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Published on: June 16, 2017

Saltman on solidarity.

Lawrence D Brown¹, David P Chinitz²

¹Mailman School of Public Health Columbia University, New York, USA.

Israel Journal of Health Policy Research

|June 24, 2015

Summary

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European healthcare solidarity is being re-evaluated due to economic austerity. This study examines the core elements of solidarity in health policy and their implications for decision-making strategies.

Area of Science:

Health policy
Social policy
Economic analysis

Background:

Solidarity is a foundational principle in West European healthcare systems.
Austerity measures are prompting a reconsideration of traditional solidarity concepts.
Previous interpretations of solidarity offered flexibility in policy responses to fiscal challenges.

Purpose of the Study:

To analyze the core elements of solidarity: universality, redistribution, and uniformity.
To compare the meaning of solidarity in health policy versus other social policy domains like pensions.
To assess the enduring relevance of solidarity's core principles for contemporary health policy.

Main Methods:

Conceptual analysis of solidarity in healthcare.
Comparative policy analysis across social and health sectors.

Keywords:

Economic austerity Health reform Solidarity

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Literature review of economic conditions and their impact on health policy.

Main Results:

The core elements of solidarity (universality, redistribution, uniformity) are being scrutinized in healthcare.
While flexible, solidarity retains a durable core providing direction for policymakers.
The content of health services is increasingly subject to examination under fiscal pressure.

Conclusions:

Despite economic pressures, the core of solidarity remains a valuable guide for health policy.
Policymakers can utilize the durable aspects of solidarity to develop acceptable decision-making structures.
Understanding the nuances of solidarity is crucial for navigating contemporary healthcare challenges.