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New Welfare in Health Insurances? Trends in Risk-Coverage and Self-Responsibility in Four European Countries

Published online by Cambridge University Press:  06 June 2013

Menno Fenger
Affiliation:
Department of Public Administration, Erasmus University Rotterdam E-mail: fenger@fsw.eur.nl
Weys Qaran
Affiliation:
Department of Public Administration, Erasmus University Rotterdam E-mail: qaran@fsw.eur.nl

Extract

In the current economic and financial crisis, many European governments are debating cuts in healthcare costs. These debates, on the one hand, have a financial perspective, with cutting healthcare costs the highest ambition. On the other hand, they also have a moral perspective, for example when dealing with the coverage of lifestyle related health risks like binge drinking or smoking. Increasingly, the ideas of ‘positive’ or ‘new’ welfare are included in this discussion. Promoting a healthy lifestyle is stimulated or even financially rewarded in many domains of European welfare states, including healthcare (Department of Health, 2004; Jochelson, 2007; Fenger, 2009, 2011; Oliver and Brown, 2011; English, 2012).

Type
Themed Section on ‘New’ Welfare in Practice: Trends, Challenges and Dilemmas
Copyright
Copyright © Cambridge University Press 2013 

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