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State and health.

H U Deppe1

  • 1Abt. für Medizinische Soziologie, Frankfurt/M. F.R.G.

Social Science & Medicine (1982)
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

This study analyzes state health functions in the F.R.G., focusing on class conflict and 1974 health policy changes. These interventions led to service restrictions and financial burdens for the socially insured.

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Area of Science:

  • Public Health Policy
  • Socioeconomics
  • Political Science

Background:

  • The Federal Republic of Germany (F.R.G.) experienced significant shifts in state health functions.
  • Antagonistic social class interests have historically influenced health policy.
  • The 1974 health policy intervention marked a critical juncture, coinciding with an economic crisis.

Purpose of the Study:

  • To examine the historical, political, and socio-economic interrelationships of state health functions in the F.R.G.
  • To analyze the impact of class interests on health policy.
  • To evaluate the consequences of the 1974 health political state intervention.

Main Methods:

  • Historical analysis of state health functions.
  • Political and socio-economic contextualization.

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  • Examination of health policy interventions and their effects.
  • Main Results:

    • The 1974 intervention initiated far-reaching economic restrictions on healthcare utilization.
    • Key interventions included co-payments, commercialization, privatization, individualization, and rationalization of public services.
    • Massive financial transfers occurred within the public service system, negatively impacting the socially insured.

    Conclusions:

    • State health functions in the F.R.G. are deeply intertwined with socio-economic and political factors, particularly class conflict.
    • The 1974 health policy reforms led to a significant restructuring of healthcare, characterized by increased user costs and privatization.
    • These changes resulted in a detrimental redistribution of resources within the public health system, disadvantaging the socially insured.