Health Care Developments in EU Member States: Regressing Trensds and Institutional Similarity?

Abstract

Due to various structural pressures predictions of retrenchment and conformity of social policies have been legion, both in terms of expenditure and institutional set-up. Recent research has focused on changes in cash benefits. Comparative analyses of changes in services, the other pillar of social policy, have however so far been limited to a few countries. The purpose of this paper is to perform a diachronical cross-national analysis of health care services. We thus raise questions of decline and convergence of European health care systems. Contrary to previous claims we find that European health care systems are not particularly hit by retrenchment and convergence is absent in key health care dimensions, namely coverage, financing and provision. The empirical analysis is based on institutional indicators rather than expenditure levels. We utilize OECD Health Data and provide both a descriptive analysis and multi-level regressions.Health care; Citizenship rights; EU; welfare