International Journal of Epidemiology 2002;31:754-757
© International Epidemiological Association 2002
Symposium Theme: Ageing |
Social policy and population ageing: challenges for north and south
School of Development Studies, University of East Anglia, Norwich, Norfolk, UK.
| The first 150 words of the full text of this article appear below. |
The challenge of social policy for older people
Social policy for older people has had to respond to a series of challenges. The first, and perhaps most significant, of these is a generalized perception of a social policy ‘crisis‘ and the need to reappraise the role of the state. This has been closely associated with an apparent paradigm shift away from state-centred welfarism that emphasised solidarity and aspired to universality. In its place has come a neo-liberal model, which emphasizes individual agency and pluralism, while playing down the role of the public sector. This shift is reflected in international debates about social policies for older people, including pension reform and health care. However, some of the basic precepts underlying this apparent paradigm change are open to question. Revisionists have cast some doubt on claims that western welfare states are inherently inefficient and unsustainable.1 While social policies in developing countries suffer many shortcomings, they have often contributed to rapid
Social policy and older people: the global agenda
Health policy: is a cost explosion inevitable?
Conclusions
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