Welfare State Research Articles

Which client is worthy of using discretion? Analysing storytelling practices of Dutch street-level bureaucrats in inter-departmental settings

Abstract Multiple welfare states are re-emphasising the need for street-level bureaucrats’ (SLBs) discretion to stimulate responsive service provision. However, little is known about how SLBs with diverse backgrounds in inter-departmental settings deliberate what it means to use discretion well when different rules, eligibility criteria, and interpretations apply to a client. We address this gap by investigating the stories that participants of a Dutch policy experiment told each other to justify which clients should be granted a flexible interpretation of entitlement categories amid scarcity. We found that ‘caretakers’ used the ‘victim of circumstances’ and ‘good citizen’ plot-type to convince ‘service providers’ that the use of discretion was the right thing to do, whereas the latter used the ‘not needy enough’ or ‘the irresponsible citizen’ plot-type for contestation. Our analysis shows that storytelling helped SLBs to make sense of and bring cohesion to complex situations. Moreover, the analysis shows how stories can have a strong emotional appeal and create a sense of urgency to act collectively, yet can also create divisions and opposition among SLBs. As such, storytelling influences how SLBs think and feel about the client, themselves, and each other, and influences how discretion is used at the front-line of public policy.

What causes polarized stagnation, corporate economy, or welfare state?: Insights from new development economics

AbstractThis study explores polarized economic stagnation from the perspective of a capitalist corporate economy. It introduces two institutional policy paradigms: economic differentiation (ED) and economic egalitarianism (EE). ED‐friendly “market democracy” promotes shared growth, whereas EE‐friendly “egalitarian democracy” leads to polarized stagnation. The corporate economy is portrayed as the epitome of the ED institution leading shared growth, whereas the redistributive welfare state based on EE institutions could bring polarized stagnation. Empirical analysis tests these hypotheses and discovers that the world's polarized stagnation may be linked to “welfare policy under egalitarian democracy” rather than “corporate growth under market democracy” as commonly thought.

Realization of Short-Term Fertility Intentions in a Comparative Perspective: Which Macro-Level Conditions Matter?

This is the first large-scale comparative study to search for macro-level determinants of the realization of short-term fertility intentions across European countries. Using the unique follow-up feature of the Generations and Gender Survey and adopting rigorous definitions of intentions and outcomes, it reports on the level of fulfilment and finds clear heterogeneity across European countries. Using a multilevel, multivariate approach, it examines the nature of macro-level factors that may explain differences in the realization of fertility intentions. Based on our analysis, we conclude that labour market stability (as measured by fluctuations in the unemployment rate), price stability, heavy welfare state involvement, and the dominance of certain attitudinal conditions all support the greater realization of short-term fertility intentions.

Gendered Relationship of Childbearing with Earnings Accumulated by Midlife in Two Nordic Welfare States

AbstractThe Nordic welfare states are considered advanced in terms of gender equality, but even in these countries women still take longer family leave and have lower earnings than men. This study provides new insights by assessing the differences in accumulated midlife earnings associated with childbearing between women and men in Finland and Sweden. We pay particular attention to the size of the gender gap in accumulated earnings across groups. We hypothesize that the gender gap will be larger among those with a larger number of children, among those with a lower level of education, and overall in Finland. The study is based on complete population register data, with highly accurate measures of earnings over decades. Our results show that by the age of 44, women born in 1974–1975 in Finland and Sweden had earned on average 32% and 29% less than men, respectively. Childbearing strongly modifies the gender gap, especially in Finland, and the highly educated have moderately smaller gaps in both countries. Our results show that, even the Nordic welfare states, despite their strong policy emphasis on gender equality and their success in achieving high levels of female labor force participation, are far from closing the gender gap in earnings accumulated over the first half of the life course. Our results also suggest that governments seeking to achieve gender equality should be cautious about providing long family-related leave with flat-rate compensation.

Legal Regulation, Financial Incentives and Professional Autonomy in the Prioritisation of Norwegian Specialist Health Services.

To study hospital physicians' awareness and perceptions of the legal and financial regulations, and their impact on professional discretion regarding equity in access to treatment and quality of care. A sample of 637 physicians in the Norwegian specialist healthcare services selected from a survey conducted by the Institute for Studies of the Medical Profession. The paper investigates how legal and financial policy instruments affect the application of professional discretion regarding the prioritisation of specialist health services. Descriptive statistics and regressions were conducted for the analyses. Compared with financial incentives, legal regulations (laws, priority rules and guidelines) were assessed to be less negative external interventions in the exercise of medical and professional judgement. The empirical analyses revealed a positive tendency in physicians' assessments of the impact of legal regulations on treatment equity and healthcare quality, but negative attitudes towards financial instruments. The variations revealed are attributable to various structural and epistemic features of the legal-bureaucratic and economic models of administration in this area of the welfare state. Legal and financial regulations are imposed to achieve certain social goals and values. The findings of this study can provide further insight for the health authorities in other countries concerning implementation of such regulations in the specialist healthcare services.

Economic and legal principles of social protection of military personnel: World experience and Ukraine

The article considers principles of military personnel’ social protection in Ukraine, USA, Australia, and New Zealand in a comparative perspective. The framework used for the analysis is the dilemma of two opposing concepts of countries’ development and security – ‘warfare state’ and ‘welfare state’. The detrimental effect of skewing towards warfare state, manifested in skyrocketing growth of military field expenditures, is shown, backed up with an array of statistical data, scholars’ publications and expert analytics. It is demonstrated that the arising and essence of this opposition is rooted in the growing trends of securitization throughout the world, and detrimental effects of over-securitization on the overall welfare of country are justified. It is emphasized that for Ukraine, these concerns are particularly important, especially in the current conditions of war and the need, on the one hand, to effectively protect the country from aggression and on the other hand, enable economic and social resilience.

Political intolerance in comprehensive welfare states: Evidence from Sweden

AbstractPrevious research has shown that comprehensive welfare states are effective at bridging ethnic divisions and promoting political tolerance of marginalized groups. Do these results hold up in the face of the great influx of migrants into European welfare states following the 2015–16 refugee crisis? In this case study of Sweden, we map the general level of political tolerance and test various individual‐level explanations for it. Based on a survey of about 3500 citizens, our results show that the level of ethnic antipathy in Sweden is low. Other groups, however—such as supporters of the Sweden Democrats, a radical‐right party—are widely disliked, as are abortion opponents and anti‐vaccinationists. The individual‐level explanations we have tested—in connection with threat perceptions, civic and political engagement, and socio‐economic factors—turn up mixed results. Our conclusion is that the results we have found reflect something of a liberal‐democratic backlash, whereupon a certain kind of political intolerance has become widespread.

Marcusean resources to think coloniality

The article aims to take a stand in the debates surrounding the potential contribution of the theoreticians of the first generation of the Frankfurt School to postcolonial/decolonial theory, by showing that Herbert Marcuse, in his work, has outlined coloniality as later authors have defined it. Marcuse denounced the neocolonialism and neoimperialism of which the Global South populations were prey at the time of decolonizations. He showed that the welfare state and the affluent society in contemporary Western societies largely fed themselves on the continued economic exploitation of the Global South. Marcuse decried the uneven development bred by the capitalist system and criticized the ideology and mechanisms of development imposed on the newly independent countries, which also violated the subjectivity of their peoples, ignoring their values and aspirations. He condemned the racial-based violence and war imposed on the ‘underprivileged’ in the Global South and the Global North alike. These trains of thought describe different aspects of coloniality. This article will analyze these insights through a close reading of Marcuse’s work and comparisons with the writings of Frantz Fanon, Kwame Nkrumah and Samir Amin.

Measuring Historical Inequality in Germany

Abstract This article surveys the measurement of historical wealth and income inequality in Germany. We discuss the underlying data sources, the challenges they pose, and the opportunities they create. We also identify two promising avenues for future research. First, we argue that the geographic granularity of German historical statistics provides researchers with the opportunity to investigate the causes of inequality. Second, several dimensions of historical inequality remain under-explored, for example, the equalizing role of welfare state institutions such as public pensions.

StinePiilgaardPorner Nielsen and OleHammerslev (eds), Transformations of European Welfare States and Social Rights: Regulation, Professionals, and Citizens, Cham: Palgrave Macmillan, 2024, x + 226, pb £34.99 and open access

StinePiilgaardPorner Nielsen and OleHammerslev (eds), Transformations of European Welfare States and Social Rights: Regulation, Professionals, and Citizens, Cham: Palgrave Macmillan, 2024, x + 226, pb £34.99 and open access

Measuring corruption: whose perceptions should we rely on? Evidence from Iceland"

The extent of corruption in Iceland is highly contested. International corruption measures indicate a relatively small amount of corruption while domestic public opinion suggest a serious corruption problem. Thus, uncertainty prevails about the actual extent of corruption and whose perceptions to rely on. This problem is relevant for corruption research in general. Perceptions are increasingly used as proxies for the actual levels of corruption in comparative research. But we still do not know enough about the accuracy of these proxies or the criteria they must meet in order to give dependable results. In fact, radical differences exist concerning evaluations of perceptions between those who believe in unbiased learning and those believing perceptual bias to be widespread. The purpose of this article is, therefore, to attempt to gauge which factors may influence how perceptions of corruption are shaped and why differences in corruption perceptions between different groups may be so pronounced. We present findings from original survey data from three parallel surveys – among the "public", experts, and "municipal practitioners" – conducted in Iceland in 2014. Expectations based on the perceptual bias approach are tested, indicating that perceptions may be affected by (1) information factors, (2) direct experience of corruption and (3) emotive factors. The validity of perception measures should be considered with this in mind. Domestic experts are likely to be well informed and avoid perceptual bias to a greater extent than other groups. Our examination of the Icelandic case suggests that the Corruption Perception Index (CPI) tends to underestimate corruption problems in "mature welfare states", such as Iceland, whilst the general public tends to overestimate it.

Casualization of work, free riding and institutional distrust: Explaining social protection preferences of platform workers in Germany

Abstract The social protection of platform workers is widely recognized as a major political challenge but remains vastly understudied. The few existing investigations focus on social protection coverage and the employment status of platform workers, while their social protection preferences remain a black box to date. In this article, we investigate the social protection preferences of platform workers using a mixed methods design based on an online survey (n = 719) and qualitative in-depth interviews (n = 20) with self-employed platform workers in Germany. While the quantitative data indicate that the vast majority of respondents reject compulsory social insurance contributions for platform workers and favour self-employment over dependent employment, the qualitative interviews reveal three main types of explanations for this regulation aversion in different segments of platform work: The casualization of work in the platform economy, free riding on protection derived from ‘regular’ employment and distrust in established welfare state institutions. Against this background, we discuss challenges for social policies aiming at improving social protection for platform workers.

Financial struggles and coping with the aftermath of breast cancer care: An ethnographic study in Vietnam

Breast cancer, the most common cancer diagnosed among women, disproportionately affects low- and middle-income countries (LMICs). Based on an ethnographic study conducted in Central Vietnam in 2019, including observation and interviews with 33 women patients, we investigate how women and their families managed the financial burden of breast cancer care. Our findings suggest that in a context where health-related risk protection is poorly organised and out-of-pocket expenses are burdensome, despite the presence of universal health coverage, patients must rely heavily on informal arrangements to finance their treatment. They proactively researched available information and undertook extensive and ramified work to prove their deservingness for some types of assistance, including strategically disclosing their cancer status or using tactics to accelerate the process of applying for state welfare. Affected families must make hard calculations to prioritise the pressing health need of a member diagnosed with cancer and in many circumstances, forfeited the education of their young children. We offer theoretical understanding of ‘patient work’ beyond the routine management of the biological aspects of an illness. In addition, we demonstrate how engaging in those various coping practices can reinforce one's vulnerability to a vicious cycle of illness and poverty and amplify socio-economic inequalities among the affected community and the larger society. We argue this situation, if not tackled urgently and appropriately, can impede the progress towards achieving Sustainable Development Goal 3 (Good Health and Wellbeing) and Goal 10 (Reduced Inequalities) in LMICs amidst the non-communicable disease epidemic.

Reversing Sovereignty: Deconstructing State ‘Rights’ and ‘Welfare’ in Jacinta Kerketta’s Poetry

In the prefatory remarks to her translation of Mahashweta Devi’s Draupadi, Gayatri Chakravorty Spivak writes that the self-fulfilling premise of knowledge regarding the objects of critical discourse colours Western observations on the Other, although the text of Draupadi is potent enough in showing its blatant inadequacies and thus rendering the character of Dopdi Mejhen as neither completely understandable nor ‘translatable’. Translation, in critical discourse, therefore transcends the literal definition of the term as change of diction or language and encapsulates the idea of discursive readjustment as well. Jacinta Kerketta’s poems highlight the politics of ‘translation’ adopted by the modern welfare state in postcolonial India vis-à-vis the plight of Adivasis. While constitutional guarantees and safeguards constitute the benevolently sovereign nature of the postcolonial state, the complexities involved in the execution of these guarantees render them fallible in co-opting the demands and rights of the Adivasi in the narrative of national progress and other statist goals and objectives. On the other hand, Kerketta’s poems serve to offer a literary resistance to the complaisant presumptions of politico-legal discourse and create unprecedented fissures in concepts that are held to be self-explanatory and integral features of the modern welfare state.

Enacting the border multiple in the post-welfare state: Registration of foreign-born persons in Finland

This article analyses border practices that are enacted through an array of migrants’ residence registration procedures in Finland. These practices extend to the country of departure and also take place upon arrival and settlement within a municipality, and they are intimately tied with the person’s access to social rights in the country. Building on critical border studies and Annemarie Mol’s idea of multiple ontologies we examine migrant stories, collected via multi-sited ethnography, that simultaneously testify to being targeted by diverse border practices and of being compelled to take part in doing the border. We address regulatory practices that modify and, indeed, reinforce inequalities between migrants. We argue that residence registration as a scattered border practice not only enacts different statuses for migrants but orders them hierarchically depending, for example, on the person’s migration status and nationality (EU/TCN). Furthermore, multiple regimes of knowledge production such as statistics on migrant population draw on the data recorded in the population register during the municipal registration process, which further extends the impact of this data. We show how the welfare state system, claimed to be universal, is highly conjunctural depending on the information the person receives from different interlocutors, and on the presumably apolitical “policy on the fly” enacted at the registration desk.

Islamic Welfare State: K.H Abdurrahman Wahid Perspective

Indonesia is a country rich in abundant natural resources. There are various natural products, biological and non-biological, from various fields and livelihoods. However, the existing resources have not fully made Indonesian people prosperous. The data shows that unemployment and crime in Indonesia are very high. Therefore, it is necessary to analyze the real concept of prosperity in Indonesia. This type of research is a literature study sourced from books, journals, and scientific articles. The results of the study show that the Islamic welfare state from Gus Dur's perspective is a state that creates prosperity for the Indonesian state both for Islam and as a whole. To overcome existing social problems, it is necessary to apply the values of the characteristics of a prosperous state as Gus Dur has conveyed, namely a law-based prosperous state, a democratic prosperous state, a prosperous country for civil society movements, and a socio-cultural prosperous state by applying these values and characteristics, the Indonesian state can become a Baldatun Thoyibatun Warobbun Ghofur state.

Competing language ideologies of health literacy

Abstract This article examines how ‘Sara’, a migrant woman living with a disability, narrates her experiences with Norway’s welfare and healthcare. Sara invokes a trope — tydelighet [clarity] — to describe successful communication styles in Norwegian institutional spaces. Through ethnographic investigation, I demonstrate how this trope indexes broader linguistic ideologies cycling through different levels of the Norwegian nation-state. To be able to communicate with clarity is linked to being a specific type of citizen-subject. On the one hand, Sara describes the sociopragmatic style of clarity as enabling access to healthcare and welfare services, stable employment, and speaker legitimacy. On the other hand, lack of clarity rationalizes inequalities in institutional spaces. I propose that this ideology has a racializing, gendering, and disabling function. The article offers insights into how language ideologies regulate Sara’s lived experience with health literacy to secure a healthy and employed life as a migrant with disability living in the welfare state.

The promise and limits of inclusive public policy: federal safety net clinics and immigrant access to health care in the U.S.

Abstract In the United States, exclusionary public policies generate inequalities within and across labor, financial, and legal status hierarchies, which together undermine immigrant well-being. But can inclusive public policies improve immigrant health? We examine whether and how an immigrant-inclusive federal program, Federally Qualified Health Centers (FQHCs), shaped health care access and use among farmworkers over nearly three decades, paying particular attention to disparities at the intersection of nativity and legal status. Linking historical administrative data on the location and funding of FQHCs with the National Agricultural Workers Survey from 1989–2017, we first document trends in farmworkers’ county-level proximity to FQHCs and identify a steady increase in FQHC access among undocumented farmworkers following the Affordable Care Act. Next, using time-series cross-sectional regressions with a battery of fixed effects, we find that living in a county where FQHCs are available and better resourced is associated with increased health care use among undocumented farmworkers, but not among U.S.-born or documented immigrant farmworkers. We also find that county-level access to FQHCs is associated with reduced reports of language barriers to care among both documented and undocumented foreign-born farmworkers. These findings suggest that FQHCs may improve access for immigrants who are typically excluded from U.S. health care institutions. Still, county-level FQHC infrastructure is not associated with cost-related barriers to care for any nativity or legal status groups. Taken together, our study highlights both the potential and constraints of inclusive public policies for promoting health equity in a welfare state context characterized by commodification and stratification.

The welfare state as a child of the growth economy and a troubled midwife of an eco-social transformation: a commentary on ‘Postgrowth welfare systems: a view from the Nordic context’ by Riya Raphael et al

In Raphael et al (2024) the authors discuss very well how encompassing (Nordic) welfare states can both facilitate a transition to sustainable, post-growth societies, yet are also fundamentally challenged by such a transition. However, I emphasise room for better elaboration in terms of: 1. Emphasising the structural challenges induced by ‘the new politics of the welfare state’ rather than ascribing inequality to the privatisation of public services. 2. Better elaboration of the ‘synergy hypothesis’ from other literature on potential intersections between welfare regimes, varieties of capitalism, and sustainability transformations. 3. Discussing the specific economic, monetary and fiscal policies needed to aid societal transformations and abolish the growth dependencies of established welfare states.

LAND PROCUREMENT IN ORDER TO SUPPORT THE DEVELOPMENT REVIEWED FROM THE ASPECTS OF LEGAL CERTAINTY

Article 5 of the Basic Agrarian Law of Indonesia establishes that the earth, water, space, and their natural resources are under the control of the state, with the aim of achieving public prosperity in a just society. In developing the electricity system, as per Law No. 30 of 2009 on Electricity, land use necessitates compensation for land rights holders in accordance with Law No. 2 of 2012 on Land Acquisition for Public Interest and related regulations. Regulation of the Minister of Energy and Mineral Resources No. 13 of 2023 addresses spatial planning, minimum distance for electric transmission networks, and compensation for land and buildings under these networks. However, land beneath the Extra High Voltage Overhead Line (SUTET) only receives compensation for land value, not for the use of the space beneath the line, leading to reduced land productivity and economic value. This research employs normative juridical research with statutory and case approaches, analyzing primary legal materials such as relevant laws and regulations. It utilizes legal theories including legal certainty, justice, and state welfare. The research finds that the current practice of not compensating land under SUTET, but only compensating for land value, results in economic disadvantage and lacks fairness. To promote legal certainty and justice, it is recommended that compensation provisions be explicitly regulated by law to address these issues comprehensively.