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Health Care Politics in the Age of Retrenchment

Published online by Cambridge University Press:  05 July 2010

JASON JORDAN
JASON JORDAN*
Affiliation:
Department of Political Science, Florida State University, Tallahassee, FL 32306–2230, USA email: jjordan@fsu.edu
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Abstract

This article examines the debate between the power resources and ‘new politics’ scholars concerning the politics of welfare state retrenchment in advanced industrial democracies. Both approaches make competing claims concerning the relevance of partisan differences in the current age of welfare reform. This article tests the new politics hypothesis that partisanship has had a declining impact on welfare politics over time through an analysis of the growth in the public share of health care spending in 18 countries from 1960 to 2000. Consistent with the new politics approach, the results reveal that the partisan character of government no longer plays a significant role in determining changes in public responsibility for health care during the new politics period. This suggests that the current period is characterised by general agreement across party lines on the broad parameters of the health care system, reducing the intense partisan conflicts of the past to debates over reform at the margins of the health care system.

Type
Articles
Information
Journal of Social Policy , Volume 40 , Issue 1 , January 2011 , pp. 113 - 134
Copyright
Copyright © Cambridge University Press 2010

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References

Allan, James P. and Scruggs, L. (2004), ‘Political partisanship and welfare state reform in advanced industrial societies’, American Journal of Political Science, 48: 3, 496–512.CrossRefGoogle Scholar
Amable, B., Gatti, D. and Schumacher, J. (2006), ‘Welfare-state retrenchment: the partisan effect revisited’, Oxford Review of Economic Policy 22: 3, 426–44.CrossRefGoogle Scholar
Appleby, J. (1999), ‘The reforms of the British National Health Service’, in Powell, F. D. and Wessen, A. F. (eds.), Health Care Systems in Transition: An International Perspective, Thousand Oaks, CA: Sage Publications.Google Scholar
Bambra, C. (2005), ‘Cash versus services: “worlds of welfare” and the decommodification of cash benefits and health care services’, Journal of Social Policy, 34: 2, 195–213.CrossRefGoogle Scholar
Beck, N. and Katz, J. N. (1995), ‘What to do (and not to do) with time-series cross-section data’, The American Political Science Review, 89: 3, 634–47.CrossRefGoogle Scholar
Blake, C. H. and Adolino, J. R. (2001), ‘The enactment of national health insurance: a Boolean analysis of twenty advanced industrial countries’, Journal of Health Politics, Policy, and Law 26: 4, 679–708.CrossRefGoogle ScholarPubMed
Blank, R. H. and Burau, V. (2004), Comparative Health Policy, New York: Palgrave Macmillan.Google Scholar
Brambor, T., Clark, W. R. and Golder, M. (2006), ‘Understanding interaction models: improving empirical analyses’, Political Analysis, 14: 63–82.CrossRefGoogle Scholar
Brown, L. D. and Amelung, V. E. (1999), ‘“Manacled competition”: market reforms in German health care’, Health Affairs, 18: 3, 76–91.CrossRefGoogle ScholarPubMed
Castles, F. G. (2004), The Future of the Welfare State: Crisis Myths and Crisis Realities. Oxford: Oxford University Press.CrossRefGoogle Scholar
Cusack, T. R. and Engelhardt, L. (2003), ‘Parties, governments and legislatures data set’, www.wzb.eu/alt/ism/people/misc/cusack/d_sets.en.htmGoogle Scholar
Docteur, E. and Oxley, H. (2004), ‘Health-system reform: lessons from experience’, in Towards High-Performing Health Systems: Policy Studies, Paris: OECD.Google Scholar
Donelan, K., Blendon, R. J., Schoen, C., Davis, K. and Binns, K. (1999), ‘The cost of health system change: public discontent in five nations’, Health Affairs, 18: 3, 206–16.CrossRefGoogle ScholarPubMed
Esping-Andersen, G. (1990), The Three Worlds of Welfare Capitalism, Princeton, NJ: Princeton University Press.Google Scholar
Giaimo, S. (2002), Markets and Medicine: The Politics of Health Care Reform in Britain, Germany, and the United States, Ann Arbor: University of Michigan Press.CrossRefGoogle Scholar
Hacker, J. S. (1998), ‘The historical logic of national health insurance: structure and sequence in the development of British, Canadian, and US medical policy’, Studies in American Political Development, 12: 1, 57–130.CrossRefGoogle Scholar
Hacker, J. S. (2004), ‘Dismantling the health care state? Political institutions, public policies and the comparative politics of health reform’, British Journal of Political Science, 34: 693–724.CrossRefGoogle Scholar
Ham, C and Brommels, M. (1994), ‘Health care reform in the Netherlands, Sweden, and the United Kingdom’, Health Affairs, 13: 106–19.CrossRefGoogle ScholarPubMed
Heclo, H. (1986), ‘The political foundations of antipoverty policy’, in Danziger, S. and Weinberg, D. H. (eds.), Fighting Poverty: What Works and What Doesn't, Cambridge, MA: Harvard University Press.Google Scholar
Huber, E., Ragin, C. and Stephens, J. D. (1993), ‘Social-democracy, Christian democracy, constitutional structure, and the welfare-state’, American Journal of Sociology, 99: 3, 711–49.CrossRefGoogle Scholar
Huber, E., Ragin, C., Stephens, J. D., Brady, D. and Beckfield, J. (2004), ‘Comparative welfare states data set’, Northwestern University, University of North Carolina, Duke University, and Indiana University.Google Scholar
Huber, E. and Stephens, J. D. (2001), Development and Crisis of the Welfare State: Parties and Policies in Global Markets, Chicago: University of Chicago Press.CrossRefGoogle Scholar
Huber, M. and Orosz, E. (2003), ‘Health expenditure trends in OECD countries, 1990–2001’, Health Care Financing Review, 25: 1, 1–22.Google ScholarPubMed
Immergut, E. (1992), ‘The rules of the game: the logic of health policy-making in France, Switzerland, and Sweden’, in Steinmo, S., Thelen, K. A. and Longstreth, F. (eds.), Structuring Politics: Historical Institutionalism in Comparative Analysis, Cambridge: Cambridge University Press.Google Scholar
Immergut, E. (1999), ‘Historical and institutional foundations of the Swedish health care system’, in Powell, F. D. and Wessen, A. F. (eds.), Health Care Systems in Transition: An International Perspective, Thousand Oaks, CA: Sage Publications.Google Scholar
Jacobs, A. (1998), ‘Seeing difference: market health reform in Europe’, Journal of Health Politics, Policy, and Law, 23: 1, 1–33.CrossRefGoogle ScholarPubMed
King, D. and Maynard, A. (1999), ‘Public opinion and rationing in the United Kingdom’, Health Policy, 50: 39–53.CrossRefGoogle ScholarPubMed
Kittel, B. and Obinger, H. (2003), ‘Political parties, institutions, and the dynamics of social expenditure in times of austerity’, Journal of European Public Policy, 10: 1, 20–45.Google Scholar
Kittel, B. and Winner, H. (2005), ‘How reliable is pooled analysis in political economy? The globalization-welfare state nexus revisited’, European Journal of Political Research, 44: 269–93.CrossRefGoogle Scholar
Klein, R. (1985), ‘Why Britain's conservatives support a socialist health care system’, Health Affairs, 4: 1, 41–59.CrossRefGoogle ScholarPubMed
Korpi, W. and Palme, J. (2003), ‘New politics and class politics in the context of austerity and globalization: welfare state regress in 18 countries, 1975–95’, American Political Science Review, 97: 3, 425–46.CrossRefGoogle Scholar
Maarse, H. and Paulus, A. (2003), ‘Has solidarity survived? A comparative analysis of the effect of social health insurance reform in four European countries’, Journal of Health Politics Policy and Law, 28: 4, 585–614.CrossRefGoogle ScholarPubMed
Moran, M. (2000), ‘Understanding the welfare state: the case of health care’, British Journal of Politics and International Relations, 2: 2, 135–60.CrossRefGoogle Scholar
Navarro, V. (1989), ‘Why some countries have national health insurance, others have national health services, and the US has neither’, Social Science and Medicine, 28: 9, 887–98.CrossRefGoogle Scholar
Pierson, P. (1994), Dismantling the Welfare State? Reagan, Thatcher, and the Politics of Retrenchment, Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Pierson, P. (1996), ‘The new politics of the welfare state’, World Politics, 48: 2, 143–79.CrossRefGoogle Scholar
Saltman, R. B. (2002), ‘Regulating incentives: the past and present role of the state in health care systems’, Social Science and Medicine, 54: 1677–84.CrossRefGoogle Scholar
Steinmo, S. and Watts, J. (1995), ‘It's the institutions stupid! Why comprehensive national-health insurance always fails in America’, Journal of Health Politics, Policy, and Law, 20: 2, 329–72.CrossRefGoogle ScholarPubMed
Stephens, J. D. (1980), The Transition from Capitalism to Socialism, Atlantic Highlands, NJ: Humanities Press.Google Scholar
Swank, D. (2002), Global Capital, Political Institutions, and Policy Change in Developed Welfare States, Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Weaver, R. K. (1986), ‘The politics of blame avoidance’, Journal of Public Policy, 6: 3, 371–98.CrossRefGoogle Scholar