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Why does the supply of mental health care vary across countries? Moreover, why would the state supply services to those who cannot demand them? This chapter introduces how a comparative, political-economic, and historical perspective can explain mental health care outcomes, as well as how studying mental health can inform comparative political economy. It then turns to the theoretical argument, explaining why and how public sector managers and workers – the “strange bedfellows” of the “welfare workforce” – shape the supply of public social services. The chapter closes with a sketch of the book’s research design and how it structures the following chapters
This concluding chapter reviews the core findings about psychiatric deinstitutionalization and mental health care and lays out the argument’s theoretical implications for social policy scholarship more generally. It highlights that the political logic of social services (e.g., health, education, and care) is distinct from that of cash transfers (e.g., pensions, unemployment, and disability benefits). The key difference: the welfare workforce. I also discuss the complex policy implications of this trend (especially as the contours of the welfare workforce become less clear) and close by considering how to harness the power of welfare workers in contemporary welfare capitalism.
The Welfare Workforce is a thought-provoking exploration of mental health care in the United States and beyond. Although all the affluent democracies pursued deinstitutionalization, some failed to provide adequate services, while others overcame challenges of stigma and limited resources and successfully expanded care. Isabel M. Perera examines the role of the “welfare workforce” in providing social services to those who cannot demand them. Drawing on extensive research in four countries – the United States, France, Norway, and Sweden – Perera sheds light on post-industrial politics and the critical part played by those who work for the welfare state. A must-read for anyone interested in mental health care, social services, and the politics of welfare, The Welfare Workforce challenges conventional wisdom and offers new insights into the complex factors that contribute to the success or failure of mental health care systems. This title is also available as Open Access on Cambridge Core.
In early modern times, workers, especially the unskilled, in many countries were already striking against low wages and long working hours before the advent of the trade union movement. These modern trade unions on the other hand were mainly a form of organization invented by skilled labor from around 1800. Trade unions became a part of the labor movement or the workers’ movement. For over a century the movement of the workers and the workers’ movement merged although this marriage was not always a very happy one. There have been periods of tensions between the two. Since the crisis of the 1970s both have been on the defensive, which can be seen from lowering union density rates and the plummeting of strike activity in most Western countries.
Many trade unions have been connected to the political part of the labor movement (more specifically social democracy) which in turn grew into the existing political and socioeconomic form of capitalism.1 Can a bureaucratic trade union movement that is so embedded in capitalist society be able to become the advocate of a future rise of working-class struggles? Is there a future for trade unionism or will another form of organization arise? And will the strike as a weapon of the working class really disappear as was predicted so many times? And was there a moment in time when both strikes and trade unions took the path that took them into the dangerous direction where they ended up in such life-threatening circumstances. Let’s go back in time to look for answers to these questions.
The construction industry is experiencing high demand for workers. Apprenticeship programmes are essential pipelines of skilled workers into the construction industry; however, apprenticeship completion rates are only around 25%. To promote apprenticeship retention and increase the number of apprentices, it is necessary to identify factors that relate to cancellation from apprenticeship programmes (i.e., leaving prior to programme completion). Using data from the Registered Apprenticeship Partners Information Database System, we descriptively characterised completion and cancellation, then conducted a time-to-event analysis of n = 335,212 construction apprentices from 2012 to 2023 to examine factors related to cancellation. Among all apprentices, 40.1% cancelled from their apprenticeship programmes, while 24.8% completed and 35.0% were actively registered at the end of the study period. Results from the time-to-event analysis show females had significantly higher odds of cancellation than males (OR: 1.11; 95% CI: 1.08, 1.15). Compared to White apprentices, American Indian/Alaska Native (OR: 1.13; 95% CI: 1.08, 1.18), Black/African American (OR: 1.41; 95% CI: 1.39, 1.44), and multiracial apprentices (OR: 1.09; 95% CI: 1.02, 1.17) had significantly higher odds of cancellation, while Asian apprentices had significantly lower odds of cancellation (OR: 0.79; 95% CI: 0.75, 0.83). Non-unionised workers were significantly more likely to cancel their apprenticeship programmes (OR: 1.77; 95% CI: 1.74, 1.80). These results indicate that individual demographic and organisational factors can influence apprenticeship cancellation. Reducing barriers to apprenticeship completion can help address the current skilled worker shortage, and identifying factors that impact entry into the industry for minoritised groups can promote equity within the industry.
Throughout the nineteenth century, powerful railway unions in the USA and the UK cultivated an expansive system of voluntary sickness, death, unemployment, and superannuation benefits. By the early twentieth century, the movements had diverged: while the British Amalgamated Society of Railway Servants relinquished its commitment to voluntarism in favor of state healthcare and pensions, the American Railway Brotherhoods persisted along voluntarist lines, resisting social insurance in favor of exclusive schemes for their white male membership. What accounts for these diverging orientations? I highlight the importance of organizational forms as a lens for understanding comparative trade union strategy, emphasizing the role of law in designating legitimate forms of working-class association. I demonstrate that governing elites in both countries promoted voluntarism as a benign form of working-class organization throughout much of the nineteenth century. Consequently, I argue, early American and British trade unions adopted benefits in part because they enabled them to mimic the far more respected and legitimate friendly and fraternal mutual benefit societies. Toward the end of the century, the context had changed: while alternative organizational avenues were opened for trade unions in the UK, benefits presented an ongoing organizational lifeline for American unions. In defining and redefining the boundaries of legitimate forms of workers’ associations, legal decisions in both countries shaped not only trade union organizing strategies in the short run but also their positioning in broader social struggles.
This chapter analyzes why the SPD failed to stop the collapse of the Weimar Republic and whether it could have averted this outcome, discusses the lessons that German Social Democrats drew from this failure, and assesses to what extent the history of Weimar democracy and its collapse is relevant for analyzing the threat or reality of democratic breakdown in the contemporary world. The SPD leadership decided not to initiate any direct protest action to oppose the Nazi takeover. The chapter argues that any such action, if it had been undertaken, would very likely have been crushed and proven ineffective. There is no imminent threat of democratic breakdown in contemporary Germany or Western Europe. However, the Nazi takeover was the culmination of a process of executive aggrandizement that characterizes many contemporary cases of democratic decline and breakdown. Champions of democracy must combat this process from the outset – before it is too late.
The relationship between social democratic parties and labor unions is of interest for the entire era of labor mobilization since the nineteenth century. The middle-class shift in the employment structure of West European countries, the emergence of second-dimension politics, and the pluralization and fragmentation of the “left field” raise several questions in this regard: Have the constituencies of left parties and trade unions developed in parallel or they diverged? Consequently, do the average preferences of trade union members and left voters align or diverge? Do unionized left voters sort increasingly into radical left, social democratic or green and left-libertarian parties?
In this chapter, we address the subject of union–party relations and how it relates to social democratic fortunes with microlevel data on membership, political preference profiles, and electoral behavior. We find that the bond between labor unionists and social democrats is anchored in a rather close similarity and convergence of policy preferences. This proximity of beliefs is not limited to questions of economic redistribution but also covers policy issues concerning societal governance and immigration. In many instances, unionists are – on average – more libertarian on questions pertaining to the dimension of societal governance and more inclusive and universalistic on questions of citizenship than nonunionized social democratic voters. In consequence, unionists are progressively less an uncontested electoral preserve of Social Democracy.
Chapter 11 compares the policy orientation of the EU’s new economic governance (NEG) prescriptions in two policy areas (employment relations, public services), three sectors (transport, water, healthcare), four countries (Germany, Italy, Ireland, Romania) from 2009 to 2019. It reveals that almost all qualitative prescriptions pointed in a commodifying direction. Most quantitative prescriptions tasked governments to curtail wages and public expenditures too, but, over time, they not only became less coercive but also increasingly pointed in a decommodifying direction, tasking governments to invest more. It would, however, still be wrong to speak of a socialisation of NEG, not just given the decommodifying prescriptions’ weak coercive power but also because of their links to policy rationales that are compatible with NEG’s overarching commodification script. Moreover, Chapter 11 shows that NEG prescriptions tasked governments to channel more public resources into the allegedly more productive sectors (transport and water services) rather than into essential social services like healthcare. Given NEG’s country-specific methodology, it is not surprising that there have been only few instances of transnational action on specific NEG prescriptions. By contrast, the share of transnational labour protests targeting EU interventions broadly defined increased after 2008. This suggests that NEG has been altering protest landscapes.
This book examines the new economic governance (NEG) regime that the EU adopted after 2008. Its novel research design captures the supranational formulation of NEG prescriptions and their uneven deployment across countries (Germany, Italy, Ireland, Romania), policy areas (employment relations, public services), and sectors (transport, water, healthcare). NEG led to a much more vertical mode of EU integration, and its commodification agenda unleashed a plethora of union and social-movement protests, including transnationally. The book presents findings that are crucial for the prospects of European democracy, as labour politics is essential in framing the struggles about the direction of NEG along a commodification–decommodification axis rather than a national–EU axis. To shed light on corresponding processes at EU level, it upscales insights on the historical role that labour movements have played in the development of democracy and welfare states. This title is also available as Open Access on Cambridge Core.
This chapter opens up a fuller discussion of how sites of socialisation outside the family reworked the meaning of stories about the past. Looking at Huddersfield, it focuses on the consequences of selective grammar schooling for disrupting ‘traditional’ attachments to working-class cultures of politics, shifting people’s class- and place-based identities and weakening the political status of memory. It explores these issues from the perspectives of both socially mobile grammar school leavers and their parents left in Huddersfield. It also highlights cases in which parents and their children concurred about these issues.
This paper investigates how interest groups in France and Germany communicate information about Industry 4.0 technologies and approaches. Specifically, this explanatory study employs cutting-edge big-data-type tools and machine-based automatic text processing to delve into the topics, arguments, and postulates related to Industry 4.0 strategies by trade unions and employers’ organisations. The goal is to determine which of these factors have been pivotal in shaping social dialogue in France and Germany. The findings reveal that social partners in both countries are involved in similar digitalisation-related initiatives and express predominantly favourable viewpoints regarding Industry 4.0 technologies. Key themes in the dialogues of both France and Germany centre around workers’ rights, working conditions, and skills training.
The social reality that Comparativists typically disaggregate in their political analysis is the replica of a society that has gone through an agrarian as well as an industrial revolution. It is organized into interest groups that constitute the basis of political parties. Political life is conceived within a right–left spectrum. Party systems are durable and subject to only minor alterations. The ability to encourage compromises and to produce sub-optimal policy outcomes is one of its key ingredients. Little attention, however, is paid to the underlying structures that keep the party system going, notably the fact that institutional stability in developed societies is effectively grounded in the economic production process. This variable is too often overlooked in the analysis of the quality of democratic institutions. The colonial powers encouraged the institutional fundament of such politics, but the ambition was unfinished at the time of independence. Trade unions, like cooperative societies, had started to emerge and provided the basis for the rise of a new political leadership. Once in power, however, these leaders introduced legislation to ban or reduce the powers of these non-state organizations. Because there was no independent African middle class with capital to influence development, the post-independence political organizations never took on a “class” character. The neo-Marxist criticism that flourished in the 1970s and onwards imputed too uncritically the exploitation and oppression on the continent to the presence of social classes similar to what would be found in Western society. Its influence, not surprisingly, waned quickly. By too readily assuming the hegemonic nature of colonialism, these neo-Marxist authors downplayed the role of indigenous African social formations in the same way as advocates of neo-liberal theory did in the decade that followed.
This article stems from a project aiming to investigate women's unemployment in the phase of deindustrialization that affected Western European countries from the aftermath of the 1973 oil crisis. Countries such as Italy and France, with both a strong working-class movement and a vibrant feminist movement, have had to face economic crises since the mid-seventies and from the eighties have witnessed how neoliberal capitalism started to heavily reshape the global labor market. The old stereotype of female salary as ‘pin money’ within the household budget was again publicly put forth. How did women experience unemployment? What did it mean in terms of their social status, economic independence, sense of self, relationship to the home? To answer these questions and to understand the reconfiguration of class and gender identities, I focus on two milestone cases of labour struggles that are recognized as turning points in the history of the affirmation of neoliberal dynamics: the crisis of FIAT in Italy and of LIP in France. Despite their being at the center of many academic investigations as fundamental sites of resistance, their outcomes in terms of unemployment and particularly the gender dimension of this phenomenon have been largely overlooked so far. I will delineate a comparison between the two cases by drawing on my past research about trade union feminism in the two countries, on archival sources, published accounts and oral histories of two key activists in these struggles. Key factors that will be analysed are: women's participation in the collective mobilisations in the face of unemployment, their relation to the domestic sphere and to care work, their ability to build female networks within their wounded communities.
In this article, I choose struggles over skill development as an entry point to uncovering features of women's labor activism in state-owned tobacco factories in Romania, from the 1920s to the early 1960s. I look at the processes that constructed women tobacco workers, especially those at the Tobacco Manufactory in the city of Cluj, as non-skilled workers, and examine the forms of labor activism in the tobacco industry that challenged those constructs. I describe how women's work at the Cluj Tobacco Manufactory, from the mid-1920s to the mid-1950s, was shaped by successive waves of production intensification and rationalization, demonstrating that these reorganizations affected female workers more than they affected their male coworkers. I point out that although they were considered non-skilled laborers, female tobacco workers exercised an amount of control over their work and were important contributors to their families’ maintenance. I show that spanning two different political regimes, matters of skill were at the core of labor activism. For female workers, in the interwar period, labor activism in male-dominated organizations and structures entailed skill-mediated political strategies that emphasized experience and shopfloor status besides skill. By the 1950s, labor activism encompassed engaging in confrontational politics over seasoned women workers’ lack of access to skill training programs. I show that both in the late 1920s and in the early 1950s, illiteracy and women's more limited access to formal schooling in general shaped new experiences of participation in labor politics.
This paper presents the results of research, which highlights the situation during the pandemic in sectors characterised by low wages and a high turnover of workers. The empirical basis is formed by company case studies in the meat industry, postal services, and mask production in Germany and Austria. This paper discusses the significance of different locations (at and beyond the workplace) and forms (‘exit’ and ‘voice’) of labour unrest in sectors of the economy that are characterised by a predominance of the use of migrant labour. It questions how conflicts over migrant labour have been articulated and possibly changed in the pandemic, and what factors may have contributed not only to an upsurge but also to the containment, regulation, and repression, of labour unrest.
This chapter shows how the crisis of the early 1920s and the intellectual relief that followed were essential to shaping European discourses about intellectuals and their roles in democratic societies. It begins by exploring well-known inter-war polemics by Julien Benda, Karl Mannheim, and Antonio Gramsci against the social backdrop of intellectual crisis and reconstruction. The chapter centres on Geneva as a crucible for bureaucracy and home to bodies that sought to categorize and organize international intellectual life. The chapter shows how a wide range of national and international organizations emerged in the 1920s to codify and protect the status of intellectuals and intellectual workers, and argues that all of this activity was motivated and conditioned by the post-war humanitarian crisis. While, by the late 1920s, the rights of intellectuals were increasingly – but unevenly – protected by international legislation, the rise of totalitarianism showed the vulnerability of intellectuals.
It is a characteristic of platform capitalism that struggles to re-embed digital platform work within institutionalised forms of employment have been set in motion by new labour actors (i.e. self-organised, grassroots unions). Contrary to the view that these new actors signify the decades-long decline of traditional unions, evidence increasingly highlights their continued relevance to the labour–capital relations of platform capitalism. We argue that dynamic interactions between ‘old’ and ‘new’ labour actors in platform capitalism are influenced by national union traditions that emerge more vividly when struggles to re-embed labour relations require the transition to more institutionalised forms of labour resistance. We develop this argument based on a longitudinal qualitative study of labour struggles in the food delivery sector in the city of Bologna, Italy. We pay particular attention to the dynamics of intra-labour actor relations that have unfolded in the sector across different temporally based events of contention in the city. As we illustrate, synergies between the two were prompted by the self-organised workers’ need to rely on partners with an ‘official’ status when re-embedding procedures required; yet, collaboration was also favoured by what we describe as a ‘posture of respect’ developed by the traditional union vis-à-vis the self-organised informal union, particularly with regard to their quest for autonomy from traditional union structures. We interpret this approach of the established labour actor in line with its traditional orientation as ‘class’ actor, whose actions look beyond the membership so as to expand solidarity to all workers, including in new productive (platform) sectors.
Towards the end of the nineteenth century, leisure was reserved for the few. By the end of the twentieth century, however, most workers had a regulated normal working time of 40 or fewer hours per week, annual paid leave, and overtime compensation. In this paper, I investigate which political parties brought forth these changes – which party constellations supported or opposed working-time reforms and argue that sector and class differences drive party preferences. Lower-class and urban middle-class workers demanded regulation as demand for leisure increased with income. In contrast, employers and farmers opposed such reforms. Accordingly, the study argues that socialist and social-liberal parties were inclined to support leisure-securing working-time reforms, whereas conservative and farmer parties opposed them. Due to their linkages with workers and farmers, liberal parties may be divided into a rural constituency that tends to oppose working-time reforms and an urban constituency that supports them. I test these expectations using parliamentary data: 65 roll-call votes from Norway between 1880 and 1940, combined with analysis of major reforms and legislative appeals. Finally, I undertake a generalization test using country-level reform data from 33 democracies between 1880 and 2010. Results generally fall in line with expectations, and the pattern is stable over time.
This chapter is concerned with the constitutional position of trade unions in the United Kingdom. Modern trade unionism emerged from the industrial revolution to protect the interests of workers, and from the late eighteenth century increased in membership and influence, both of which peaked in the 1970s. There were then about 13 million trade unionists, representing some 60 per cent of the working population. But trade union influence extended more widely, touching the lives of almost every worker in the country, either through the coverage of collective agreements negotiated with employers or employers’ associations, or through legislation on a wide range of matters that trade unions had persuaded governments to introduce.