Attitudes to Welfare Deservingness
Edited by Wim van Oorschot, Femke Roosma, Bart Meuleman and Tim Reeskens
Chapter 13: Healthcare Deservingness Opinions of the General Public and Policymakers Compared: A Discrete Choice Experiment
Since the first half of the twentieth century, European states have guaranteed access to healthcare for all or a great many of their inhabitants through social healthcare arrangements. These provide (universal) access to health services that might otherwise be unaffordable for many individuals (Kornai and Eggleston, 2001, pp. 17–23). Social arrangements embody a strong sense of solidarity and they all have in common the requirement that every citizen contributes, though only some will need support. Essentially, these are redistributive arrangements in which, simply stated, ‘the rich pay for the poor’ and ‘the healthy pay for the unhealthy’. Social arrangements reflect a bond of shared responsibility (Bayertz, 1999), which is characteristic of nearly all countries on the European continent.
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