Showing papers by "Julian Le Grand published in 1997"
TL;DR: The authors argue that these changes are in part the result of a fundamental shift in policy-makers' beliefs concerning human motivation and behaviour and that what is needed are "robust" policies that are not dependent on any simple view of human behaviour.
Abstract: There are two fundamental changes currently under way in the welfare state. These are the development of quasi-markets in welfare provision, and the supplementation of ‘fiscal’ welfare by ‘legal’ welfare: policies that rely on redistributing income through regulation and other legal devices, instead of through the tax and social security system. This article argues that these changes are in part the result of a fundamental shift in policy-makers’ beliefs concerning human motivation and behaviour. People who finance, operate and use the welfare state are no longer assumed to be either public spirited altruists (knights) or passive recipients of state largesse (pawns); instead they are all considered to be in one way or another self-interested (knaves). However, since neither the ‘new’ nor the ‘old’ set of assumptions are based on evidence, policies based on the new set are as likely to fail as those based on the old. What is needed are ‘robust’ policies that are not dependent on any simple view of human behaviour.
355 citations
TL;DR: The results do not suggest there is any gross pattern of inequity between ethnic groups, except perhaps with respect to the Chinese population which displays consistently low levels of utilisation, but while use of GP services by minority ethnic groups is in general as high or higher than the white population, use of outpatient service is low.
151 citations
Book•
01 Jan 1997
9 citations