Skip to main content
    • Aa
    • Aa

Marketization via Compensation: Health Care and the Politics of the Right in Advanced Industrialized Nations


A novel theory of the healthcare policy of right-wing governments is presented in this article. It posits that the politics of health care is inherently different from the politics of a social policy related to the labour market. Health care protects against risks that are in the main uncorrelated with the income distribution. This implies that median voters will favour public provision, while high-income voters will not. This generates a unique challenge to right-wing governments that have to balance the interests of the two. The solution is marketization via compensation, where public spending is expanded but where public support of private market solutions is given special priority.

Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

John D. Stephens , The Transition from Capitalism to Socialism (Urbana: University of Illinois Press, 1979)

Paul Pierson , Dismantling the Welfare State? Reagan, Thatcher, and the Politics of Retrenchment (Cambridge: Cambridge University Press, 1994)

Evelyne Huber and John D. Stephens , Development and Crisis of the Welfare State: Parties and Politics in Global Markets (Chicago: The University of Chicago Press, 2001)

Margarita Estevez-Abe , Torben Iversen and David Soskice , ‘Social Protection and the Formation of Skills: A Reinterpretation of the Welfare State’, in Peter Hall and David Soskice, eds, Varieties of Capitalism: The Institutional Foundations of Comparative Advantage (London: Oxford University Press, 2001), 145183

Geoffrey Garrett , Partisan Politics in the Global Economy (Cambridge: Cambridge University Press, 1998)

Torben Iversen , Capitalism, Democracy, and Welfare (Cambridge: Cambridge University Press, 2005)

Gøsta Esping-Andersen , Social Foundations of Postindustrial Economies (Oxford: Oxford University Press, 1999)

Jacob S. Hacker , The Divided Welfare State: The Battle over Public and Private Social Benefits in the United States (Cambridge: Cambridge University Press, 2002)

Bo Rothstein , Just Institutions Matter: The Moral and Political Logic of the Universal Welfare State (Cambridge: Cambridge University Press, 1998)

Paul Pierson , ‘Post-industrial Pressures on the Mature Welfare States’, in P. Pierson, ed., The New Politics of the Welfare State (Oxford: Oxford University Press, 2001)

Christoffer Green-Pedersen , The Politics of Justification; Party Competition and Welfare-State Retrenchment in Denmark and the Netherlands from 1982 to 1998 (Amsterdam: Amsterdam University Press, 2002)

Francesca Colombo and Nicole Tapay , Private Health Insurance in Australia: A Case Study (Paris: OECD, 2003)

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

British Journal of Political Science
  • ISSN: 0007-1234
  • EISSN: 1469-2112
  • URL: /core/journals/british-journal-of-political-science
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Full text views

Total number of HTML views: 10
Total number of PDF views: 146 *
Loading metrics...

Abstract views

Total abstract views: 311 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 25th September 2017. This data will be updated every 24 hours.