TY - JOUR A1 - Friedlein, Nicole T1 - Promoting individual health tesponsibility in the welfare state JF - European journal of health law N2 - The public health insurance in Germany will face huge economic challenges in the upcoming years. New diagnostic and therapeutic methods as well as the demographic change contribute to constantly rising expenditure. Although incentives for health-promoting behaviour or financial sanctions for an unhealthy lifestyle have been already discussed in the past, there has been a general reluctance to legally establish corresponding mechanisms for fear of eroding solidarity and increasing state control. In the course of the Coronavirus pandemic however, a stronger awareness rose to the fact that personal health-related life choices can have a huge impact on the stability of the healthcare system including public health insurance. Not only in Germany but throughout much of Europe, the pandemic led to a new and more fundamental debate about the relationship between individual responsibility for personal health and the wider responsibility for public health assumed by the community of solidarity. KW - German legislation KW - individual health responsibility KW - public health insurance KW - solidarity KW - welfare state Y1 - 2024 U6 - https://doi.org/10.1163/15718093-bja10128 SN - 1571-8093 SN - 0929-0273 SP - 1 EP - 12 PB - Brill Nijhoff CY - Leiden ER - TY - JOUR A1 - Kuhlmann, Sabine A1 - Reiter, Renate T1 - Decentralization of the French welfare state: from 'big bang' to 'muddling through' JF - International Review of Administrative Sciences N2 - This article analyses the decentralization of the French welfare state focusing on the transfer of the Revenu minimum d’insertion (RMI) welfare benefit to the departments in 2003 and 2004. We map and explain the effects of the reform on the system and performance of the subnational provision of welfare tasks. To evaluate the impact of decentralization on the RMI-related action of the departments, we carry out a qualitative document analysis and use data from two case studies. The RMI decentralization offers an exemplary insight into the incremental implementation of French decentralization. We find many unintended effects in terms of the performance and outcome of the subnational welfare provision. This is traced back to the combining of institutional and policy reforms and the inadequate translation of high political expectations into an inadequate action programme both resulting in excessive demands on the local actors. Points for practitioners The decentralization of public tasks is associated with high expectations in terms of the effects on the performance of public services and public governance on the subnational levels. For an in-depth measure the range of administrative performance and political systems effects should be taken into account. We propose a five-dimensional scheme allowing for the determination of decentralization effects on the resource input to and the operative output of subnational public services, on the horizontal coordination between subnational task holders and the affected non-public stakeholders, on the vertical intergovernmental coordination, and on the democratic accountability of subnational authorities. KW - decentralization KW - France KW - incremental reform KW - welfare state Y1 - 2016 U6 - https://doi.org/0.1177/0020852315583194 SN - 0020-8523 SN - 1461-7226 VL - 82 IS - 2 SP - 255 EP - 272 PB - Sage CY - London ER - TY - GEN A1 - Trampusch, Christine T1 - Sozialpolitik in Post-Hartz Germany T1 - Social politics in Post-Hartz Germany N2 - The article points to the following causes of German social policy reform, as it has taken shape by the so-called ‘Hartz’-Acts: the self-inflicted financial crisis of the welfare state, the return of party leaders as agenda setters, and the weakening of employers associations and trade unions in this policy field. Through a large, informal coalition, the political parties have responded to various internal conflict constellations. KW - Deutschland KW - Sozialstaat KW - Arbeitsmarkt KW - Germany KW - welfare state KW - labour market Y1 - 2005 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus-47845 ER - TY - GEN A1 - Kneip, Sascha T1 - Die sozialphilosophischen Grundlagen des demokratischen Wohlfahrtsstaats N2 - At the beginning of the 21st century the welfare state is under pressure from two sides. On the one hand, there is "globalisation", on the other hand seems to be some sort of normative crisis of the welfare state’s moral foundations. The welfare state is said to curtail individual freedom and autonomy. This article rejects this assumption by exploring the philosophical and moral foundations of the welfare state, thereby demonstrating that it is essentially necessary for individual freedom and autonomy. Furthermore, it is shown that individual freedom is also the core principle of liberal democracy and that the welfare state is therefore an indispensable prerequisite for democracy itself. KW - welfare state KW - democracy Y1 - 2003 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus-9570 ER -