Few discussions in modern social science have occupied as much attention as the changing nature of welfare states in Western societies. Gosta Esping-Andersen, one of the foremost contributors to current debates on this issue, here provides a new analysis of the character and role of welfare states in the functioning of contemporary advanced Western societies. Esping-Andersen distinguishes three major types of welfare state, connecting these with variations in the historical development of different Western countries. He argues that current economic processes, such as those moving toward a postindustrial order, are shaped not by autonomous market forces but by the nature of states and state differences. Fully informed by comparative materials, this book will have great appeal to all those working on issues of economic development and postindustrialism. Its audience will include students of sociology, economics, and politics."

The Three Worlds of Welfare Capitalism

OBJECTIVES: Recent studies have demonstrated that income inequality is related to mortality rates. It was hypothesized, in this study, that income inequality is related to reduction in social cohesion and that disinvestment in social capital is in turn associated with increased mortality. METHODS: In this cross-sectional ecologic study based on data from 39 states, social capital was measured by weighted responses to two items from the General Social Survey: per capita density of membership in voluntary groups in each state and level of social trust, as gauged by the proportion of residents in each state who believed that people could be trusted. Age-standardized total and cause-specific mortality rates in 1990 were obtained for each state. RESULTS: Income inequality was strongly correlated with both per capita group membership (r = -.46) and lack of social trust (r = .76). In turn, both social trust and group membership were associated with total mortality, as well as rates of death from coronary heart d...

https://ajph.aphapublications.org/doi/pdfplus/10.2105/AJPH.87.9.1491

Social capital, income inequality, and mortality.

This essay seeks to lay the foundation for an understanding of welfare state retrenchment. Previous discussions have generally relied, at least implicitly, on a reflexive application of theories designed to explain welfare state expansion. Such an approach is seriously flawed. Not only is the goal of retrenchment (avoiding blame for cutting existing programs) far different from the goal of expansion (claiming credit for new social benefits), but the welfare state itself vastly alters the terrain on which the politics of social policy is fought out. Only an appreciation of how mature social programs create a new politics can allow us to make sense of the welfare state's remarkable resilience over the past two decades of austerity. Theoretical argument is combined with quantitative and qualitative data from four cases (Britain, the United States, Germany, and Sweden) to demonstrate the shortcomings of conventional wisdom and to highlight the factors that limit or facilitate retrenchment success.

http://pluto.mscc.huji.ac.il/~mshalev/sem/Pierson_NewPolitics(1996).pdf

The New Politics of the Welfare State

Symposium Review: 25th Anniversary of Moral Boundaries by Joan Tronto

the structure of welfare state institutions. (2) A trade-off exists between the degree of low-income targeting and the size of redistributive budgets. (3) Outcomes of market-based distribution are often more unequal than those of earnings-related social insurance programs. We argue that social insurance institutions are of central importance for redistributive outcomes. Using new data, our comparative analyses of the effects of different institutional types of welfare states on poverty and inequality indicate that institutional differences lead to unexpected outcomes and generate the paradox of redistribution: The more we target benefits at the poor and the more concerned we are with creating equality via equal public transfers to all, the less likely we are to reduce poverty and inequality. Social scientists and social reformers have long debated how the welfare state and social policies should be designed so as to best reduce poverty and inequality. This debate involves two different issues. One question concerns whether social policies should be targeted or universal, that is, should they be organized for the poor only or should the welfare state include all citizens? In the context of nontargeted programs, another question concerns the level of benefits: Should benefits be equal for all, or should they be related to previous earnings and in

https://www.econstor.eu/bitstream/10419/160846/1/lis-wps-174.pdf

The Paradox of Redistribution and Strategies of Equality: Welfare State Institutions, Inequality and Poverty in the Western Countries

Following the publication of the Care Matters Green Paper, the Social Care Practices Working Group was established by the DfES and tasked with taking forward the commitment in Care Matters to explore the feasibility of piloting social work practices. Care Matters proposed the creation of Social Work Practices (SWPs) that would benefit both looked-after children and social workers if the latter were organised along the lines of professional partnerships, mirroring similar arrangements for legal and medical partnerships. There are a number of different forms that SWPs could take, but the preferred model is that of the professional partnership: a group of six to ten partners, the majority of whom would be social workers. The partnership would contract with the local authority to provide field social work for looked after children, and would commission services that its own staff could not provide. It would own its assets and pay the partners and any staff that it might employ.

Consistent care matters: exploring the potential of social work practices

This paper reviews the performance of the National Health Service under the Labour government of Tony Blair. It shows that there have been some dramatic increases in resources going into the service, but also that these do not seem to be delivering the improvements in activities that might have been expected. The paper argues that this is partly because of capacity constraints, but also because the mixture of organizational forms introduced by the government has resulted in misdirected and conflicting incentive structures for the key actors. Copyright 2002, Oxford University Press.

The labour government and the national health service

The performance of trusts

This paper studies equity in the distribution of primary health care and domiciliary care for elderly people. The main data source is the 1980 GHS which has been linked to local authority data. An equitably distributed service is defined as one in which only variables which measure respondent's need for the service provide a significant explanation of whether the respondent receives the service. In the case of primary health care we find that for a number of groups defined by gender and age, economic and demographic variables have significant explanatory power. For two groups (males under 41 and females between 40 and 60), need was the only significant variable. For domiciliary care not only are variables which relate to the respondent's demographic and economic status significant but also variables which are concerned with local authorities' policies concerning supply. In general neither service is distributed equitably in the sense defined.

https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0047279400020158

Julian Le Grand

Papers

Consistent care matters: exploring the potential of social work practices

The labour government and the national health service

The performance of trusts

Equity in Health and Social Care

The Economics of Social Problems: The Market Versus the State