Federalism and Health Care Cost Containment in Comparative Perspective
Bibliographic Data
| ID | 6375142 |
|---|---|
| Authors | Jason Jordan (0000-0003-3308-9104, Florida State University, corresponding author) |
| Year | 2008 |
| Volume | 39 |
| Issue | 1 |
| Pages | 164-186 |
| Publication date | 2008-07-30 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Publius The Journal of Federalism (JOURNAL) |
| Journal identifiers | ISSN: 0048-5950 • E-ISSN: 1747-7107 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/publius/pjn022 |
| OpenAlex | W1975542081 |
| Language | EN |
| Citations received | 13 |
| References cited | 26 |
Despite widespread agreement over the connection between federalism and social expenditures during times of welfare state expansion, disagreement exists concerning federalism's role in the retrenchment era. Existing approaches fail to recognize institutional variation among federal states. Analysis of Britain, Germany, and Canada suggests that federalism may promote or hinder health care retrenchment depending upon how it structures the relationship between regional and national governments. Power-sharing federalism hinders health care reform by increasing the institutional obstacles to unpopular cutbacks. Power-separating federalism facilitates reform by creating opportunities for blame avoidance without substantially increasing the number of veto players. These findings challenge traditional linear or dichotomous models of federalism, suggesting the need for an approach that captures how particular types of federalism affect retrenchment politics
Cooperative federalism · Dual federalism · Economics · Federalism · Health care · Political science · Politics · Public economics · Retrenchment · Veto · Global Health Care Issues · Law · Political and Economic history of UK and US · Public Administration · Social Policy and Reform Studies
Federalism and Decentralization in German Health and Social Care Policy
Dual decentralization in China's transitional economy
Worse than Failure
Taking Stock of the Comparative Literature on the Role of Blame Avoidance Strategies in Social Policy Reform
Welfare state regimes and social policy resistance to fiscal consolidations
Measuring parentage policy in the Canadian provinces
Who's to blame for the crisis of the healthcare system
The Effects of Federalism, Corporatism and Legislative Power on Health System Transformation in Germany
Benefits or services? Politics of welfare retrenchment in Russia, 2014–2017
Ideas and the Limits on Program Expansion
The influence of national policy change on subnational policymaking
Is Welfare Retrenchment Inevitable? Scope and Drivers of Healthcare Reforms in Five Spanish Regions During the Crisis
How Does Decentralisation Affect the Welfare State? Territorial Politics and the Welfare State in the UK and US
‘Old’ and ‘new politics’ in federal welfare states
Seeing Difference
The New Politics of the Welfare State
Health Care Reform in Germany
Has Solidarity Survived? A Comparative Analysis of the Effect of Social Health Insurance Reform in Four European Countries
Solidarity put to the test. Health and social care in the UK
Scottish Limits to Thatcherism
The New Politics of the Welfare State
Evolution and Devolution
Social Policy and Social Citizenship
Government Responsibility and Electoral Accountability in Federations
The Politics of Blame Avoidance
The influence of federalism on fiscal policy making
The National Health Service in Scotland, 1947-74
| Unique citing works | 13 |
|---|---|
| Citations per year | 0,76 |
| Citation span | 2009 - 2025 (17) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 13 |