welfare regimes, gender regimes, and with other comparative metrics on violence, gender equality and feminist mobilisation and transnational actors. Its main contribution is to operationalise the concept of violence regimes, thereby moving from theory to a first empirical measurement. By first constructing a new composite measure of violence, a Violence Regimes Index, based on secondary administrative and survey data covering the then 28 EU member states, countries are clustered along two axes of violence: ‘deadly’ violence and ‘damaging’ gender-based violence. This serves to examine if, and how, the production of gendered violence in different states constitutes distinct regimes, analogous to welfare state regimes, as well as to enable future research and further comparisons and contrasts, specifically related to violence and the welfare state. By providing an empirical measurement of violence regimes in the EU, the article then contributes further to the debates on welfare, welfare regimes, and violence. It specifically contributes with discussions on the extent to which there are different violence regimes, comparable to welfare regimes, and with discussions on the relevance of moving from thinking about violence as an institution within other inequality regimes, to thinking about violence as a macro-regime, a way of governing and ruling in its own right. The article concludes that the exclusion of violence from mainstream social theory and research has produced results that may not be valid, and offers an alternative classification using the concept of violence regimes, thereby demonstrating the usefulness of the concept.


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.


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.


2021 ◽  
pp. 1-18
Author(s):  
KARIN BOREVI

Abstract The present article investigates how begging performed by citizens of new EU-member states in Eastern Europe was debated in parliaments in Denmark, Sweden and Norway during the period 2007–2017. The empirical analysis shows significant cross-country divergences: In Denmark, efforts targeted controlling migration, either directly or indirectly, via various deterrence strategies. In Sweden, the emphasis was rather on alleviating social needs while migrants reside in the country and trying to decrease their incentives to migrate in the first place by ameliorating conditions in sending countries. In Norway, one predominant framing revolved around the issue of human trafficking of beggars. Despite substantial differences, the analyses show a gradual shift in a similar direction in all three countries. While a social frame was initially more commonly understood as the appropriate way to approach begging, over time a criminal frame has gained ground in all three countries. The article argues that this development must be understood in light of marginalized intra-EU migrants’ legal status as both insiders and outsiders in the Scandinavian welfare states. Due to these individuals’ “in-between status”, neither conventional social policy nor immigration control measures are perceived as available, making policymakers more prone to turn to criminal policy tools.


2005 ◽  
Vol 70 (6) ◽  
pp. 921-948 ◽  
Author(s):  
David Brady ◽  
Jason Beckfield ◽  
Martin Seeleib-Kaiser

Previous scholarship is sharply divided over how or if globalization influences welfare states. The effects of globalization may be positive causing expansion, negative triggering crisis and reduction, curvilinear contributing to convergence, or insignificant. We bring new evidence to bear on this debate with an analysis of three welfare state measures and a comprehensive array of economic globalization indicators for 17 affluent democracies from 1975 to 2001. The analysis suggests several conclusions. First, state-of-the-art welfare state models warrant revision in the globalization era. Second, most indicators of economic globalization do not have significant effects, but a few affect the welfare state and improve models of welfare state variation. Third, the few significant globalization effects are in differing directions and often inconsistent with extant theories. Fourth, the globalization effects are far smaller than the effects of domestic political and economic factors. Fifth, the effects of globalization are not systematically different between European and non-European countries, or liberal and non-liberal welfare regimes. Increased globalization and a modest convergence of the welfare state have occurred, but globalization does not clearly cause welfare state expansion, crisis, and reduction or convergence. Ultimately, this study suggests skepticism toward bold claims about globalization's effect on the welfare state.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Deborah J. Milly

PurposeThis article analyzes recent Japanese efforts to recruit care labor from seven Asian countries to identify the relative contributions to migrants and their respective countries' health systems. Besides considering the factors affecting migration from, and benefits to, sending countries, it asks how differences in the role of public and private actors may matter.Design/methodology/approachThe study uses two stages of analysis. The first uses quantitative and qualitative data for seven countries that send care labor migrants to Japan to identify differences in benefits for individual migrants and health care systems in the sending countries. The second stage examines recent initiatives for funding care worker training in Japan to assess the relative impacts of different public-private cooperative arrangements, especially in terms of Vietnam.FindingsIn addition to general migration policy mechanisms provided by the destination country, bilateral relationships and foreign assistance, along with economic, demographic and health care conditions in the origin countries, contribute to the relative benefits of migration. Among countries supplying care labor to Japan, Vietnam is obtaining the most benefits for its health care system in return.Originality/valueResponding to central concerns surrounding care labor migration, the article compares across countries sending care workers to a single country. The comparison highlights a constellation of factors that contribute the greatest benefits. The article identifies how different types of public and private relationships can influence this process. The study provides observations applicable to other welfare states developing care labor migration relationships.


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