Labour market dualisation and social protection in South Korea: searching for a new social contract and growth model

There is little doubt that South Korea needs to develop a new social contract as a matter of urgency. Labour market dualisation and the rise of insecurity have undermined the social fabric of the country in the absence of robust social protection mechanisms that could mitigate job insecurity and corresponding anxiety. Elected on a platform of economic and social justice, the centre-left Moon Jae-in government (2017–2022) started with an ambitious agenda of labour market and unemployment protection reforms, informed by an aspiration to establish an inclusive/wage-led growth model instead of the country’s divisive export-oriented growth strategy, which relies on the exploitation of irregular workers for its economic success. We assess labour market dualisation and recent reform by the Moon Jae-in administration, before considering alternative policy recommendations to address the social polarisation in Korean society

Roads and barriers towards social investments: comparing labour market and family policy reforms in Europe and East Asia

Across the OECD world, social investment policies are on the rise, which Hemerijck describes as a ‘quiet paradigm revolution’. Whilst Nordic countries are typically considered the pioneers in social investment policies, we observe that latecomer countries of not only Europe but also East Asia have made considerable efforts to catch-up with Northern European frontrunners. The rise of social investment policies, especially the expansion of family policy presents an important dimension of the recent transformation of advanced welfare capitalism, which despite the prominence of retrenchment cannot be reduced to welfare state regress. However, we observe great cross-national variation in the speed and scope of family policy expansion. Unlike family policy, labour market policy did not experience a similar social investment turn, but is instead rather characterised by retrenchment with declining efforts to improve the employability of the unemployed and labour market outsiders. In this article, we examine the ‘uneven’ social investment turn in advanced welfare capitalism and argue that family and labour market policies, and their very different outcomes, are underpinned by very different political dynamics, rather than by ‘a politics of social investment’. Not only comparing family and labour market policy but also comparing across countries within each policy domain, we analyse the roads and barriers towards greater social investments

Social solidarity for all? Trade union strategies, labour market dualisation and the welfare state in Italy and South Korea

Political-economic analyses of trade unions in post-industrial societies have shifted away from traditional class-analytic approaches to embrace insider/outsider and producer coalition arguments based on the assumption that unions hold on to the defence of their core constituencies in the face of labour market deregulation and dualisation. Challenging this conventional wisdom, we provide an analysis of union strategies in Italy and South Korea, two most-different union movements perceived as unlikely cases for the pursuit of broader social solidarity, and we argue that in both countries unions have successively moved away from insider-focussed strategies. We show a movement towards “solidarity for all” in the industrial relations arena as well as in their social policy preferences. Furthermore, unions also explored new avenues of political agency, often in alliance with civil society organisations. We ascribe this convergent trend towards a social model of unionism to a response of unions to a “double crisis”; that is a socio-economic crisis, which takes the form of a growing periphery of the labour market associated with growing social exclusion, and a socio-political crisis, which takes the form of a increasing marginalisation of the unions from the political process pursued by right- and left-wing parties alike

Dualisation, education and the knowledge economy: comparing Germany and South Korea

In post-war Germany and South Korea, not only was vocational education and training key to the two countries' export-oriented growth models, it also promoted social inclusion. More recently, the knowledge economy has put this skills-based, inclusive growth model under pressure, and we see labour market dualisation calling into question the social contracts in the two countries. Studying education reform in Germany and Korea, we analyse government capacity to reconcile efficiency and inclusion in the knowledge economy, in the context of twin pressures from firms (with changing skills needs) and parents (with high aspirations for their children). We show that the German government, drawing on its corporatist past, has been more successful in mediating these pressures than Korea, where hierarchical business relations undermined employer engagement and more inclusive policies

Covid (In)equalities : labor market protection, health, and residential care in Germany, Sweden, and the UK

How have differently institutionalized welfare regimes dealt with the Covid-19 crisis? In particular, how have they confronted the social and economic inequalities exposed by the virus? Taking three European countries—Germany, Sweden, and the UK, corresponding broadly to conservative-continental, social democratic, and liberal regime types—this paper tracks the virus response in the areas of income and employment protection and health and residential care. With attention paid to issues of “capacity” and the institutional arrangements in each case, we find that institutional histories in Germany and Sweden permitted a certain recidivistic reliance on established practices in the areas of employment and social protection. In sum, certain social and economic inequalities were mitigated as these countries set aside recent trends toward “liberalization” and mobilized longer-standing institutional capacities to protect some groups, although by no means all. Evidence of this trend is less clear in the health and residential care sectors, where Germany had existing capacity, allowing its older population to weather the crisis in better order than its counterparts in Sweden and the UK. In the UK, welfare liberalization has led to increased social and economic inequalities and funding reductions in health and residential care—all of which have reduced the country’s ability to deal with severe crisis. The Covid response in this case was agile, but also chaotic, with little being done to ameliorate the positions of the most vulnerable groups

Combining Transarterial Radioembolization (TARE) and CT-Guided High-Dose-Rate Interstitial Brachytherapy (CT-HDRBT): A Retrospective Analysis of Advanced Primary and Secondary Liver Tumor Treatment

Purpose: Treatment of patients with primary and secondary liver tumors remains challenging. This study analyzes the efficacy and safety of transarterial radioembolization (TARE) combined with CT-guided high-dose-rate interstitial brachytherapy (CT-HDRBT) for the treatment of primary and secondary liver tumors. Patients and Methods: A total of 77 patients (30 female) with various liver malignancies were treated. Primary endpoints were median overall survival (OS) and time to untreatable progression (TTUP). Additionally, subgroup analyses were performed in consideration of diagnosis and procedure sequence. Median OS and TTUP prediction were estimated using Kaplan-Meier analysis and hazard ratios (HR) were calculated using a multivariate Cox proportional hazard model. Results: A total of 115 CT-HDRBT and 96 TARE procedures were performed with Purpose: Treatment of patients with primary and secondary liver tumors remains challenging. This study analyzes the efficacy and safety of transarterial radioembolization (TARE) combined with CT-guided high-dose-rate interstitial brachytherapy (CT-HDRBT) for the treatment of primary and secondary liver tumors. Patients and methods: A total of 77 patients (30 female) with various liver malignancies were treated. Primary endpoints were median overall survival (OS) and time to untreatable progression (TTUP). Additionally, subgroup analyses were performed in consideration of diagnosis and procedure sequence. Median OS and TTUP prediction were estimated using Kaplan-Meier analysis and hazard ratios (HR) were calculated using a multivariate Cox proportional hazard model. Results: A total of 115 CT-HDRBT and 96 TARE procedures were performed with no significant complications recorded. Median OS and TTUP were 29.8 (95% CI 18.1-41.4) and 23.8 (95% CI 9.6-37.9) months. Median OS for hepatocellular carcinoma (HCC)-, cholangiocarcinoma carcinoma (CCA) and colorectal cancer (CRC) patients was 29.8, 29.6 and 34.4 months. Patients starting with TARE had a median OS of 26.0 (95% CI 14.5-37.5) compared to 33.7 (95% CI 21.6-45.8) months for patients starting with CT-HDRBT. Hazard ratio of 1.094 per month was shown for patients starting with CT-HDRBT. Conclusion: Combining TARE and CT-HDRBT is effective and safe for the treatment of advanced stage primary and secondary liver tumors. Our data indicate that early TARE during the disease progression may have a positive effect on survival.no significant complications recorded. Median OS and TTUP were 29.8 (95% CI 18.1-41.4) and 23.8 (95% CI 9.6-37.9) months. Median OS for hepatocellular carcinoma (HCC)-, cholangiocarcinoma carcinoma (CCA) and colorectal cancer (CRC) patients was 29.8, 29.6 and 34.4 months. Patients starting with TARE had a median OS of 26.0 (95% CI 14.5-37.5) compared to 33.7 (95% CI 21.6-45.8) months for patients starting with CT-HDRBT. Hazard ratio of 1.094 per month was shown for patients starting with CT-HDRBT. Conclusion: Combining TARE and CT-HDRBT is effective and safe for the treatment of advanced stage primary and secondary liver tumors. Our data indicate that early TARE during the disease progression may have a positive effect on survival

Splenic artery steal syndrome in patients with orthotopic liver transplant: Where to embolize the splenic artery?

Purpose: This study compared proximal and distal embolization of the splenic artery (SA) in patients with splenic artery steal syndrome (SAS) after orthotopic liver transplantation (OLT) regarding post interventional changes of liver function to identify an ideal location of embolization. Methods and materials: 85 patients with SAS after OLT treated with embolization of the SA between 2007 and 2017 were retrospectively reviewed. Periinterventional DSA was used to assess treatment success and to stratify patients according to the site of embolization. Liver function was assessed using following laboratory values: bilirubin, albumin, gamma-glutamyl transferase, glutamat-pyruvat-transaminase (GPT), glutamic-oxaloacetic transaminase (GOT), Alkaline Phosphatase (ALP), aPTT, prothrombin time and thrombocyte count. Descriptive statistics were used to summarize the data. Median laboratory values of pre, 1- and 3-days, as well as 1-week and 1-month post-embolization were compared between the respective embolization sites using linear mixed model regression analysis. Results: All procedures were technically successful and showed an improved blood flow in the hepatic artery post-embolization. Ten Patients were excluded due to re -intervention or inconsistent image documentation. Pairwise comparison using linear mixed model regression analysis showed a significant difference between proximal and distal embolization for GPT (57.0 (IQR 107.5) vs. 118.0 (IQR 254.0) U/l, p = 0.002) and GOT (48.0 (IQR 48.0) vs. 81.0 (IQR 115.0) U/l, p = 0.008) 3-days after embolization as well as median thrombocyte counts 7-days after embolization (122 (IQR 108) vs. 83 (IQR 74) in thousands, p = 0.014). For all other laboratory values, no statistically significant difference could be shown with respect to the embolization site. Conclusion: We conclude that long-term outcomes after embolization of the SA in the scenario of SAS after OLT are irrespective of the site of embolization of the SA, whereas a proximal embolization potentially facilitates earlier normalization of liver function. Choice of technique should therefore be informed by anatomical conditions, safety considerations and preferences of the interventionalist

Institutions, ideas and learning in welfare state change: labour market reforms in Germany

Institutions, Ideas and Learning in Welfare State Change investigates the transformation of German labour market policy, showing that Germany has departed from the conservative-corporatist path of welfare. This development started with the conservative-liberal Kohl government in the mid-1990s, and was accelerated by the Red-Green alliance of Chancellor Schröder (1998-2005). That Social Democrats, with the Agenda 2010 and the Hartz Legislation in particular, continued on the trajectory of welfare restructuring and retrenchment caused much surprise amongst comparative social policy circles. This book demonstrates how policy learning transformed the ideational underpinnings of the labour market policy of the German 'social insurance state' and fostered the rise of the new welfare paradigm of activation