Welfare States and Health Inequalities

In: Canadian public policy: Analyse de politiques, Volume 41, Issue Supplement 2, p. S26-S33

Abstract

While much research points to the importance of a range of welfare state policies to reduce inequalities in health, the growing literature in this field is full of mixed and contradictory results. In this paper, we provide a brief discussion about the different conceptual and methodological approaches used in comparative research on the relationship between welfare policies and health. Against a theoretical discussion of possible linkages among one central welfare policy, unemployment benefit schemes, and health, we also provide examples of findings on how two central dimensions of such schemes—coverage and replacement rates—are linked to health and health inequalities across Europe. These examples indicate not only that welfare state programs can contribute to smaller health inequalities but also that their effectiveness in this respect depends on their institutional set-up.