The democratic nation state of the post-war era has undergone major transformations since the 1970s, and political authority has been both internationalized and privatized. The thirteen chapters of this edited collection deal with major transformations of governance arrangements and state responsibilities in the countries of the OECD world. A unified conceptual and explanatory framework is used to describe trajectories of state change, to explain the internationalization or privatization of responsibilities in the resource, law, legitimacy and welfare dimensions of the democratic nation state, and to probe the state's role in the today's post-national constellation of political authority. As the contributions show, an unravelling of state authority has indeed occurred, but the state nevertheless continues to play a key role in emerging governance arrangements. Hence it is not merely a 'victim' of globalization and other driving forces of change.

The economic crises of the 1970s marked the end of the 'Golden Age' of the welfare state and triggered a broad range of cost containment measures in OECD countries. In the healthcare sector the difficulties of cutting back state involvement are largely caused by the fact that the legitimacy of health systems is based on their capability to provide a satisfactory standard of healthcare for all citizens, irrespective of their ability to pay for it. Hence, the divergent healthcare system types of the heydays of the welfare state which were characterized by the distinct role of the state have now changed profoundly. Combining cross-sectional studies on healthcare financing, provision and policy values with in-depth country studies of Britain, Germany and the US, this volume argues that divergent healthcare system types are now converging toward hybrid forms.

Describes developments in healthcare systems over nearly four decades. Combining cross-sectional studies on healthcare financing, provision and policy values with in-depth country studies of Britain, Germany and the USA, this volume is a thorough examination of the convergence toward hybrid forms of healthcare systems.

The democratic nation state of the post-war era has undergone major transformations since the 1970s, and political authority has been both internationalized and privatized. The thirteen chapters of this edited collection deal with major transformations of governance arrangements and state responsibilities in the countries of the OECD world. A unified conceptual and explanatory framework is used to describe trajectories of state change, to explain the internationalization or privatization of responsibilities in the resource, law, legitimacy and welfare dimensions of the democratic nation state, and to probe the state's role in the today's post-national constellation of political authority. As the contributions show, an unravelling of state authority has indeed occurred, but the state nevertheless continues to play a key role in emerging governance arrangements. Hence it is not merely a 'victim' of globalization and other driving forces of change.