Juridification and Social Citizenship in the Welfare State
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Juridification and Social Citizenship in the Welfare State

Edited by Henriette Sinding Aasen, Siri Gloppen, Anne-Mette Magnussen and Even Nilssen

The concept of juridification refers to a diverse set of processes involving shifts towards more detailed legal regulation, regulations of new areas, and conflicts and problems increasingly being framed in legal and rights-oriented terms. This timely book questions the impact international and national regulations have upon vulnerable groups (the unemployed, patients, prisoners, immigrants, and others) in terms of inclusion, exclusion and social citizenship. Focusing on European welfare states, as well as lessons from Latin America, it considers the implementation of the right to health and the role of international courts. This book brings empirical analysis and multidisciplinary, comparative perspectives to the previously fragmented and largely theoretical debate on juridification in the welfare state.
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Chapter 6: Individual rights and prioritization of health care

Anne-Mette Magnussen and Lene Brandt


Prioritization of health care services is a major challenge in modern welfare states: which services should the national health services offer, how should they be funded and how should they prioritize various patient groups when capacity is limited? These are among the pressing issues. There is a general tendency toward juridification in the health care sector (Bernt 1997; Magnussen and Aasen 2013; Magnussen and Banasiak 2013), but the way in which access to health care services is regulated varies between countries. In Europe, various types of regulations exist, with different implications and consequences with regard to prioritization and individual access to health care services. In England, access to health care is regulated through the National Health Service (NHS) Constitution, granting patients the right to national health services within maximum waiting times. In Denmark, access to health care is regulated by the Danish Health Care Act, which is characterized by general rules concerning distribution of health care, and with significant room for professional judgment. The Norwegian regulations represent yet another kind of legislation, in that the prioritization principles are laid down and thereby more directly infringe on professional judgment. In this chapter, we consider the Norwegian case for a discussion of individual rights as a way of regulating access to health care services. Norway is a developed welfare state with a publicly funded and tax-based universal health care system. Treatment in specialist health care services is free of charge for residential patients.

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