Winds of Change: from public to private, from collective ... · Winds of Change: from public to...
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![Page 1: Winds of Change: from public to private, from collective ... · Winds of Change: from public to private, from collective to individual. Aaron Reeves International Inequalities Institute](https://reader031.fdocuments.us/reader031/viewer/2022022115/5c6f92cf09d3f2254c8c2062/html5/thumbnails/1.jpg)
Winds of Change: from public toprivate, from collective to
individual.
Aaron ReevesInternational Inequalities Institute
London School of Economics and Political ScienceEmail: [email protected]: @aaronsreeves
November 2, 2017
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‘WHERE BETTER TARGETINGCAN BE ACHIEVED, OR FROMWHICH THE PUBLIC SECTORCAN WITHDRAW ALTOGETHER’
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Shifting away from the public sector
-10 -5 0 5 10 15 20
Percentage point change in public health spendingas proportion of all health spending
NetherlandsChile
SwitzerlandLatvia
GermanyUnited States
NorwayFinland
BelgiumItaly
IcelandLuxembourg
DenmarkAustriaPolandCanadaFrance
United KingdomSpain
EstoniaSloveniaHungarySweden
IsraelGreece
PortugalCzech Republic
IrelandSlovak Republic
Source: OECD
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Financing, provision, and decision
0
10
20
30
40
50
Prop
ortio
n of
all
expe
nditu
re (%
)
1979 1995 2007
Pure Public Mixed PublicMixed Private Pure Private
Source: Hills, J. 2011. "The Changing Architecture of the UK Welfare State." Oxford Review of Economic Policy 27(4).
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POLICY DRIFT
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Policy drift
‘Shifting social context’ and ‘changing risks’
‘Deliberate efforts by political actors to prevent therecalibration of social programs’
Hacker J., 2004, Privatizing Risk without Privatizing the Welfare State: The Hidden Politics of Social Policy Retrenchmentin the United States, American Political Science Review.
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Policy drift and the minimum wage
USA
Belgium
5000
10000
15000
20000
25000
1975 1980 1985 1990 1995 2000 2005 2010 2015
Year
Nat
iona
l min
imum
wag
e(A
djus
ted
for
infl
atio
n, P
PP,
201
4 U
SD
)
Source: OECD
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Policy drift and the UK NHS
Largest ever
sustained reduction
in NHS spending
as a % of GDP
0
1
2
3
4
5
6
7
8
9
1980 1985 1990 1995 2000 2005 2010 2015 2020
Year
Exp
endi
ture
on
UK
Nat
iona
l Hea
lth
Ser
vice
(% o
f G
DP
)
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