Ideas, private institutions and American welfare state 'exceptionalism': the case of health and old-age insurance, 1915–1965

Traditional theories of welfare state development divide into two camps: societal accounts and institutional accounts. The aim of the present article is to amend and enrich the institutional approach to US social policy by reconsidering key aspects of the genesis of the American welfare state: 1) showing that concepts such as 'policy feedback' and 'path dependence' need to be extended to encompass the effect of private social policies; and 2) taking policy paradigms and agenda setting more seriously than is the norm in institutional scholarship. The empirical analysis is divided into two parts. The first part explores the activities of the American Association for Labor Legislation (AALL) in the decade beginning in 1910 and the genesis of Social Security in the 1930s, while the second part examines the effect of the private benefit developments on policy choices between 1935 and 1965.     

Cash for long‐term care: Policy debates,visions, and designs on the move

Cash‐for‐care (CfC) schemes have introduced a key transformation in long‐term care policies across Europe since the 1990s. The article explores the extent to which CfC policies have changed over time and into which directions, the ways in which change (if any) has occurred and the forces underlying it. By combining the literature on institutional change with ideational approaches, the article focuses on policy theories and policy designs, on modes of change and factors pushing for change within the CfC policy, and in the long‐term care and neighbouring policy fields. In doing so, we aim to contribute to understanding institutional change and the transformation of an increasingly important sector of the welfare state.     

Breaking down ideas and institutions: the politics of tax policy in the USA and the UK

As the existing comparative policy literature suggests, both ideational and institutional analyses have clear analytical value in their own terms but, under many circumstances, it is the combination of the two perspectives that allows for a full understanding of policy trajectories. In this article we suggest that, to improve our understanding of how ideas and institutions interact to produce change, it is important to break down these two overly broad concepts. This is because beyond general arguments about how ‘ideas’ and ‘institutions’ interact, students of public policy should itemize ‘ideas’ and ‘institutions’ into more focused, and empirically traceable, subcategories while recognizing the changing and contingent nature of their interaction, over time. To illustrate this, we turn to the politics of tax policy in the United States of America and the United Kingdom, tracking developments from the rise of the New Right and an aggressive income tax cutting agenda, personified by President Reagan and Prime Minister Thatcher, through to the revived debate about the legitimacy of increasing taxes on those earning the highest incomes that emerged in the era of austerity that followed the Great Recession of 2008.     

Promoting the concept of prevention in social security: issues and challenges for the International Social Security Association1

McKinnon R. Promoting the concept of prevention in social security: issues and challenges for the International Social Security Association Int J Soc Welfare 2010: 19: 455–462 © 2009 The Author, Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. The history of the relationship between institutional social security and the concept of prevention is a chequered one. Across much of the 20th century, the imputed importance in social policy agendas accorded to prevention, alongside protection and rehabilitation, was only rarely, and somewhat inconsistently, matched in practice. Currently, efforts are underway internationally to promote the importance of the concept in social security more systematically. A key actor in this regard is the International Social Security Association (ISSA). Focusing on the role of the ISSA, the article argues against any possible endeavours, no matter how tentative, that might seek to mainstream the concept of prevention in social security, and concludes as preferable a narrower, but more vigorous, selective approach based on institutional practice to date.     

Health system decentralization and recentralization in Italy: Ideas,discourse, and institutions

This paper explores the dynamics of health system decentralization and recentralization in Italy, investigating why and how the territorial organization of the health system has changed over time. Drawing from discursive and historical institutionalism, the explanatory framework revolves around the role of ideational and institutional factors. The methods include process tracing and interpretive‐discourse analysis. Empirical material is drawn from documents and in‐depth interviews to experts and decision‐makers. Through the analysis of the reform trajectories in light of decentralization and recentralization processes, the paper shows that the territorial organization of the Italian health system has changed through a mechanism of gradual transformative change that I here call ideational and institutional bricolage, which involves the interplay between ideas, discourse, and institutions.     

Pension privatization in crisis: Death or rebirth of a global policy trend?

From 1981 to 2007, more than thirty countries worldwide fully or partially replaced their pre‐existing pay‐as‐you‐go pension systems with ones based on individual, private savings accounts in a process often labelled “pension privatization”. After the global financial crisis, this trend was put on hold for economic, ideational, and institutional reasons, despite a rise in critical indebtedness that has facilitated pension privatization in the past. Is the global trend towards pension privatization dead or in the process of being reborn, perhaps in a somewhat different form? Several recent trends point to rebirth as policy‐makers scale back public and private pension systems, attend to minimum pensions and “nudge” rather than mandate people to save for retirement.     

Conservative Ideas and Social Policy in the United States

This article explores social policy development in the United States since the beginning of the George W. Bush presidency. Starting from an analysis of the discourse about compassionate conservatism at the centre of the 2000 presidential campaign and proceeding to a discussion of the meaning of the more recent ownership society blueprint, it underlines the fragmented nature of the conservative policy agenda in the United States. Yet, the article suggests that, despite this fragmentation, the ideological dominance of the right and the related absence of needed reform in key policy areas are of great significance for the future of federal social policy. Overall, the article shows how paying close attention to the nature of conservative ideas improves our understanding of social policy development in the United States. As argued, the old liberal and the traditionalist sides of American conservatism have inspired distinct yet related blueprints and reform proposals that both promote a scaling-down of existing federal social programmes and a return to traditional forms of economic security (i.e. charity and personal savings). The article underlines the relationship between these blueprints and policy drift.     

Institutional evolution and abrupt change: Reforming the administration of social assistance in Finland

Historical institutionalist studies have explained institutional change as resulting from critical junctures that interrupt long periods of stability or from endogenous, incremental evolution. Building on these theories, discursive institutionalists have focused on the roles of agency, ideas and discourse as explainers of change. Combining these approaches, this article analyses Finland’s decision in 2014 to transfer the administration of basic social assistance from municipalities to the central government. This study demonstrates that institutional change can be both abrupt and evolutionary. Due to sudden, exceptional political circumstances, the decision in question was made quickly and under pressure, circumventing possible veto players. However, it was possible only because of the incremental, endogenous change that had occurred in the way in which social assistance was administered at the municipal level. It enabled a change in political discourse, which eroded the credibility of the ideational frames that policy actors had previously utilised to reject the centralised model.     

Labour Market Policy in the United States, Canada and Sweden: Addressing the Issue of Convergence

'Convergence theorists' suggest that domestic and/or global challenges and pressures are rendering welfare states broadly similar across national boundaries. 'Resilience theorists', in contrast, argue that a range of socio-political factors have allowed states to respond differentially to these pressures and maintain their distinct national social policy approaches. However, both research streams have addressed the 'welfare state' writ large in a multitude of nations and typically relied upon narrow, quantitative budgetary indicators. This study examines qualitative changes to key income security and social service programmes in one central social policy domain – labour market policy – in three nations, the United States, Canada and Sweden. It suggests that there is evidence of some degree of 'convergence' in the broadest sense of the term across these three nations. However, while both the USA and Canada have readily embraced genuinely neo-liberal restructuring, and become increasingly similar over the past two decades in this policy area, Sweden has managed to retain its distinctive social policy approach so far, despite notable changes, developments and trends. It also suggests that the character and direction of change may vary across and within policy domains in a single nation. The conclusion provides a discussion of universality, equality and solidarity, concepts that are commonly employed in accounts of welfare state change.     

Understanding public attitudes towards Social Security

There has been very little research on why individuals hold different attitudes toward Social Security. In this article we integrate social location theory and political predisposition theory to provide a framework of explanation and test these theories using a unique sample from the 1998 General Social Survey. Our multivariate results reveal that social structural positions along the lines of race, gender, class and age play a more important role than political predispositions in explain-ing individual differences in support for the current Social Security system against privatisation. Political party affiliation also partly contributes to variation in support for Social Security, but political ideology does not have a significant effect. Our results suggest that with regard to support for Social Security, primary consideration must rest on social structural positions. Racial minorities, women, the poor and the elderly tend to dislike a drastic change in the current Social Security system, and Social Security reform ought to pay attention to their concerns. Our robust finding of a positive relationship between age and support for Social Security also challenges much of the established knowledge, pointing to an intergenerational discord over Social Security. It is also important to differentiate among social welfare programmes in order to uncover the real determinants of public attitudes towards them.     

Canada's Social Security Review – A Comment from the Outside

The voluntary sector in Canada made largely unavailing efforts to participate in Canada's Social Security Review from 1973 to 1977, although it was clear that it had a legitimate and direct interest in the outcome of the review. The story of these efforts highlights a dilemma facing the voluntary sector. It desires to promote improved federal/state coordination and planning in the social services and social security. At the same time it claims the right to participate in policies which will vitally affect it. The Canadian experience suggests that to promote the first leads to a retreat from the second. This is not necessarily inevitable but some would argue that the only satisfactory answer lies in a Freedom of Information Act which will force policy making processes out into the open.     

我国社会保障管理信息系统构建探析

社会保障即是保障公民基本生存权利的重要体现,也是保障社会经济稳定发展的重要因素,而使用信息技术对社会保障工作进行管理升级必将是未来社会保障管理工作的发展趋势。解决目前社会保障管理系统建设中存在的体制、技术、人才等问题,就需要适应政策变化,扩大系统覆盖面;建设统一的信息管理系统,实现数据充分集中;加大资金、技术、人才投入,确保信息安全;体现“以人为本”,向服务型系统转变。     

Three Routes to Pension Reform: Politics and Institutions in Reforming Pensions in Denmark,Finland and Sweden

By analysing pension reforms in three Nordic countries – Denmark, Finland and Sweden – that apply different institutional solutions in their old‐age security programmes, this article argues that the political processes that shaped the country‐specific pension set‐ups in the 1950s and 1960s had important ramifications for subsequent reform possibilities. A high degree of inertia exists not only in the institutions themselves but also in the political reform options and the ways in which pensions were reformed. The analysis shows that the ‘new politics’ was not new in any of the three countries. Furthermore, given the differences in the three cases, the analysis questions the nature of pension reform. The Swedish reform in the late 1990s was a ‘big bang’ that eliminated the old and changed everything; the Finns built on piecemeal reforms of conversion that gradually changed the whole system; and, while the Danish story appears to be one of stability and status quo, the drift of Danish policy ultimately changed the basic characteristics of the system. Although all three countries have more or less thoroughly reformed their pensions, the reform processes have differed according to both historical legacies and institutional frameworks.     

Pension Reform and International Organizations: From Conflict to Convergence

Analysis of pension schemes and recommendations for their reform have been one of the main items on the agenda of international organizations in recent years. However, the ideas and recommendations of the various organizationsinvolved in pension policy sometimes vary considerably. This paper will explore and compare the ideas on pension policy held by the International Labour Office, the International Social Security Association, the World Bank, the International Monetary Fund and the Organisation for Economic Co-operation and Development. Although, initially, the discussion of pension reform was characterized by fierce debate with a marked ideological bent, all the participants are now aiming at mutual understanding and, in particular, coordination and cooperation in member States and recipient countries. The previous, dogmatic approach has given way to a predominantly pragmatic position.     

Ideas and Social Policy: An Institutionalist Perspective

Since the beginning of the 1980s, historical institutionalism has emerged as one of the most influential theoretical perspectives in social policy studies. Although their work is insightful, most institutionalist scholars tend to relegate policy ideas to the back of their theoretical constructions dealing with welfare state development. The objective of this paper is to show how institutionalist scholarship can pay greater attention to ideational processes without abandoning its core assumptions about the structuring impact of political institutions and policy legacies on welfare state development. If institutions truly influence policy‐making, policy ideas matter in and beyond the agenda‐setting process. Related to existing policy legacies, perceived problems mesh with policy alternatives grounded in a specific paradigm. When stressing the need to reform, and promoting new alternatives, policy entrepreneurs draw on existing ideological repertoires to frame these alternatives. The ability to successfully frame policy alternatives can become a decisive aspect of the policy process. A discussion of recent European and North American policy debates illustrates these claims.     

Institutional Violations,Costs and Attitudes

The paper proposes an alternative approach to the ontology of social institutions by systematizing various normative institutional influences and identifying processes that distinguish between conforming and violating behaviour. The prevailing – cost-based model – suggests that an agent's conformity to a specific institutional rule can be represented by a single measure – cost. The model is limited in its explanatory potential since it accounts for varieties of institutional behaviour in terms of single parametrical changes in the agents' utilities. The central argument shows that normative attitudes represent a distinctive normative structure capable of explaining crucial aspects of institutional behaviour. These attitudinal aspects provide the structure necessary for understanding institutional normativity and its violations.     

Disabling Ideas – Disabling Policies: The Case of Disability Employment Policy in the Newly Established Israeli State

By integrating a social perspective of disability with an ideational approach to social policy, the present study seeks to illuminate the central role of ideas in shaping disability policy. Using employment policy towards civilian disabled people in the newly established Israeli State (1948–65) as a case study, this examination highlights the key role played by the Israeli welfare system in excluding disabled people and structuring the disability category. This case illustrates how the paradigmatic perception of disability, loaded with patronizing attitudes towards the new Mizrachi immigrants, operated both as ‘cognitive locks’ and as a means for gradual yet transformative change. It is argued that this kind of ideational change is best identified and interpreted by assuming that paradigms are relational in nature.     

Big Business in a Thin Market: Understanding the Privatization of Residential Care for Children and Youth in Sweden

This article analyzes the transformation of Swedish residential care for children from a regionally coordinated, public social service system into a thin, but highly profitable, national spot market in which large corporations have a growing presence. Marketization and privatization are theorized as complex processes, through which the institutional structure and logics of this small, but significant, social policy field changed profoundly. Using official documents, register data, media reports and existing research, three consecutive phases in the development of the children's home market are identified since the early 1980s. Change was driven on one hand by policies inspired by New Public Management, which shifted public authority horizontally to the private sector, and vertically to local authorities (funding) and to the state (regulation). On the other hand were the responses of local authorities and private actors to the changing incentives that policy shifts entailed. During the first two phases, both the proportion and size of for‐profit providers increased, and the model of family‐like care was replaced by a professional model. Cutting across the trend of privatization in the third phase was establishment of a parallel system of homes for unaccompanied refugee children – mostly in public ownership. Similarities with privatization in the English system of children's care homes are noted. By showing how the Swedish market for residential care has been created by policy and by actors’ responses to those reforms, the article provides a foundation for thinking through how the predictable, significant and well‐documented problems of such care markets might be addressed.     

北京与台湾社会救助之比较

2011年4月,本人去台湾参加了与台北社会保障局的交流和座谈,对台湾当前的社会救助做了一些调查了解。在此基础上,本文对台湾的社会救助与北京的社会救助进行比较,分析研究两地社会救助的异同点。     

The Emperor's new clothes: South Africa's attempted transition to developmental social welfare and social work

This article critically interrogates the depth and quality of change of post‐apartheid welfare policy and social work practice towards a social development paradigm against the background of inequality and poverty in South Africa. It asks several questions: what kind of welfare system has the current welfare dispensation created? How far has it moved from a residual, ameliorative system to an institutional developmental system, in keeping with the developmental welfare paradigm? To what extent can residual provisions be transformed into developmental processes? What conditions are necessary for this to happen? The answers to questions such as these provide the basis for assessing South Africa's new developmental processes. The article highlights the fundamental contradictions in social development policy imperatives, which call for a marriage of economic and social considerations, and the internal contradictions across and within various welfare policies. Further, it argues that the government does not have the political will to bear the costs of the substantive change that the move towards developmental social work requires, choosing instead limited, individually targeted and ameliorative measures, such as increased social security spending. Thus, it suggests that ideological critique, consciousness raising and participation in public policy debates remain crucial for those who seek long‐term solutions to inequality and poverty in South Africa.