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This book asks why some countries devote the lion's share of their social policy resources to the elderly, while others have a more balanced repertoire of social spending. Far from being the outcome of demands for welfare spending by powerful age-based groups in society, the 'age' of welfare is an unintended consequence of the way that social programs are set up. The way that politicians use welfare state spending to compete for votes, along either programmatic or particularistic lines, locks these early institutional choices into place. So while society is changing - aging, divorcing, moving in and out of the labor force over the life course in new ways - social policies do not evolve to catch up. The result, in occupational welfare states like Italy, the United States, and Japan, is social spending that favors the elderly and leaves working-aged adults and children largely to fend for themselves.
Social policy and particular groups --- AGE DISCRIMINATION -- 323 --- CROSS-CULTURAL STUDIES -- 323 --- POLITICAL PATRONAGE -- 323 --- 132 Sociale zekerheid --- 132.1 Pensioenen --- Kinderbijslag --- 451 Werkloosheid --- welvaartsstaat --- Vergrijzing --- Italië --- Nederland --- Age discrimination --- Age groups --- Patronage, Political --- Public welfare --- Government policy --- Political patronage --- Spoils system --- Civil service reform --- Groups, Age --- Peer groups --- Social generations --- Social groups --- Cohort analysis --- Discrimination --- Social Sciences --- Political Science --- Clientelism, Political --- Patron-client politics --- Political clientelism --- Political sociology
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Since the 1990s, mainstream political parties have failed to address the problem of growing inequality, resulting in political backlash and the transformation of European party systems. Most attempts to explain the rise of inequality in political science take a far too narrow approach, considering only economic inequality and failing to recognize how multiple manifestations of inequality combine to reinforce each other and the underlying political features of advanced welfare states. Combining training in public health with a background in political science, Julia Lynch brings a unique perspective to debates about inequality in political science and to public health thinking about the causes of and remedies for health inequalities. Based on case studies of efforts to reduce health inequalities in England, France and Finland, Lynch argues that inequality persists because political leaders chose to frame the issue of inequality in ways that made it harder to solve.
Medical policy --- Poor --- Poverty --- Equality --- Health services accessibility --- Welfare state --- Access to health care --- Accessibility of health services --- Availability of health services --- Medical care --- Egalitarianism --- Inequality --- Social equality --- Social inequality --- Political science --- Sociology --- Democracy --- Liberty --- Destitution --- Wealth --- Basic needs --- Begging --- Subsistence economy --- Disadvantaged, Economically --- Economically disadvantaged --- Impoverished people --- Low-income people --- Pauperism --- Poor, The --- Poor people --- Persons --- Social classes --- Health aspects --- Access --- Economic conditions
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Social stratification --- Sociology of policy --- Social policy --- Hygiene. Public health. Protection --- Europe
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This accessible, yet authoritative book shows how the pandemic is a syndemic of disease and inequality. Drawing on international data and accounts, it argues that these inequalities are a political choice and we need to learn quickly to prevent growing inequality and to reduce health inequalities in the future.
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Social stratification --- Sociology of health --- anno 2020-2029
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