Warum die Direkte Demokratie den Anstieg der Staatsausgaben in der Schweiz nicht verhindern konnte

2006 ◽  
Vol 55 (3) ◽  
Author(s):  
Frank Bodmer
Keyword(s):  
Health Care ◽  
Social Security ◽  
Government Spending ◽  
Direct Democracy ◽  
The Elderly ◽  
Strong Increase ◽  
The Political ◽  
Empirical Basis ◽  
Direkte Demokratie

AbstractSwitzerland experienced a strong increase in government spending during the 1990’s. The immediate reasons are well-known: higher expenditure for the elderly and other areas of social security as well as higher expenditure for health care make up most of the increase. The political reasons are not that clear, however. A by now large literature argues that direct democracy in Switzerland reduces government spending at the level of cantons and municipalities. First, the theoretical and empirical basis for this claim is critically reviewed. Second, it is found that the variation of direct democracy between cantons had no effect on the growth of government spending during the 1990’s. Third, the effect of direct democracy on the level of spending is not negative in all specifications and was decreasing during the 1990’s.

scholarly journals A study on assessment of socio-demographic characteristics and pattern of health-care support among geriatric people residing in old age homes, Nandyal

2021 ◽  
Vol 8 (3) ◽  
pp. 1202
Author(s):  
Dugavath Geetha ◽  
M. A. Mushtaq Pasha ◽  
Afsar Fatima
Keyword(s):  
Health Care ◽  
Social Security ◽  
Old Age ◽  
The Elderly ◽  
Health Care Facilities ◽  
Economic Independence ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Care Support ◽  
Old Age Homes

Background: Geriatric age is one of the vulnerable phases of life. Geriatric population in India is faster growing share of population with more special needs for health-care and support. Objective was to study the socio-demographic factors and assess pattern of health care support among geriatrics residing in old age homes, Nandyal.Methods: This was a cross-sectional study among geriatric people aged more than 60 years residing in old age homes, Nandyal from October 15, 2019, to December 15, 2019.  One hundred eighty participants were included. Those who were not present during the analysis were excluded from the class using convenience sampling. Data was collected using a pre-designed, pre-tested, semi-structured questionnaire and analysing data using SPSS version-22.Results: Around 180 subjects, 76 (42%) of the elderly received treatment for their morbidities from private clinic and hospitals, while 37.8% from government hospitals. Children bear health care expenses for 32 (17.5%) of the elderly. Among 84 (46.7%) of elderly dependent on their social security schemes. while 30 (16%) had health insurance. Around 72 (40%) of elderly financially dependent on their children. Major complaints are Arthritis (47.7%) followed by hypertension (20%) and acid-peptic disease.Conclusions: A high prevalence of arthritis, hypertension and acid peptic disease were identified. It also highlighted that economic independence and the use of social security schemes among elderly is less. Based on these findings recommended that there is a need to develop financial assistance and social security schemes are needed to enhance health care facilities, economic independence and utilization services. 

‘Some Abstract Socialistic Ideal or Principle’: British Reactions to New Zealand's 1938 Social Security Act

2015 ◽  
Vol 8 (1) ◽  
pp. 51-75
Author(s):  
Linda Bryder ◽  
John Stewart
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Social Security ◽  
Health Care Reform ◽  
Primary Sources ◽  
The Political ◽  
Social Security Act ◽  
Political Left ◽  
The Impact ◽  
British Health

This article, utilising British and New Zealand primary sources, examines the impact of New Zealand's 1938 Social Security Act on British health care reform. The Act, brought in by the Dominion's first Labour government, sought to socialize health care. It was opposed by most New Zealand and British doctors, organised by the British Medical Association in both countries; but supported by the political left in both New Zealand and Britain. This episode is neglected in the historiography of Britain's National Health Service but what happened in New Zealand significantly shaped British thinking about health care reform in the late 1930s and 1940s.

scholarly journals Determinants of rural-urban differential in healthcare utilization among the elderly population in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shreya Banerjee
Keyword(s):  
Health Care ◽  
Social Security ◽  
Elderly People ◽  
Healthcare Utilization ◽  
Elderly Population ◽  
Economic Status ◽  
Health Sector ◽  
Healthcare Utilisation ◽  
The Elderly ◽  
Older Population

Abstract Background Population aging poses a demographic burden on a country such as India with inadequate social security systems and very low public investment in health sector. This challenge of accelerated demographic transition is coupled by the rural-urban disparity in access to healthcare services among the elderly people in India. An important objective of India’s National Health Policy (2017) is to “progressively achieve universal health coverage” which is posited upon mitigating the sub-national disparity that necessitates identifying the drivers of the disparity for targeted policy intervention. This study, therefore, makes an attempt towards the exploration of the prominent contributory factors behind the rural-urban gap in utilisation of healthcare among the older population in India. Methods The analysis has been done by using the unit level data of Social Consumption: Health (Schedule number 25.0) of the 75th round of the National sample Survey conducted during July 2017–June 2018. Two binary logistic models have been proposed to capture the crude and the adjusted association between health seeking behaviour and place of residence (rural/ urban). To compute the group differences (between rural and urban) in the rate of healthcare utilization among the elderly population in India and to decompose these differences into the major contributing factors, Fairlie’s decomposition method has been employed. Results The logistic regression models established a strong association between place of residence and likelihood of healthcare utilisation among the Indian elderly people. The results of the Fairlie’s decomposition analysis revealed considerable rural-urban inequality disfavouring the rural residents and health care utilisation was found to be 7 percentage points higher among the older population residing in urban India than their rural counterparts. Level of education and economic status, both of which are indicators of a person’s Socio-Economic Status, were the two major determinants of the existing rural-urban differential in healthcare utilisation, together explaining 41% of the existing rural-urban differential. Conclusion Public health care provisions need to be strengthened both in terms of quality and outreach by way of greater public investments in the health sector and by building advanced health infrastructure in the rural areas. Implementation of poverty alleviation programmes and ensuring social-security of the elderly are also indispensable in bringing about equity in healthcare utilisation.

scholarly journals The political economy of rationing health care in England and the US: the ‘accidental logics’ of political settlements

2014 ◽  
Vol 9 (3) ◽  
pp. 273-294 ◽  
Author(s):  
Gwyn Bevan ◽  
Lawrence D. Brown
Keyword(s):  
United States ◽  
Health Care ◽  
Chronic Care ◽  
The Elderly ◽  
The United States ◽  
The Political ◽  
Social Contracts ◽  
The Us ◽  
English National Health ◽  
English National Health Service

AbstractThis article considers how the ‘accidental logics’ of political settlements for the English National Health Service (NHS) and the Medicare and Medicaid programmes in the United States have resulted in different institutional arrangements and different implicit social contracts for rationing, which we define to be the denial of health care that is beneficial but is deemed to be too costly. This article argues that rationing is designed into the English NHS and designed out of US Medicare; and compares rationing for the elderly in the United States and in England for acute care, care at the end of life, and chronic care.

De politieke economie van de overheidsuitgaven in België (1960-1983)

Res Publica ◽  
1985 ◽  
Vol 27 (2-3) ◽  
pp. 269-286
Author(s):  
Paul De Grauwe
Keyword(s):  
Social Security ◽  
Business Cycle ◽  
Government Spending ◽  
Median Voter ◽  
Voter Model ◽  
The Political ◽  
Median Voter Model ◽  
Major Exception

How is the growth and the structure of government spending in Belgium related to the political composition of the successive governments ?  A distinction is made between center-right and center-left governments.We find that during 1960-83 bath the growth and the composition of government spending has been unrelated to these two types of governments. There is one major exception. Spending for social security increases significantly faster during periods of center-right governments, even after correction for business cycle variables. These results are interpreted in the framework of the median-voter model.

Patterns of use of the health care system by the elderly with mental illness

2005 ◽  
Author(s):  
Patricia Martens ◽  
◽  
Randy Fransoo ◽  
Elaine Burland ◽  
Charles Burchill ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Health Care System ◽  
The Elderly ◽  
Patterns Of Use ◽  
Care System
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