Why should we care about competition?

Abstract

Most people believe that competitive institutions are morally acceptable, but that there are limits: a friendly competition is one thing; a life or death struggle is another. How should we think about the moral limits on competition? I argue that the limits stem from the value of human sociability, and in particular from the noninstrumental value of a form of social connectedness that I call ‘mutual affirmation.’ I contrast this idea with Rawls’s account of social union and stability. Finally, I show how these ideas provide the basis for a powerful argument in favour of social provisions for public goods: for example, a strong public health care system moderates the stakes in labour market competition, preventing the competition from descending into a life or death struggle.     

Representations of intergenerational care on BBC children’s television

This paper contributes to research on media representations of care with a textual analysis of BBC children’s television. As a public service broadcaster, the BBC is tasked with the fostering and sustaining of citizenship. This paper argues that representations of care are an important way by which the BBC can potentially meet its remit and inform children’s perceptions of informal care. It takes a focused look at the portrayal of grandparent–grandchild relationships of care in three programmes: Mr Alzheimer’s and Me, Katie Morag and Topsy and Tim. All three programmes show narrative moments which map onto Tronto’s concept of good care, including attentiveness, responsibility, competence, responsiveness, solidarity and trust. Grandparents and grandchildren are shown to be caring for each other. However, programmes do not challenge the inequalities which continue to structure the realities of informal care work. Neither the inequalities of power between carers and care receivers, nor the lack of public and government support for carers is addressed, and adult informal care is gendered. This paper argues that while BBC children’s programmes provide important opportunities for children to learn the meaning of good care, in order for it to meet its public service remit, it should also provide opportunities to learn about the relationships of power that structure informal care.     

Long‐term care reform and the role of housing finance

Abstract

The Clinton administration's recently announced home and community‐based care proposals have potentially important implications not only for long‐term care policy, but also for housing policy in the United States. This article attempts to draw out some of those implications. The first section examines problems inherent in the current “medical/welfare” system of financing long‐term care, which constrains consumer choice by limiting the supply of providers to control costs and by increasing medical professionals’ control over the types of services provided in the name of quality control. The medical/welfare dominance of long‐term care policy has resulted in an overreliance on nursing homes as providers, resulting in both escalating costs and continued consumer dissatisfaction.

The second half of the article looks at recent market and policy developments in response to consumer demand for lower cost alternatives to nursing homes. These alternatives promote more consumer autonomy and control in supportive housing arrangements. A more comprehensive services and housing policy could promote these developments in an approach that combines the security of public financing of supportive services with the benefits of consumer choice, market competition, and legal protections that characterize housing markets. In such a scenario, housing finance institutions—including government agencies, lenders, developers, and investors—could play a pivotal role in the long‐term care debate not only by unlocking substantial financial resources but, equally important, by transforming the provision of long‐term care services to promote consumer choice and autonomy.     

Building ‘implicit partnerships’? Financial long-term care entitlements in Europe

Policy Sciences - The design of public subsidies for long-term care (LTC) programmes to support frail, elderly individuals in Europe is subject to both tight budget constraints and increasing...     

Do citizens care about government debt? Evidence from survey experiments on budgetary priorities

Ever since the Great Recession, public debt has become politicised. Some research suggests that citizens are fiscally conservative, while other research shows that they punish governments for implementing fiscal consolidation. This begs the question of whether and how much citizens care about debt. We argue that debt is not a priority for citizens because reducing it involves spending and tax trade-offs. Using a split-sample experiment and a conjoint experiment in four European countries, we show that fiscal consolidation at the cost of spending cuts or taxes hikes is less popular than commonly assumed. Revenue-based consolidation is especially unpopular, but expenditure-based consolidation is also contested. Moreover, the public has clear fiscal policy priorities: People do not favour lower debt and taxes, but they support higher progressive taxes to pay for more government spending. The article furthers our understanding of public opinion on fiscal policies and the likely political consequences of austerity.     

Can citizens care too much? Investment in election outcomes and perceptions of electoral legitimacy

Might there be a downside to citizen engagement with elections? The tendency for citizens who supported a winning candidate or party to be more supportive of the democratic system and more trusting of government than supporters of the losers has been well documented. I test the extent to which individual-level investment in a presidential election campaign amplifies effects of winning or losing using the online component of the 2008 NAES to track the same individuals' from pre-election to post-election. The analysis provides strong evidence of amplifying effects of investment on the relationship between winning or losing and perceptions of electoral legitimacy. Certain types of investment—policy agreement and participation—appear to hold significant implications only for losers and not winners.     

The politics of scarcity: Social welfare and health care cutbacks in Finland, 1991–1995

This article analyses cutbacks in Finnish social and health care programmes. Eight hypotheses were formulated and then tested with empirical cutback data from 1991–95. The analysis showed that strictly administrative programmes and those focused on marginal groups were more likely to be cut more than other programs. These results partially endorse to the ‘vote‐maximising politician’ and the ‘blame‐avoidance’ hypotheses. Political decision‐makers try to distribute the cuts so that harm to the vast majority of voters is minimised. In addition to this, it seems to be easier for politicians to pass the blame for unpleasant cuts to others. The empirical analysis did not corroborate the ‘bureaucratic politics’ theory according to which bureaucrats are in such an important position in the budgetary process that they can protect themselves from cuts. The analysis showed that the administration was hit by cuts significantly harder than other programmes, nor was the impact of powerful interest groups significant in the analysis.     

Conversion from nonprofit to for-profit legal status: Why does it happen and should anyone care?

The conversion of a nonprofit firm to the for-profit form is commercialism carried to an extreme. Conversion is increasingly common, most notably in health care. We seek to advance understanding of why nonprofit conversions occur and what public policy should be toward them. A transfer of control—the essence of a conversion—over nonprofit assets can be accomplished in various ways. Thus, it would be a public policy mistake to focus narrowly on formal legal conversions or outright sales. We explore the possible motives for conversion, and speculate about the reasons for the flurry of conversion activity in hospitals and health maintenance organizations (HMOs). We conclude that there are three central public policy questions raised by conversions: (1) under what circumstances is conversion appropriate—when does it represent an efficient reallocation of resources and when only a redistribution of wealth?; (2) how should the nonprofit's assets be valued?; and (3) what should happen to the financial assets that remain after a conversion?     

From early Confucian texts to aged care in China and abroad today： The evolution of filial piety and its implications

Filial piety has remained a cornerstone of aged care in Chinese communities for at least 2,000 years. This paper reviews understandings and practices of filial piety in China and among Chinese migrants to western countries. Five dimensions of filial piety are considered： living arrangements, support, respect, ancestral worship and gender norms. Although the meaning of and practices associated with filial piety may have changed over time, the ideal of filial piety is still highly relevant to aged care in Chinese communities today.