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Is welfare retrenchment inevitable? : scope and drivers of healthcare reforms in five Spanish regions during the crisis Eloísa del Pino and Juan A. Ramos

By: Pino Matute, Eloísa del.
Contributor(s): Ramos, Juan A.
Material type: ArticleArticlePublisher: 2018Subject(s): CRISIS FINANCIERA | ASISTENCIA SOCIAL | ASISTENCIA SANITARIA | AUTONOMIA FINANCIERA | POLITICA FISCAL | COMUNIDADES AUTONOMAS | ESPAÑAOnline resources: Click here to access online In: Journal of Social Policy v. 47, part 4, October 2018, p. 701-720Summary: To what extent, in the context of severe economic crisis, do governments of the right and the left have room for manoeuvre to choose their fiscal consolidation paths? To what degree might this margin be broader in multilevel systems? The severity of the crisis suffered by Spain since 2007, combinedwith the significant scope of the powers and related expenditure capacities of theAutonomousCommunities,make the Spanish regions a highly suitable case for controlled comparisons of fiscal adjustment policies andwelfare reforms. Specifically examining healthcare retrenchment in the regions, we find that although the regional governments were all subjected to considerable budget constraints and were forced to cut social policies, they were also able to ensure a certain degree of leeway in selecting their individual healthcare retrenchment policies, in part by strategically utilising the multilevel institutions provided by the Spanish Autonomic State.
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To what extent, in the context of severe economic crisis, do governments of the right and the left have room for manoeuvre to choose their fiscal consolidation paths? To what degree
might this margin be broader in multilevel systems? The severity of the crisis suffered by Spain since 2007, combinedwith the significant scope of the powers and related expenditure capacities of theAutonomousCommunities,make the Spanish regions a highly suitable case for controlled comparisons of fiscal adjustment policies andwelfare reforms. Specifically examining healthcare retrenchment in the regions, we find that although the regional governments were all subjected to considerable budget constraints and were forced to cut social policies, they were also able to ensure a certain degree of leeway in selecting their individual healthcare retrenchment policies, in part by strategically utilising the multilevel institutions provided by the Spanish Autonomic State.

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