Centre for Policy on Ageing
 

 

Privatisation and new modes of state intervention
 — the long-term care programme in Israel
Author(s)Mimi Ajzenstadt, Zeev Rosenhek
Journal titleJournal of Social Policy, vol 29, part 2, April 2000
Pagespp 247-262
KeywordsHealth services ; Services ; Long term ; Private enterprise ; Social policy ; Israel.
AnnotationIn the past 20 years, most welfare states have witnessed significant changes in the institutional mechanisms through which health, education and welfare services are allocated. This article analyses the formulation and implementation of a relatively new statutory programme of care services for dependent older people in Israel, which has a basic characteristic the supply of services by non-state agencies. The analysis serves as a basis for exploring the effects of privatisation and the emergence of quasi-markets on the functioning of the welfare state both as a benefits provider and as a major employer. In contrast to the perspectives that consider privatisation as leading to the weakening of the state in the welfare domain, the authors argue that through the transfer of services supplied by non-state agencies, the state protects itself from demands and pressures from clients, while maintaining its control and regulation capabilities. This process decreases the state's accountability towards its citizens, enhancing in turn its autonomy. Privatisation policies do not imply, therefore, the dissolution of the welfare state, rather the emergence of a new mode of state intervention. (RH).
Accession NumberCPA-000608228 A
ClassmarkL: I: 4Q: W4D: TM2: 7H6

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