Traits of a representative welfare state: the Swedish example (original) (raw)
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Governing Welfare : the third sector and the challenges to the Swedish Welfare State
2007
The overall issue addressed in this thesis is the challanges to the Swedish welfare state. This topic has been the subject of several different interpretations in the academic as well as political debate in Sweden over the last decade. The first of two questions raised in this thesis is therefore what the main challenges to the Swedish welfare state are. It is concluded that the main challenges are the challanges to the representative democracy that originate in measures to meet the economic challenges to the Swedish welfare state by making it more efficient and rational. The main challenges to the Swedish welfare state are, therefore, a mix of interrelated economic and democratic challenges. A specific factor is tested for its possible impact on these challenges and that factor is third sector provision of welfare services. The second of the two research questions is therefore in what way and to what extent the third sector can influence how the identified challenges affect the welfare state. Childcare is selected as an example of a welfare service where there are a considerable proportion of third sector providers, primarily parent and worker cooperatives. The diversity, level of participation and service quality of different types of childcare is analysed with regard to how they affect the here presented challenges to the welfare state. It is concluded from this analysis that there are democratic benefits in the third sector provision of childcare that can act complementary to the challenged representative democracy. It is also concluded, however, that not all Swedish childcare can be provided by the third sector and that its democratic benefits therefore also should be produced by other types of childcare by imitating the third sectors active participation, small scale and independence. This study shows that Sweden is rapidly moving towards a greater diversity in its delivery of welfare service and that there are no policies or institutions for facilitating a more diverse service provision. An additional conclusion is for this reason that the outcome of the economic and democratic challenges varies with the direction of this diversification, which tells us that such policies and institutions are desirable. The Swedish welfare state will be getting a more diverse provision of welfare services regardless if there is any readiness for it or not and the results from this thesis show that the third sector is the non-public type of welfare provider that best facilitate the values and morals of the welfare state.
The marketisation of care: Rationales and consequences in Nordic and liberal care regimes
Journal of European Social Policy, 2012
The use of markets and market mechanisms to deliver care services is growing in both liberal and social democratic welfare states. This article examines debates and policies concerning the marketisation of eldercare and childcare in Sweden, England and Australia. It shows how market discourses and practices intersect with, reinforce or challenge traditions and existing policies and examines whether care markets deliver user empowerment and greater efficiency. Markets for eldercare and childcare have developed in uneven and context specific ways with varying consequences. Both politics and policy history help to shape market outcomes.
Privatising The Swedish Welfare State
Economic Affairs, 2014
The introduction of private competition and choice in the Swedish welfare sector has attracted widespread attention in recent years. This paper sets out the factors that helped make this development possible, and explains why the influence of the organisational theory of New Public Management (NPM) has ensured that while market economy elements have increased in welfare services, the scope of the state and the public sector has continued to grow. The result is the emergence of welfare quasi-markets, which are increasingly subject to input-related regulation and control.
The desire for control: Negotiating the arrangement of help for older people in Sweden
Journal of Aging Studies, 2010
The interface between formal (public) and informal help for older people is unclear and subject to change in many welfare states. Our aim in this study was to contribute to increased understanding of the experiences of older people, their next of kin, and the care managers from the municipalities in the process of negotiating help in the everyday lives of older people who can no longer manage on their own. We took a qualitative approach, using qualitative interviews as the main data collection method. The results revealed that the different actors had contrary interests that made it difficult for all parties to be content with the outcome of the negotiations. The everyday lives of dependent older people and their next of kin are strongly affected by the conditions of formal eldercare.
Social Policy & Administration, 2015
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 childrenmostly 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.
The Choice Revolution: Privatization of Swedish Welfare Services in the 1990s
Social Policy and Administration, 2004
During the s, the Swedish welfare state was declared by some to be in a "crisis", due to both financial strain and loss of political support. Others have argued that the spending cuts and reforms undertaken during this period did slow down the previous increase in social spending, but left the system basically intact. The main argument put forward in this article is that the Swedish welfare state has been and is still undergoing a transforming process whereby it risks losing one of its main characteristics, namely the belief in and institutional support for social egalitarianism. During the s, the public welfare service sector opened up to competing private actors. As a result, the share of private provision grew, both within the health-care and primary education systems as well as within social service provision. This resulted in a socially segregating dynamic, prompted by the introduction of "consumer choice". As will be shown in the article, the gradual privatization and market-orientation of the welfare services undermine previous Swedish notions of a "people's home", where uniform, high-quality services are provided by the state to all citizens, regardless of income, social background or cultural orientation.