Handbook on the Economics of Happiness
Show Less

Handbook on the Economics of Happiness

  • Elgar original reference

Edited by Luigino Bruni and Pier Luigi Porta

This book is a welcome consolidation and extension of the recent expanding debates on happiness and economics. Happiness and economics, as a new field for research, is now of pivotal interest particularly to welfare economists and psychologists. This Handbook provides an unprecedented forum for discussion of the economic issues relating to happiness. It reviews the more recent literature and offers the interested reader an insight into the vast scope of the field in terms of the theory, its applications and also experimental design. The Handbook also gives substantial indications as to the future direction of research in the field, with particular regard to policy applications and developing an economics of interpersonal relations which includes reciprocity and social interaction theory.
Buy Book in Print
Show Summary Details

Chapter 22: Federalism Versus Social Citizenship: Investigating the Preference for Equity in Health Care

Luca Crivelli, Gianfranco Domenighetti and Massimo Filippini

Extract

22 Federalism versus social citizenship: investigating the preference for equity in health care Luca Crivelli, Gianfranco Domenighetti and Massimo Filippini* 1. Introduction Switzerland does not have a National Health Service like Italy and Great Britain, nor is its system based on a public insurance scheme such as in France and Canada. The Swiss health-care system is based upon a mixed insurance model. On the one hand, competing private non-profit companies are responsible for health insurance, and on the other hand, the system incorporates some elements that are normally adopted within the context of a social insurance, such as mandatory insurance for all residents, regulated and risk-independent premiums, public subsidies to the less wealthy for the payment of the insurance premiums. In an unusual healthcare context such as the Swiss one, the decision-making autonomy of the single cantons, reinforced by fiscal federalism, has led to a highly heterogeneous system. This heterogeneity applies both to the production capacity and to the specific weight which each canton attributes to the various forms of health-care provision (for example to public versus private hospitals or nursing homes). Instead of being a single health-care system, Switzerland can therefore be considered an ensemble of 26 subsystems, connected to each other by the Federal Law on Health Insurance (FLHI). In contrast to the majority of European countries, where the financial contribution of the state to health-care expenditure is significant, the Swiss system provides for a rather limited public participation. Moreover, the mandatory health insurance premiums...

You are not authenticated to view the full text of this chapter or article.

Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.

Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.

Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.


Further information

or login to access all content.