Immigration and Citizenship in Germany: Contemporary Dilemmas

The paper starts from a paradox of contemporary German politics: after the unification of the two Germanies the ethnocultural grounding of German citizenship has lost its historical meaning; at the same time violent conflicts and heated debate over the rights to full membership for immigrants in the German state have developed. After a theoretical discussion of the notions of nation state, citizenship, and immigration, the development of the contemporary paradox of citizenship is sketched historically using two pairs of distinctions: nationhood v. statehood and political v. social (state-mediated) inclusion. The paradox of 'ethnicized' conflicts over Germans v. foreigners is interpreted as a discrepancy between membership in the state on the one hand and membership in the welfare state system on the other—a discrepancy which currently is 'overdetermined' by the socio-economic consequences of unification.     

The role of competition in health care: a Western European perspective

The Federal Trade Commission and Department of Justice 2004 report Improving Health Care: A Dose of Competition expresses a clear allegiance to competition as the organizing principle for health care. In Europe, by contrast, the key organizing principle of health care systems is solidarity. Solidarity means that all have access to health care based on medical needs, regardless of ability to pay. This is not to say that competition is not important in Europe, but competition must take place within the context of solidarity. This article critiques the report from a European perspective, describes the role of competition in Europe (focusing in particular on European Union law), and suggests that the United States could learn from the European perspective.