Social Democratic Solidarity and the Welfare State: Health Care and Single-Tier Universality in Sweden and Canada

Author:

Marchildon Gregory P.1

Affiliation:

1. Gregory P. Marchildon – Dalla Lana School of Public Health/Munk School of Global Affairs and Public Policy, University of Toronto

Abstract

Although it is not generally done, it is useful to compare the history of the evolution of universal health coverage (UHC) in Canada and Sweden. The majority of citizens in both countries have shared, and continue to share, a commitment to a strong form of single-tier universality in the design of their respective UHC systems. In the postwar era, they also share a remarkably similar timeline in the emergence and entrenchment of single-tier UHC, despite the political and social differences between the two countries. At the same time, UHC was initially designed, implemented, and managed by social democratic governments that held power for long periods of time, creating a path dependency for single-tier Medicare that was difficult for future governments of different ideological persuasions to alter.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

General Medicine

Reference60 articles.

1. See, for example, Michael Bliss, Critical Condition: A Historian’s Prognosis on Canada’s Aging Healthcare System (Toronto: C.D. Howe Institute, 2010) and Jeffrey Simpson, Chronic Condition: Why Canada’s Health-Care System Needs to be Dragged into the 21st Century (Toronto: Allen Lane, 2012).

2. It has mainly been political scientists rather than historians who have written these comparative histories of the development of UHC. Some examples include Carolyn Tuohy, Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Great Britain, and Canada (New York: Oxford University Press, 1999) and Jacob Hacker, “The Historical Logic of National Health Insurance: Structure and Sequence in the Development of British, Canadian and U.S. Medical Policy.” Studies in American Political Development 10 (1998): 57–130; Antonia Maioni, Parting at the Crossroads: The Emergence of Health Insurance in the United States and Canada (Princeton, NJ: Princeton University Press, 1998); and Gwendolyn Gray, Federalism and Health Policy: The Development of Health Systems in Canada and Australia (Toronto: University of Toronto Press, 1991).

3. On the Nordic “model” of social democracy, see Nik Brandal, Ølvind Bratberg, and Dag Einar Thorsen, The Nordic Model of Social Democracy (Basingstoke, UK: Palgrave Macmillan, 2013). On the Nordic model of health care, see Jon Magnussen, Karsten Vrangbæk, Richard B. Saltman, and Päl E. Martinussen, “Introduction: The Nordic Model of Health Care” in Jon Magnussen, Karsten Vrangbæk, and Richard B. Saltman, eds. Nordic Health Care Systems: Recent Reforms and Current Policy Challenges (Maidenhead, UK: Open University Press, 2009), 3–20. On the history and influence of the NHS and the 1942 Beveridge report which led to the establishment of the NHS, see Martin Gorsky, “The British National Health Service, 1948–2008: A Review of the Historiography,” 33 (2008): 437–60; Charles Webster, The National Health Service: A Political History (Oxford: Oxford University Press, 2002); and Richard Freeman, “A National Health Service, by Comparison” Social History of Medicine 21 (2008): 503–20.

4. Colleen M. Flood and Amanda Haugan, “Is Canada Odd? A Comparison of European and Canadian Approaches to Choice and Regulation of the Public/Private Divide in Health Care,” Health Economics, Policy and Law 5 (2010): 329.

5. Gregory P. Marchildon, "Health Security in Canada: Policy Complexity and Overlap," Social Theory & Health 6 (2008): 74-90

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3