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Work, Worklessness, and the Political Economy of Health$
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Clare Bambra

Print publication date: 2011

Print ISBN-13: 9780199588299

Published to Oxford Scholarship Online: January 2012

DOI: 10.1093/acprof:oso/9780199588299.001.0001

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Welfare state capitalism and health

Welfare state capitalism and health

(p.23) Chapter 2 Welfare state capitalism and health
Work, Worklessness, and the Political Economy of Health

Clare Bambra

Oxford University Press

This chapter examines the development of the welfare state from a political economy perspective. Initially, the emergence of post-war welfare state capitalism is examined, and subsequently international variations — Fordist welfare state regimes — are outlined and compared. The crisis and reform of developed welfare states as forms of labour market regulation and capital accumulation are then examined and contextualized within the wider economic and political structural shifts from Fordism to post-Fordism. The emergence of new forms of welfare — post-Fordist workfare state regimes — is also described. In the final section, the role of the welfare state as mediator in the social determinants of health is outlined and differences in population health and health inequalities by welfare state regime are examined.

Keywords:   welfare regime, political economy, capitalism, labour market regulation, welfare reform, capital accumulation, Fordism, workfare state, health, health inequalities

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