Solidarity in health and social care in Europe:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Dordrecht [u.a.]
Kluwer Acad. Publ.
2001
|
| Series: | Philosophy and medicine
69 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XXI, 502 S. |
| ISBN: | 1402001649 |
Staff View
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| adam_text | TABLE OF CONTENTS
PREFACE AND ACKNOWLEDGMENTS xv
LIST OF FIGURES xvii
LIST OF TABLES xix
Ruud ter Meulen, Wil Arts and Ruud Muffels
SOLIDARITY, HEALTH AND SOCIAL CARE IN EUROPE
INTRODUCTION TO THE VOLUME 1
1. Setting the Scene: the Issue of Solidarity in Modern Society 1
2. Concerns for Care Put Solidarity under Strain 2
3. Theoretical Perspectives on Solidarity 6
4. Content of the Volume 8
4.1 Solidarity as a Public Value: Empirical Issues 9
4.2 Solidarity as a Moral Concept 10
5. Bibliography 11
PART I: SOLIDARITY AS A PUBLIC VALUE: EMPIRICAL ISSUES 13
Wil Arts and Rudi Verburg
MODERNISATION, SOLIDARITY AND CARE IN EUROPE
THE SOCIOLOGIST S TALE 15
1. Setting the Stage 15
2. Modernity, Organised Solidarity, and Individual Responsibility 17
3. Solidarity as a Sociological Construct 19
4. Solidarity in a Time of Reflexive Modernity 21
5. Welfare States 24
6. Differences in Organised Solidarity between Welfare States 26
7. Modernity and its Threat to Solidarity 29
7.1 The Dimension of Affluence 29
7.2 The Dimension of Structural Differentiation 30
7.3 The Dimension of Generalisation of Values and Norms 31
8. Solidarity as a Public Value in European Care Systems 31
9. Country Studies 33
10. Picking up the Thread of the Volume 38
11. Bibliography 38
vi TABLE OF CONTENTS
Josette Gevers, John Gelissen, Wil Arts and Ruud Muffels
POPULAR SUPPORT FOR HEALTH CARE IN EUROPE
REVIEW OF THE EVIDENCE OF CROSS NATIONAL SURVEYS 41
1. Introduction and Research Question 41
2. Solidarity and its Motivational Bases 43
3.1 Welfare State Regimes 45
3.2 Institutional Characteristics of the National Care System 46
3.3 Individual, Social and Ideological Position 52
4. Hypotheses 52
5. Data, Operationalisation and Methodology 57
5.1 Data 57
5.2 Measures 57
5.3 Method of Analysis 62
6. Results 63
6.1 Attitudes towards Public Health Care 63
6.2 Explaining Differences in Attitudes towards Public Health Care. 65
7. Conclusions and Discussion 70
8. Notes 73
9. Bibliography 74
Ake Bergmark, Elisabet Lindberg and Mats Thorslund
SOLIDARITY AND CARE IN SWEDEN 77
1. Introduction 77
2. The Swedish Model 79
3. The Social Insurance System 80
3.1 The Pension System 81
3.2 Unemployment Benefits 81
3.3 Cash Benefits during Illness and Parental Insurance 82
4. The Health Care and Social Services System 82
4.1 Health Care 82
4.2 The Social Services 84
5. Geographical Variations 86
6. Development over Time 87
7. The Non Profit Sector and Informal Care 90
8. Public Opinion 92
9. The Public Debate 96
10. Swedish Welfare in Transition? 97
11. Conclusion 101
12. Notes 102
13. Bibliography 102
Malcolm Johnson and Lesley Cullen
SOLIDARITY AND CARE IN THE UNITED KINGDOM 107
1. Introduction 107
2. Care Services Ill
2.1 The National Health Service Costs and Care 111
2.2 The Personal Social Services 114
TABLE OF CONTENTS vii
2.3 Informal Care and its Relationship with State Provision 119
3. Public Values 120
3.1 Solidarity as a Public Value 120
4. Solidarity as a Value in Government Policies 124
5. Conclusions 128
6. Bibliography 129
Christiano Gori and Nicola Pasini
SOLIDARITY AND CARE IN ITALY 133
1. Introduction 133
2. Principles and Values 133
2.1 Charity Versus Solidarity 133
2.2 Public Solidarity versus Private Social Solidarity 134
3. Social Welfare Policy after World War II 136
3.1 The Health Policy from the Post War Period to the 90s: the
Reform Process 136
3.2 Social Care Services: a Residual Part of the Italian Welfare State 139
4. The Care System 140
4.1 Health and Social Care Services in the 90s 140
4.2 Funding Health Care 142
4.3 The Provision of Health and Social Services 142
4.4 Exit and Market in Health Care 144
4.5 Towards more Equity in Service Provision? 145
4.6 Summary: a Changing Care System 147
5. Citizen s Attitudes 148
5.1 Health Care 148
5.2 Summary: a Complex Attitude 149
6. Towards which Welfare? 150
6.1 Health Care 151
6.2 Social Care 152
7. Conclusions 153
8. Notes 154
9. Bibliography 155
Adalbert Evers and Martina Klein
SOLIDARITY AND CARE IN GERMANY 159
1. Introduction 159
2. The Changing Forms of Solidarity in the Historical Development
of the Health Care System 159
2.1 Solidarity and Health Care: from Solidaristic Self Help 160
Towards the Principle of a Welfare State 160
2.2 Solidarity and Social Care: the Late Intrusion of Social
Solidarity into the Field of Private Care 162
3. Shaped by Different Principles and Values 163
4. Similar Principles but Different Levels 165
4.1 Basis Elements of the Health and Care System 165
viii TABLE OF CONTENTS
4.2 Different Levels of Rights and Benefits in the Health System
and the Care System 166
4.3 The Social Insurance A Way to Institutionalise Solidarity 168
4.4 The Provision of Services 168
4.5 East Germany the Same Institutions but a Different Situation 169
4.6 The Future for Solidarity? Reforms in Health Care During
the Past Decade 170
4.7 Renewing Solidarity? the Politics of the New Government 171
5. Public Support for Solidarity in East and West Germany 173
5.1 Opinions on the Welfare State and the Principle of Solidarity 174
5.2 Attitudes towards Characteristics and Reforms of the
Health Care System 174
5.3 Solidarity as Social Security Different Degrees of Esteem 176
5.4 Informal and Family Care 177
5.5 Reasons For Solidarity 178
5.6 Conclusion: a High Approval for Both Solidarity and
Individual Responsibility 178
6. Where Can We Go from Here? Main Issues in the Public Debate 179
6.1 The System of Solidarity in Front of Changes in Labour Markets,
Demography and Families 179
6.2 Defining the Limits of what Solidarity Should Preserve 180
6.3 The Statutory Insurers: Solidaristic Institutions as
Market Competitors 182
6.4 Developing Synergies? On the Linkages between Insurance
Based and Social Solidarities as well as Family Care 182
7. Conclusions: on the Complementarity of Social Solidarities and
Citizenship Rights 185
8. Notes 186
9. Bibliography 186
Kai Leichsenring, Gerhard Majce and Sabine Pleschberger
SOLIDARITY AND CARE IN AUSTRIA 189
1. Approaching Dimensions and Levels of Solidarity in Health
and Social Care Systems 189
2. Solidarity and the Political Culture in Austria 190
2.1 The Christian Democratic Idea of Strengthening Civil Society 191
2.2 Solidarity In the Social Democratic Discourse 192
2.3 The Relative Importance of Solidarity in the Austrian
Political Discourse 192
3. The Social and Health Care System in Austria 193
3.1 History 193
3.2 Financing and Administration of Health Care 194
3.3 Social Care Services (in Kind Benefits) 195
3.4 Care Benefit Systems (Cash Benefits) 197
3.5 Long Term Care institutions (Private, Public) 199
3.6 Institutionalised Solidarity in the Austrian Social and
Health Care Systems in the Light of Recent Reforms 199
TABLE OF CONTENTS ix
4. Solidarity as a Public Value in Austria 201
4.1 Solidarity as a Moral Value 203
4.2 Solidarity with Specific Groups 206
4.3 Solidarity as Expressed in Formal Social Institutions 208
4.3.1. Health Insurance 209
4.3.2 Pension Insurance 211
4.3.3 Reform Perspectives 211
4.4 Solidarity as Expressed in Informal Arrangements and
Practical Help ( Micro Solidarity ) 212
4.4.1 Solidarity Potential and Practical Solidarity in Families
and Among Relatives 213
5. Conclusions 216
6. Notes 217
7. Bibliography 218
8. Appendix 221
Jan van der Made, Ruud ter Meulen and Masja van den Burg
SOLIDARITY AND CARE IN THE NETHERLANDS 229
1. Introduction 229
2. Solidarity and the Dutch Formal and Informal Health 231
Care System 231
2.1 The Dutch Health Insurance System 232
2.2 The Extent of Macro Solidarity 234
2.3 Limits to Equal Access 236
2.4 Micro Solidarity and Informal Care 238
3. Public Values 242
4. Government, Solidarity and Equal Access in Recent Years 246
5. Concluding Remarks 248
6. Notes 252
7. Bibliography 252
Ruud Muffels and Rudi Verburg
REFORMS IN HEALTH AND SOCIAL CARE IN EUROPE: THE
CHALLENGE TO POLICY 255
1. Introduction 255
2. Reform and Support 256
3. Tinkering With the Terms of the Contract 258
4. Market Mechanisms and Informal Care 259
5. A New Balance in Welfare State Solidarity 261
6. Policy Conceptions of the Welfare State 262
7. The Homo Economicus and the Homo Ethicus 266
8. The Social Investment Society 267
9. New Challenges for Welfare State Policies 268
9.1 The Relationship Between Formal and Informal Care 268
9.2 Future Policy Scenarios in Health and Social Care:
Looking For a New Balance of Public and Private Interference 274
10. Bibliography 276
x TABLE OF CONTENTS
PART II: SOLIDARITY AS A MORAL CONCEPT:
PHILOSOPHICAL ISSUES 277
Rob Houtepen and Ruud ter Meulen
RECONSIDERING SOLIDARITY BY CONCEPTUAL ANALYSIS 279
1. Introduction 279
2. The Nature and Content of the Philosophical Contributions 282
3. The Red Thread of the Philosophical Part 286
RahelJaeggi 287
Solidarity and Indifference 287
1. Introduction 287
2. What Is Solidarity? 288
2.1 Everyday Use of the Concept 289
3. Non Instrumental Cooperation and Ethical Life 292
3.1 Two Models of Cooperation 293
3.2 The Particularity of Ethical Life1 296
4. Precarious Basis of Solidarity 297
4.1 Being Associated 297
4.2 Solidarity As Empowerment 300
5. De Solidarization, Social Indifference and the Crystallised
Solidarity of Welfare States 300
5.1 Crystallised Solidarities and Welfare Institutions 305
6. Notes 306
7. Bibliography 307
Nicola Pasini and Massimo Reichlin
SOLIDARITY, CITIZENSHIP AND SELECTIVE DISTRIBUTIVE
JUSTICE IN HEALTH CARE 309
1. Introduction 309
2. Traditional, Modern and Present Conceptions of Solidarity 310
2.1 Solidarity: from Tradition to Modern Society and Back Again? 311
3. Towards A New Social Citizenship: Problems and Perspectives 312
3.1 Solidarity in an Evolving Model of Citizenship 315
3.2 Can We Speak of a Selective Solidarity? 316
4. Solidarity In Health Care: Theoretical Reflections 318
5. Justice and Solidarity in Health Care Rationing 325
6. Notes 329
7. Bibliography 330
Massimo Reichlin
ORGAN TRANSPLANTATION IN ITALY: FORCED SOLIDARITY? 333
1. The New Act on Organ Transplantation 333
2. Two Objections 334
3. Discussion 335
4. Concluding Remarks 337
TABLE OF CONTENTS xi
5. Bibliography 337
Rob Houtepen, Ruud ter Meulen and Guy Widdershoven
BEYOND JUSTICE AND MORALISM: MODERNITY AND
SOLIDARITY IN THE HEALTH CARE SYSTEM 339
1. Introduction 339
1.1 Justice and Solidarity Beyond Liberalism and Communitarianism 340
1.2 Communitarian Notions of Solidarity 342
1.3 Solidarity Beyond the Liberal Communitarian Split 344
2. Solidarity and the Development of the Dutch Welfare State and Health Care
Arrangements 345
2.1 Origins of Welfare State Solidarity 345
2.2 Heyday and Crisis of the Welfare State 347
3. The Modernist Concept of Solidarity: Criticism and 351
New Heuristics 351
3.1 Towards A Practically and Culturally Sharpened Concept
of Solidarity 351
3.2 Solidarity and Care Ethics 353
3.3 Reflexivity and Citizenship Theory: Solidarity as Required
by the Functioning of a Democracy 356
4. Conclusion 360
5. Bibliography 362
Rob Houtepen and Ruud ter Meulen
PERSONAL BUDGETS FOR THE ELDERLY: 365
A CASE STUDY IN DUTCH SOLIDARITY 365
1. Targeting the Elderly 365
2. The Personal Budget Experiment 366
3. Solidarity Beyond Market and Bureaucracy 369
4. Bibliography 371
Ake Bergmark
SOLIDARITY IN UNIVERSAL WELFARE THE CASE OF SWEDEN.. 373
1. Introduction 373
2. Perspectives on Solidarity 374
2.1 Social Solidarity 374
2.2 Individual Solidarity 375
2.3 Intergenerational Solidarity 377
3. The Roots of Swedish Welfare 378
4. Under a Social Democratic Regime the Strong State vs. Individual
Autonomy 380
5. The Non Universalist Traits 381
6. Attachment to Welfare 383
7. Solidarity or Self Interest? 385
8. Solidarity the Concern for Others 387
9. Solidarity Societal Cohesion 390
10. Conclusion 392
xii TABLE OF CONTENTS
11. Notes 392
12. Bibliography 393
Alastair Campbell and Susan Jones
THE HISTORICAL AND PHILOSOPHICAL BACKGROUND OF
SOLIDARITY IN UK SOCIAL WELFARE 397
1. Introduction 397
2. A Historical Sketch 399
3. The Modern Era from Utilitarianidm to the Welfare State 401
4. Fifty Years of the Welfare State 405
4.1 A New Consensus on Welfare: Titmuss and Marshall 406
4.2 The Radical Critique of Welfarism 407
4.3 The Third Way 409
5. Conclusion 411
6. Notes 413
7. Bibliography 413
Alastair Campbell and Susan Jones
A CASE STUDY: THE LONG TERM CARE OF OLDER PEOPLE 417
1. Introduction 417
1.1 The Findings of the Royal Commission 417
1.2 The Commission s Recommendations 418
1.3 The Dissenting View 420
2. Conclusion: Solidarity and Long Term Care of Older People 421
3. Note 422
4. Bibliography 422
Sonja Puntscher Riekmann
WHICH THEORIES OF SOLIDARITY? FROM THE AUSTRIAN
CASE TO THE EUROPEAN CONTEXT 423
1. Introduction 423
2. Solidarity Discourses in Austria From the Habsburg Empire to the
Second Republic: Continuities and Discontinuities 427
2.1 La Longue Duree of Theoretical Approaches 427
2.2 The Parties and their Solidarity Concepts 430
2.3 The First Republic: Solidarity and Nation Building 432
2.4 The Second Republic: Continuities and Expansion 435
2.5 The Socialist Discourse 436
2.6 The Christian Discourse 437
3. Liberalism and Solidarity: the FPO Case 439
4. The Greens: Ecology and Solidarity 440
5. Future Perspectives 440
6. Bibliography 443
Sonja Puntscher Riekmann
THE COMPREHENSIVE LONG TERM CARE ALLOWANCE SCHEME:
THE LAST GRAND ENTERPRISE IN AUSTRIAN SOCIAL POLICY?.... 445
TABLE OF CONTENTS xiii
1. Introduction 445
2. The Political Debate on the Long Term Care Insurance 445
2.1. The Solidarity Discourse 446
3. Conclusion 449
4. Notes 449
5. Bibliography 449
Rob Houtepen and Ruud ter Meulen
SOLIDARITY, JUSTICE, REFLEXIVITY AND PARTICIPATORY
CITIZENSHIP 451
1. Conceptual Analysis: from Solidarity to Justice and Back 451
2. Threats to Solidarity 454
3. Opportunities: Participative Citizenship and Reflexivity 456
4. The Full Range of Participative Solidarity and Citizenship 459
Wil Arts, Ruud Muffels and Ruud ter Meulen
EPILOGUE: THE FUTURE OF SOLIDARISTIC HEALTH AND
SOCIAL CARE IN EUROPE 463
1. Setting the Stage 463
1.1 Sustained Public Support for the Welfare State 464
2. Solidarity and Modernity 464
2.1 Solidarity, an Ambiguous Concept 464
2.2 Reflexive Modernity, Trust and the Risk Society 465
2.3 Trust and Liquid Modernity 466
2.4 Individualisation 467
2.5 Globalisation and Capitalism 470
3. Solidarity and European Integration 472
3.1 The European Social Model 472
3.2 Towards a European Network State? 473
4. The Future of Health and Social Care Practices in Europe 474
4.1 The European Face of Citizenship and the Future of Health
and Social Care 475
5. Bibliography 476
NOTES ON THE CONTRIBUTORS 479
INDEX OF SUBJECTS 483
INDEX OF NAMES 495
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