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When observed in comparative perspective, until the early-1990s the Italian welfare state was clearly an outlier, characterized by an unbalanced allocation of resources among welfare sectors (so-called functional distortion) and towards social groups (distributive distortion). Since then, however, profound transformations have affected both the institutional architecture and the distributive profile of the Italian welfare state. Through an in-depth reconstruction of three decades of welfare reforms in Italy, this article shows how retrenchment and regulatory reforms in pension and labour market policies in an earlier phase (1992–2015), combined with the rather unexpected ‘expansionary turn’ in family and anti-poverty policies in more recent times (2016–2022), have partly reduced the comparative imbalances of the Italian welfare state, making it less of an outlier than in previous decades. To understand such puzzling developments, it relies on an explanatory framework centred on the interplay between socio-political demand and political supply, showing how the emergence of new coalitions, which for the first time mobilized latent social needs, combined with the reshuffling of the party system and the electoral success of parties challenging the austerity paradigm, quite unexpectedly contributed to make the Italian welfare state now look more ‘mainstream’ than in the past.
Why does the supply of mental health care vary across countries? Moreover, why would the state supply services to those who cannot demand them? This chapter introduces how a comparative, political-economic, and historical perspective can explain mental health care outcomes, as well as how studying mental health can inform comparative political economy. It then turns to the theoretical argument, explaining why and how public sector managers and workers – the “strange bedfellows” of the “welfare workforce” – shape the supply of public social services. The chapter closes with a sketch of the book’s research design and how it structures the following chapters
This concluding chapter reviews the core findings about psychiatric deinstitutionalization and mental health care and lays out the argument’s theoretical implications for social policy scholarship more generally. It highlights that the political logic of social services (e.g., health, education, and care) is distinct from that of cash transfers (e.g., pensions, unemployment, and disability benefits). The key difference: the welfare workforce. I also discuss the complex policy implications of this trend (especially as the contours of the welfare workforce become less clear) and close by considering how to harness the power of welfare workers in contemporary welfare capitalism.
During the postwar period, Japan, Taiwan and South Korea emerged as industrial and democratic exemplars in the East Asia region. A less well-known story is of their equally remarkable achievements in social policy reform and the formation of welfare states. Section 1 of the Element provides an overview of welfare state deepening in Japan, Taiwan and Korea and an account of why and how the developmental states institutionalized the social insurance model. Section 2 examines the drivers of social welfare universalization in Japan, Taiwan and Korea, notably the importance of democratization. Section 3 focuses on emerging challenges to the East Asian welfare state and how it has adapted. Though Japan, South Korea and Taiwan evolved their welfare states in a distinctive way historically, the current challenges they face and their responses have converged with other developed, post-industrial democracies.
Recently, convergence liberals, such as Kevin Vallier, argue that the principle of social insurance could be publicly justified. Our paper challenges this marriage of convergence liberalism and welfare state. We begin by examining Vallier’s three reasons for the principle of social insurance: risk aversion, injustice and the promotion of political trust. We then argue that all these reasons are intelligibly objectionable. After examining five possible responses that convergence liberals may offer, this paper concludes that the principle of social insurance is not conclusively justified in the convergence conception of public justification.
The Welfare Workforce is a thought-provoking exploration of mental health care in the United States and beyond. Although all the affluent democracies pursued deinstitutionalization, some failed to provide adequate services, while others overcame challenges of stigma and limited resources and successfully expanded care. Isabel M. Perera examines the role of the “welfare workforce” in providing social services to those who cannot demand them. Drawing on extensive research in four countries – the United States, France, Norway, and Sweden – Perera sheds light on post-industrial politics and the critical part played by those who work for the welfare state. A must-read for anyone interested in mental health care, social services, and the politics of welfare, The Welfare Workforce challenges conventional wisdom and offers new insights into the complex factors that contribute to the success or failure of mental health care systems. This title is also available as Open Access on Cambridge Core.
The chapter surveys the growth and consolidation of the Socialist labor movement, its persecution by the state, the ideological problem of revolution, the beginnings of the welfare state.
While previous research has highlighted the significant role of language in conditioning migrants’ access to key institutions of the welfare state, the question of how individual migrants experience linguistic disadvantage has been less in focus. Drawing on a relational approach, the article moves beyond the idea of language barriers as a static structure of (in)equality or a matter of individual shortcomings. It demonstrates how language policies and language ideologies, and their entanglements with more general trends in welfare policies and ideologies, shape migrants’ relational experiences with the welfare states and their representatives, and what are the implications of such interactions – or the lack of interaction. Empirically, it builds on qualitative data collected in Belgium and Finland, showing how language barriers and discrimination can result in Kafkaesque administrative processes that produce both material and affective hardship for migrants in these national contexts.
Societies are experiencing deep and intertwined structural changes that may unsettle perceptions European citizens have of their economic and employment security. In turn, such perceptions likely alter people’s political positions. For instance, those worried by labour market competition may prefer greater social protection to compensate for the accrued risk, or prefer more closed economies where external borders provide protection (or perceived protection). We develop expectations about how such distinct reactions can emerge from distinct labour-market risks of globalization, or automation, or migration. We test these expectations using a conjoint experiment in 13 European countries on European-level social policy. Results broadly corroborate our expectations on how different concerns about sources of labour market competition yield support for different features of European-level social policy.
Poverty prevention is a central concern of welfare states, and the redistribution of financial resources has been a major strategy to realise it. The differences in addressees, extent, and conditions of this redistribution have been intensively studied. The relevance of family in poverty prevention policies, though, has hardly been analysed, although all forms of welfare redistribution “factor in” family in one way or another, and particularly so in poverty prevention. We analyse how family membership impacts welfare state redistribution to the poor to identify redistributive logics in terms of family, that is the unequal redistribution of public resources to particular family types. We systematically analyse and present the similarities and differences in these redistributive logics, using the micro-simulation model EUROMOD for the countries of the EU. The results show that poor families benefit from anti-poverty measures in form of additional benefits, but family-related financial obligations often exceed these.
Early childhood education and care (ECEC) is among the most important services for children and their parents as it promotes children’s development and enables mothers’ employment. Previous research has shown that there is an educational gradient as children of mothers with a low education level participate less in ECEC services, but less is known about the development of this inequality. This study, using EU-SILC survey data, focuses on the development of inequality in ECEC use of children under 3 years of age during 2004–2019, and on disparities between three categories of education levels among mothers. The results show that, together with increasing ECEC participation rates, overall inequality has increased in Europe. Inequality has increased between low- and other education levels, whereas in a few cases, a decrease has happened between medium- and high-educated mothers. It is important to pay attention to socioeconomic disparities with rising participation rates.
As climate change progresses, natural hazards are projected to continue to increase in frequency and intensity, posing a new form of social risk, implicating both the welfare and environmental state and raising the salience of ecosocial policy as a mechanism to attend to the distributional effects of climate change mitigation and adaptation. This study posits a novel conceptual framework for ecosocial policy and offers the US ecosocial safety net as a case analysis. While we conceptualise disaster relief policy as a mode of the environmental state, it includes unique ecosocial policies that constitute the backbone of the US ecosocial safety net. This study describes and compares the developmental and functional synergies between the US welfare and environmental state manifested in the form of an ecosocial safety net by explicating the Individual Assistance Program and the National Flood Insurance Program. Our findings reveal synergies between US disaster relief and welfare, including parallel developmental trends, philosophies of deserving/undeserving, functions of racial capitalism and relationships with economic growth. This study and its conceptual framework of ecosocial policy offer a groundwork for the study of ecosocial policy in other contexts.
The social protection of platform workers is considered one of the most precarious features and political challenges of this new form of employment. Still, there have only been a few empirical investigations on this issue to date. This article presents an explorative empirical analysis of the social protection of platform workers in Germany – a conservative welfare regime with a strong link between standard employment and institutionalised social protection. On the basis of an online survey amongst 719 self-employed platform workers, we examine how different employment patterns correspond to institutionalised protection against sickness and old age. We empirically explore different protection types and analyse how they differ regarding working conditions in platform work and individual social policy preferences. Findings reveal that conditions of platform work and social protection as well as demands and regulatory preferences vary notably across different clusters of platform workers. Still, the vast majority votes against obligatory social insurances for platform workers and favours self-employment over dependent employment. Against this background, we discuss challenges for future attempts aiming at improving social protection for platform workers. This study adds to the literature by empirically exploring platform workers’ social protection and social policy preferences, which have been overlooked to date.
Since the onset of the COVID-19 pandemic, both viral infection and the corresponding economic turmoil have wreaked havoc across the globe, highlighting the imperative function of the state as a social protection provider. The pandemic has seemingly created favourable political circumstances for rapidly expanding social protection, but its influences on public welfare attitudes remain unclear. In this study, I argue that the impact of pandemic-driven economic risk is too limited to spur strong public support for social protection. The employed empirical analyses using panel data collected in South Korea show that unemployment induced by the pandemic is conducive to higher degrees of individual support for social protection measures, but the impact is only short-lived. Further analyses show that, once individuals are re-employed and as the time spent in economic difficulties becomes more distant, personal unemployment experiences are no longer positively associated with support for social protection. Finally, pandemic-induced unemployment experiences have a lasting impact primarily on young adults. The evidence therefore suggests that significant institutional changes in the welfare state are hard to achieve by solely relying on the impact of economic risk.
What shapes citizens’ perceptions of long-term welfare state sustainability? Past work hints at three explanations: information about fiscal pressure, deservingness views of recipient groups, and left-right ideology. We consider all three in an experiment exposing people to information about fiscal costs and/or low deservingness in the labor market domain. Left-right ideology functions as a moderator. Unlike past work, which has concentrated on demographic pressures, information about fiscal costs does not generate worries about sustainability (separately or combined with deservingness cues). Rather, left-right ideology moderates reactions. People on the left seem to question and counterargue against fiscal pressure, such that when facing negative information, they develop more positive sustainability views. This counter-reaction coexists with statistically insignificant effects in the negative direction among people on the right. These ideological contingencies arise without partisan cues, suggesting that welfare state pressure itself is ideologically controversial in the labor market domain.
Business power is thought to increase over time when private actors are involved in the provision of public goods and services. This paper argues that this is partially true—and that in certain circumstances, state actors can even swiftly regain control of sectors previously ceded to private interests. When the latter fulfill some public functions on behalf or as delegates of the state, policymakers face ever greater pressures to sustain a relationship flawed by principal-agent problems—allowing business actors to derive appreciable political benefits. However, these conditions do not hold true after deregulation—when state actors retreat from a sector and attempt to direct the newly created market through licensing, norms, and standard setting. We demonstrate that deregulation sets the stage for a more competitive environment, making it harder for private interests to cooperate. This, in turn, can allow policymakers to enhance regulatory capacities and seize opportunities to highlight the shortcomings of private provision. After establishing this argument theoretically, we illustrate its implications through the comparative historical analysis of the health insurance sector in two European countries—Belgium and France. Despite their initial similarities, they experience contrasting developments regarding the welfare state’s dependency on private insurers for the provision of crucial collective goods.
By looking at the impact of migration within Britain and concentrating on the industrial workplace in Luton, this chapter shows how different forms of mobility within ‘working-class culture’ were consonant with the enduring salience of stories about historical hardships drawn from early life. It explores how, even as the Labour Party shied away from discussing the inter-war Depression, many manual and non-manual workers still spoke about politics in these older terms. However, remarkably similar stories about unemployment and the Depression before the war could also feed into Conservative support. The chapter closes with a discussion of attitudes towards immigration and the welfare state.
This chapter, a study of Aberdeen, considers how older people’s memories of familial sacrifice in the first half of the century were reconfigured in the 1970s amidst an increasingly strained welfare state. While recollections of the injustices of the limited healthcare in the early twentieth century could feed into popular justifications for the National Health Service, some people also used family stories about historical healthcare to make arguments for bringing back elements of the older system. In turn, memories of other sacrifices being unrewarded fed into the emerging political movement of Scottish nationalism.
Services are the largest part of modern economies, but often highly regulated, making cross-border service activity hard to achieve. Sometimes, as in the case of abortion, healthcare, education or gambling, they have an important social, redistributive or moral aspect which makes liberalisation of cross-border services politically sensitive. Yet the Court of Justice’s case law is very far reaching, treating any measures which hinder or make less attractive the provision of cross-border services as prohibited unless they can be justified. This applies not just to the State, but to any body restricting market access, including trade unions concerned to exclude low-cost competition from posted workers. Much of this case law has been codified in the Services Directive, which also addresses freedom of establishment, but the Directive has so many exclusions that Article 56 of the Treaty on the Functioning of the European Union and the case law remain important, as does sector-specific legislation such as that on free movement of patients.