000 01492pab a2200205 454500
008 180718b1999 xxu||||| |||| 00| 0 eng d
100 _aGiaimo, Susan
245 _aAdapting the welfare state: the case of health care reform in Britain, Germany, and the United States
260 _c1999
300 _ap.967-1000
362 _aDec
520 _aWelfare states in all advanced industrialized countries are under severe financial stress. Many observers argue that in responding to such pressures, governments are converging on a path of marketization and privatization of social risks, which ultimately leads to the unraveling of solidarity. Recent health care reforms in Britain, Germany, and the United States serve as case studies that challenge this argument. Far from converging on a market path, each country has pursued a distinctive reform response combining markets with other policy instruments. Moreover, where state actors lead the way in constructing health care markets, the extent of desolidarity is limited. The structure of each nation's health care system shapes the policy preferences and reform strategies of key actors, and thereby helps explain the distinctiveness of health care reform patterns. - Reproduced
650 _aHealth services - United States
650 _aHealth services - Germany
650 _aHealth services - Great Britain
650 _aHealth services
700 _aManow, Philip
773 _aComparative Political Studies
909 _a44007
999 _c44007
_d44007