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Wealth and Welfare States - Is America a Laggard or Leader? (Paperback, New)
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Wealth and Welfare States - Is America a Laggard or Leader? (Paperback, New)
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This book explores the role of the welfare state in the overall
wealth and wellbeing of nations and in particular looks at the
American welfare state in comparison with other developed nations
in Europe and elsewhere. It is widely believed that the welfare
state undermines productivity and economic growth, that the United
States has an unusually small welfare state, and that it is, and
always has been, a welfare state laggard. This book shows that all
rich nations, including the United States, have large welfare
states because the socialized programs that comprise the welfare
state-public education and health and social insurance-enhance the
productivity of capitalism. In public education, the most
productive part of the welfare state, for most of the 19th and 20th
centuries, the United States was a leader. Though few would argue
that public education is not part of the welfare state, most
previous cross national analyses of welfare states have omitted
education. Including education has profound consequences,
undergirding the case for the productivity of welfare state
programs and the explanation for why all rich nations have large
welfare states, and identifying US welfare state leadership. From
1968 through 2006, the United States swung right politically and
lost its lead in education and opportunity, failed to adopt
universal health insurance and experienced the most rapid explosion
of health care costs and economic inequality in the rich world. The
American welfare state faces large challenges. Restoring its
historical lead in education is the most important but requires
investing large sums in education, beginning with universal
pre-school and in complementary programs that aid children's
development. The American health insurance system is by far the
most costly in the rich world, yet fails to insure one sixth of its
population, produces below average results, crowds out useful
investments in children, and is the least equitably financed.
Achieving universal coverage will increase costs. Only complete
government financing is likely to restrain long term costs. In
memory of Robert J. Lampman Colleague, Co-author, Friend and Mentor
General
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