Social service decline and convergence: How does healthcare fare?

Abstract

In this paper the hypotheses on differences among welfare state sectors with regard to decline and convergence are subject to comparative empirical tests focusing on healthcare. A diachronical cross-national analysis of healthcare services is performed, comparing developments with that of cash benefits. Contrary to previous claims we find that European healthcare systems are not particularly hit by retrenchment and that convergence is absent in key healthcare dimensions, namely coverage and provision. Convergence appears mainly in terms of the increased reliance on private healthcare financing. Our examination is based on Organisation for Economic Co-operation and Development (OECD) Health Data and institutional data on entitlement levels of major cash benefit programmes, providing both a descriptive analysis and multi-level regressions.