Private financing of elder care in Sweden. Arguments for and against

The idea that there is a need to increase the share of private financing of the costs of elder care is expressed by several actors attempting to influence the direction of social policy Sweden these days. This idea fundamentally challenges established ways of financing and organising delivery of elder care services in Sweden. Underlying proposals for increasing private financing is the claim that the future scope of public elder care provision must contract, both vertically and horizontally. Underlying this claim is the assumption that both the quantity and quality of services demanded will increase, while the supply of public funds cannot. Vertical contraction aims to draw new funds from users willing to pay more to get higher quality services. Horizontal contraction aims to reduce the scope of public sector’s responsibility in service provision. This paper outlines recent developments in private provision of elder care services and examines arguments and actors for increasing private financing. Although the proposals have been put forward by influential actors, opposition to increasing private financing has been expressed, and support for solidaristic funding of elder care remains strong. Accordingly, we also consider these dissenting arguments and actors. Our purpose is to set out and evaluate the arguments, evidence and interests behind the proposals, and the likely outcomes of their implementation.Elder care; Private financing; Social policy; Sweden;

Contested, corporatised and confused? Australian attitudes to child care

Controversies about child care have been much in the news in Australia in recent times. Some commentators have damned the very existence of child care for very young children, using cortisol studies, among other evidence, to argue that formal care is positively harmful (Manne 2006). Yet despite these rather dire warnings, more and more Australian families are using child care – and finding the system complex, difficult to navigate, and increasingly unaffordable (Anderson 2006; Farouque, 2006; Halliday & Dunn 2006).1 Meanwhile, the business press reports that Australian-owned ABC Learning has grown to become the world’s largest listed company providing child care (Potts 2006). With around 900 centres, ABC Learning now controls an estimated 20 per cent of all long day care centres in Australia (O’Loughlin 2007). The rapid expansion of this and other corporate providers has reopened debate about what kind of organisations are best suited to providing child care services. This chapter explores what Australians think about child care, to provide a context for interpreting these media reports and for thinking about policy options. I explore three questions: where do Australians stand on working mothers and child care for young children, and how have these views changed over time? What kinds of organisations do Australians think are best to deliver child care? And what kinds of rationales for public subsidies for child care do Australians support? Understanding what Australians think about child care is useful, because insofar as attitudes are not currently well-understood or irrevocably fixed, there are clear opportunities for political and social actors to lead the childcare policy debate in new directions

The politics of market encroachment: policymaker rationales and voter responses

The provision of social services in Australia has changed dramatically in recent decades. Governments have expanded social provision without expanding the public sector by directly subsidising private provision, by contracting private agencies, both non-profit and for-profit, to deliver services, and through a number of other subsidies and vouchers. Private actors receive public funds to deliver social services to citizens, raising a range of important questions about financial and democratic accountability: 'who benefits', 'who suffers' and 'who decides'. This book explores these developments through rich case studies of a diverse set of social policy domains. The case studies demonstrate a range of effects of marketisation, including the impact on the experience of consumer engagement with social service systems, on the distribution of social advantage and disadvantage, and on the democratic steering of social policy

The political economy of for-profit paid care: theory and evidence

30 page(s

Introduction: capturing marketisation in Australian social policy

The provision of social services in Australia has changed dramatically in recent decades. Governments have expanded social provision without expanding the public sector by directly subsidising private provision, by contracting private agencies, both non-profit and for-profit, to deliver services, and through a number of other subsidies and vouchers. Private actors receive public funds to deliver social services to citizens, raising a range of important questions about financial and democratic accountability: 'who benefits', 'who suffers' and 'who decides'. This book explores these developments through rich case studies of a diverse set of social policy domains. The case studies demonstrate a range of effects of marketisation, including the impact on the experience of consumer engagement with social service systems, on the distribution of social advantage and disadvantage, and on the democratic steering of social policy

The politics of market encroachment: policymaker rationales and voter responses

The provision of social services in Australia has changed dramatically in recent decades. Governments have expanded social provision without expanding the public sector by directly subsidising private provision, by contracting private agencies, both non-profit and for-profit, to deliver services, and through a number of other subsidies and vouchers. Private actors receive public funds to deliver social services to citizens, raising a range of important questions about financial and democratic accountability: 'who benefits', 'who suffers' and 'who decides'. This book explores these developments through rich case studies of a diverse set of social policy domains. The case studies demonstrate a range of effects of marketisation, including the impact on the experience of consumer engagement with social service systems, on the distribution of social advantage and disadvantage, and on the democratic steering of social policy

Introduction: politics, profits and practices in child and aged care

11 page(s

Introduction: capturing marketisation in Australian social policy

The provision of social services in Australia has changed dramatically in recent decades. Governments have expanded social provision without expanding the public sector by directly subsidising private provision, by contracting private agencies, both non-profit and for-profit, to deliver services, and through a number of other subsidies and vouchers. Private actors receive public funds to deliver social services to citizens, raising a range of important questions about financial and democratic accountability: 'who benefits', 'who suffers' and 'who decides'. This book explores these developments through rich case studies of a diverse set of social policy domains. The case studies demonstrate a range of effects of marketisation, including the impact on the experience of consumer engagement with social service systems, on the distribution of social advantage and disadvantage, and on the democratic steering of social policy

Diversity and novelty in environmental enrichment increases enrichment use in juvenile American mink (Neogale vison)

It is standard practice on mink farms in Canada to provide one manipulable environmental enrichment (EE) in each cage to benefit animal health and welfare, and once an enrichment is introduced, it must remain in the cage for the duration of that animal’s life. However, mink might habituate to permanently present enrichments, which reduces interaction with these items over time. In this study, juvenile mink were provided with multiple EEs (mobile and hanging items) that were regularly exchanged to maintain novelty in addition to a standard, permanently present EE (enriched kits; EK). EE use over time, as well as interactions based on EE type, were compared to that of two groups which were standard-housed as juveniles (control; C and enriched at whelping; EW) with access to a permanently available standard enrichment. EK housing was found to significantly increase kits’ EE use compared to standard housing (p< 0.001). Despite some evidence of rapid habituation to novel objects (e.g., decreased use of hanging rope EE in second week of access: p = 0.019), item exchange appeared to have a sustaining effect on exploration of all EEs in the cage, including familiar objects. Thus, it may be beneficial to provide farmed mink with multiple EEs, both novel and familiar, to promote their optimal use and facilitate welfare benefits. Objects with greater manipulability or malleability were also used more by kits than those with fewer possible uses (e.g., pig’s ear versus other, less malleable mobile EEs: p< 0.001; rope versus less malleable hanging EE: p< 0.001). Although this effect was persistent across all periods of observation, it is possible that kit age at time of object introduction or differences in novelty may have contributed to these differences in their use. Further research is required to determine kits’ preference for different EE types when all items are equivalently novel, and when differences in developmental stage are fully accounted for