Social risks of family carers in the context of welfare state policies
DOI:
https://doi.org/10.20377/jfr-890Keywords:
European welfare states, care policy, family care, social risks, welfare regimeAbstract
Objective: To determine how European care policies for older people differ in terms of their potential social risks to family carers, as well as the extent to which these differences can be explained by different types of welfare and care regime.
Background: It is often assumed that welfare state support for family care entails high social risks to the carer, such as loss of employment income and social security rights. This paper challenges these assumptions and argues that care policies that generously support family carers might also alleviate some of the social risks related to family care.
Method: This paper introduces an innovative approach to systematically measuring the generosity of policies that support family carers, and it theorises how these policies connect to family carers' social risks. It then applies this approach to a comparative study of five European welfare states based on analyses of these countries’ care policy documents, standardised policy reports by national experts and data from comparative social policy databases.
Results: The findings reveal large cross-national differences in care policy design, which is only in some cases able to significantly mitigate social risks for family carers. Furthermore, these cross-national differences only partly correspond with assumptions based on welfare and care regime affiliation according to classic typologies.
Conclusion: The paper sheds new light on the ways in which welfare states design their policies towards family carers, and on the extent to which these policies are associated with social risks.
References
Anttonen, A., & Zechner, M. (2011). Theorizing Care and Care Work. In B. Pfau-Effinger & T. Rostgaard (Eds.), Care between work and welfare in European societies (pp. 15–34). Palgrave Macmillan. DOI: https://doi.org/10.1057/9780230307612_2
Arciprete, C., Ciani, F., Galanti, T., Jessoula, M., & Pedersini, R. (2021). Report on the social protection system in Italy. EUROSHIP.
Bambra, C. (2004). The worlds of welfare: illusory and gender blind? Social Policy and Society, 3(3): 201–211. DOI: https://doi.org/10.1017/S147474640400171X
Bettio, F., & Plantenga, J. (2004). Comparing care regimes in Europe. Feminist Economist, 10(1): 85–113. DOI: https://doi.org/10.1080/1354570042000198245
Bettio, F., & Verashchagina, A. (2012). Long-term care for the elderly: Provision and providers in 33 European countries. Publications Office of the European Union.
Bouget, D., Spasova, S., & Vanhercke, B. (2016). Work-life balance measures for persons of working age with dependent relatives in Europe. A study of national policies. European Social Policy Network (ESPN).
Brimblecombe, N., Pickard, L., King, D., & Knapp, M. (2018). Perceptions of unmet needs for community social care services in England. A comparison of working carers and the people they care for. Health and Social Care in the Community, 25: 435–446. DOI: https://doi.org/10.1111/hsc.12323
Ciccia, R., & Sainsbury, D. (2018). Gendering welfare state analysis: tensions between care and paid work. European Journal of Politics and Gender, 1(1): 93–109. DOI: https://doi.org/10.1332/251510818X15272520831102
Colombo, F., Llena-Nozal, A., Mercier, J., & Tjadens, F. (2011). Help wanted? Providing and paying for long-term care. OECD. DOI: https://doi.org/10.1787/9789264097759-en
Courtin, E., Jemiai, N., & Mossialos, E. (2014). Mapping support policies for informal carers across the European Union. Health Policy, 118(1): 84–94. DOI: https://doi.org/10.1016/j.healthpol.2014.07.013
Daly, M. (2020). Gender Inequality and Welfare States in Europe. Edward Elgar. DOI: https://doi.org/10.4337/9781788111263
Daly, M., & Lewis, J. (2000). The concept of social care and the analysis of contemporary welfare states. British Journal of Sociology, 51(2): 281–298. DOI: https://doi.org/10.1111/j.1468-4446.2000.00281.x
Deusdad, B. A., Pace, C., & Anttonen, A. (2016). Facing the challenges in the development of long-term care for older people in Europe in the context of an economic crisis. Journal of Social Service Research, 42(2): 144–150. DOI: https://doi.org/10.1080/01488376.2015.1133147
Eggers, T., Grages, C., Pfau-Effinger, B., & Och, R. (2020). Re-conceptualising the relationship between de-familialisation and familialisation and the implications for gender equality – the case of long-term care policies for older people. Ageing and Society, 40(4), 869–895. DOI: https://doi.org/10.1017/S0144686X18001435
Eggers, T., Grages, C., & Pfau-Effinger, B. (2022). Care-Politiken, soziale Risiken und Geschlechterungleichheit im internationalen Vergleich. In U. Knobloch, H. Theobald, C. Dengler, A.-C. Kleinert, C. Gnadt, & H. Lehner (Eds.), Caring Societies – Sorgende Gesellschaften: Neue Abhängigkeiten oder mehr Gerechtigkeit? (pp. 38–65). Beltz Juventa.
Ehrlich, U., Minkus, L., & Hess, M. (2020). Einkommensrisiko Pflege? Der Zusammenhang von familiärer Pflege und Lohn. Zeitschrift für Gerontologie und Geriatrie, 53(1): 22–28. DOI: https://doi.org/10.1007/s00391-019-01666-5
Eichler, M., & Pfau-Effinger, B. (2009). The ‘consumer principle’ in the care of elderly people: Free choice and actual choice in the German welfare state. Social Policy & Administration, 43(6): 617–633. DOI: https://doi.org/10.1111/j.1467-9515.2009.00684.x
Esping-Andersen, G. (1987). The comparison of policy regimes. In M. Rein, G. Esping-Andersen, & L. Rainwater (Eds.), The stagnation and renewal in social policy (pp. 3–13). M.E. Sharpe.
Esping-Andersen, G. (1990). The three worlds of welfare capitalism. Princeton University Press. DOI: https://doi.org/10.1177/095892879100100108
Eurostat (2018). European Union Statistics on Income and Living Conditions. https://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=ilc_di04&lang=en [retrieved January 30, 2023]
Fenger, M. (2007). Welfare regimes in Central and Eastern Europe: Incorporating post-communist countries in a welfare regime typology. Journal of Contemporary Issues in Social Science, 3(2): 1–30.
Ferragina, E., Seeleib-Kaiser, M., & Spreckelsen, T. (2015). The four worlds of ‘welfare reality’ – Social risks and outcomes in Europe. Social Policy & Society, 14(2): 287–307. DOI: https://doi.org/10.1017/S1474746414000530
Ferrera, M. (1996): The ‘Southern model’ of welfare in social Europe. Journal of European Social Policy, 6(1): 17–37. DOI: https://doi.org/10.1177/095892879600600102
Fraser, N. (1994). After the family wage: Gender equity and the welfare state. Political Theory, 22(4): 591–618. DOI: https://doi.org/10.1177/0090591794022004003
Frericks, P. (2021). How to quantify qualitative characteristics of societal differences: A method for systematic comparison of qualitative data (SCQual). International Journal of Social Research Methodology, 25(3): 311–322. DOI: https://doi.org/10.1080/13645579.2021.1883537
Frericks, P., Jensen, P. H., & Pfau-Effinger, B. (2014). Social rights and employment rights related to family care: Family care regimes in Europe. Journal of Aging Studies, 29: 66–77. DOI: https://doi.org/10.1016/j.jaging.2013.12.002
Geissler, B. & Pfau-Effinger, B. (2005): Change in European care arrangements. In B. Pfau-Effinger & B. Geissler (Eds.), Care and social integration in European societies (pp. 3–19). Policy Press. DOI: https://doi.org/10.46692/9781847421340.002
Gerlinger, T. (2018). ESPN thematic report on challenges in long-term care – Germany. European Commission.
Glendinning, C. (2018). ESPN thematic report on challenges in long-term care – United Kingdom. European Commission.
Gori, C., Fernandez, J.-L., & Wittenberg, R. (Eds.) (2016). Long-term care reforms in OECD countries. Policy Press. DOI: https://doi.org/10.1332/policypress/9781447305057.001.0001
Gottschall, K. (2018). Arbeit, Beschäftigung und Arbeitsmarkt aus der Genderperspektive. In F. Böhle, G. G. Voß, & G. Wachtler (Eds.), Handbuch Arbeitssoziologie (pp. 361–395). Springer VS. DOI: https://doi.org/10.1007/978-3-658-21704-4_12
Grages, C., Eggers, T., & Pfau-Effinger, B. (2021). Long-term care regimes in Europe (EUROSHIP Working Paper No. 6). Oslo Metropolotan University.
Grødem, A. S. (2016). ESPN thematic report on work-life balance measures for persons of working age with dependent relatives in Norway. European Commission.
Grødem, A. S. (2018). ESPN thematic report on challenges in long-term care – Norway. European Commission.
Halvorsen, R., Harsløf, I., Hvinden, B., & Schoyen, M. (2021). Report on the social protection system in Norway. EUROSHIP.
Hess, M., De Tavernier, W., & Naegele, L. (2020). Culture Matters – Normen, Erwerbstätigkeit und informelle Pflege von älteren Frauen in Europa. Sozialer Fortschritt, 69(10): 667–685. DOI: https://doi.org/10.3790/sfo.69.10.667
Jenson, J. (2015). The fading goal of gender equality: Three policy directions that underpin the resilience of gendered socio-economic inequalities. Social Politics: International Studies in Gender, State & Society, 22(4): 539–560. DOI: https://doi.org/10.1093/sp/jxv035
Jessoula, M., Pavolini, E., Raitano, M., & Natili, M. (2018). ESPN thematic report on challenges in long-term care – Italy. European Commission.
Kadi, S., Rodrigues, R., Kahlert, R., Hofmann, S. & Bauer, G. (2022). Does the family care best? Ideals of care in a familialistic care regime. Journal of Social Policy, 1–18. DOI: https://doi.org/10.1017/S0047279422000022
Knijn, T., & Kremer, M. (1997). Gender and the caring dimension of welfare states: Toward inclusive citizenship. Social Politics: International Studies in Gender, State & Society, 4(3): 328–362. DOI: https://doi.org/10.1093/oxfordjournals.sp.a034270
Kodate, N., & Timonen, V. (2017). Bringing the family in through the back door: The stealthy expansion of family care in Asian and European long-term care policy. Journal of Cross-Cultural Gerontology, 32(3): 291–301. DOI: https://doi.org/10.1007/s10823-017-9325-5
Kuckartz, U. (2014). Qualitative text analysis: A guide to methods, practice & using software. Sage. DOI: https://doi.org/10.4135/9781446288719
Lamura, G., Polverini, F., Principi, A., Balducci, C., Melchiorre, G.M., Quattrini, S., & Gianelli, M.V. (2004). National background report for Italy. EUROFAMCARE.
Le Bihan, B., Lamura, G., Marcak, J., Fernandez, J.-L., Johansson, L., & Sowa-Kofta, A. (2019a). Policy measures adopted to support unpaid care across Europe. Eurohealth, 25(4): 10–15.
Le Bihan, B., Da Roit, B., & Sopadzhiyan, A. (2019b). The turn to optional familialism through the market: Long‐term care, cash‐for‐care, and caregiving policies in Europe. Social Policy & Administration, 53(4): 579–595. DOI: https://doi.org/10.1111/spol.12505
Leitner, S. (2003). Varieties of familialism: The caring function of the family in comparative perspective. European Societies, 5(4): 353–375. DOI: https://doi.org/10.1080/1461669032000127642
Lewis, J. (1992). Gender and the development of welfare regimes. Journal of European Social Policy, 2(3): 159–173. DOI: https://doi.org/10.1177/095892879200200301
Lewis, J., & Giullari, S. (2005). The adult worker model family, gender equality and care: the search for new policy principles and the possibilities and problems of a capabilities approach. Economy and Society, 34(1): 76–104. DOI: https://doi.org/10.1080/0308514042000329342
Lister, R. (1994). “She has other duties” – Women, citizenship and social security. In S. Baldwin & J. Falkingham (Eds.), Social security and social change. New challenges to the Beveridge model (pp. 31–44). Harvester Wheatsheaf.
Möhring, K. (2015). Employment Histories and Pension Incomes in Europe. European Societies, 17(1): 3–26. DOI: https://doi.org/10.1080/14616696.2014.934874
Morgan, F. (2018). The Treatment of informal care-related risks as social risks: an analysis of the English care policy system. Journal of Social Policy, 47(1): 179–196. DOI: https://doi.org/10.1017/S0047279417000265
Mozhaeva, I. (2019). Who cares? Evidence on informal and formal home care use in Estonia. Baltic Journal of Economics, 19(1): 136–154. DOI: https://doi.org/10.1080/1406099X.2019.1578478
Naldini, M., Pavolini, E., & Solera, C. (2016). Female employment and elderly care: The role of care policies and culture in 21 European countries. Work, Employment and Society, 30(4): 607–630. DOI: https://doi.org/10.1177/0950017015625602
Novotna, L. (2021). Freedom and gender equality in EU family policy tools. Social Policy & Society, 1–18. DOI: https://doi.org/10.1017/S1474746421000737
OECD. (2020). Who cares? Attracting and retaining care workers for the elderly. OECD Health Policy Studies. OECD Publishing. DOI: https://doi.org/10.1787/df434a77-en
OECD. (2022). Taxing Wages 2022. OECD Publishing.
ONS. (2020). Statistical bulletin on average household income, UK: financial year 2020. https://www.ons.gov.uk/peoplepopulationandcommunity/personalandhouseholdfinances/incomeandwealth/bulletins/householddisposableincomeandinequality/financialyear2020 [retrieved February 15, 2022]
Orloff, A. S. (1993). Gender and the social rights of citizenship: The comparative analysis of gender relations and welfare states. American Sociological Review, 58(3): 303–328. DOI: https://doi.org/10.2307/2095903
Paat-Ahi, G., & Masso, M. (2018). ESPN thematic report on challenges in long-term care – Estonia. European Commission.
Pfau-Effinger, B. (2004). Historical paths of the male breadwinner family model – Explanation for cross-national differences. British Journal for Sociology, 55(3): 177–199. DOI: https://doi.org/10.1111/j.1468-4446.2004.00025.x
Pierson, P. (Ed.) (2001). The New Politics of the Welfare State. Oxford University Press. DOI: https://doi.org/10.1093/0198297564.001.0001
Ranci, C., & Pavolini, E. (2015). Not all that glitters is gold – Long-term care reforms in the last two decades in Europe. Journal of European Social Policy, 25(3): 270–285. DOI: https://doi.org/10.1177/0958928715588704
Rubery, J., & Figueiredo, H. (2018). Gender, employment and society. In S. Shaver (Ed.), Handbook on Gender and Social Policy (129–153). Edward Elgar.
Rummery, K. (2021). Gender equality and the governance of long-term care policy: new comparative models and paradigms. Journal of International and Comparative Social Policy, 37(1): 16–33. DOI: https://doi.org/10.1017/ics.2020.16
Saraceno, C. (2016). Varieties of familialism: Comparing four southern European and East Asian welfare regimes. Journal of European Social Policy, 26(4): 314–326. DOI: https://doi.org/10.1177/0958928716657275
Saraceno, C., & Keck, W. (2011). Towards an integrated approach for the analysis of gender equity in policies supporting paid work and care responsibilities. Demographic Research, 25(11): 371–406. DOI: https://doi.org/10.4054/DemRes.2011.25.11
Spasova, S., Baeten, R., Coster, S., Ghailani, D., Pena-Casas, R., & Vanhercke, B. (2018). Challenges in long-term care in Europe. European Commission.
Taru, M., Unt, M., & Täht, K. (2021). Report on the social protection system in Estonia. EUROSHIP.
Theobald, H. (2012). Home-based Care Provision within the German Welfare Mix. Health and Social Care in the Community, 20(3): 274–282. DOI: https://doi.org/10.1111/j.1365-2524.2012.01057.x
Theobald, H., Szebehely, M., Saito, Y., & Ishiguro, N. (2018). Marketisation policies in different contexts: Consequences for home-care workers in Germany, Japan and Sweden. International Journal of Social Welfare, 27(3): 215–225. DOI: https://doi.org/10.1111/ijsw.12298
Thomas, C. (1993). De-constructing concepts of care. Sociology, 27(4): 649–669. DOI: https://doi.org/10.1177/0038038593027004006
Ungerson, C. (2004). Whose empowerment and independence? A cross-national perspective on cash for care schemes. Ageing and Society, 24(2): 189–212. DOI: https://doi.org/10.1017/S0144686X03001508
Ungerson, C., & Yeandle, S. (Eds.) (2007). Cash for Care in Developed Welfare States. Palgrave Macmillan.
Verbakel, E. (2014). Informal caregiving and well-being in Europe: What can ease the negative consequences for caregivers? Journal of European Social Policy, 24(5): 424–441. DOI: https://doi.org/10.1177/0958928714543902
Verdin, R., & O’Reilly, J. (2021). Report on the social protection system in the United Kingdom. EUROSHIP.
Võrk, A., Paat-Ahi, G., & Biin, H. (2016). ESPN thematic report on work-life balance measures for persons of working age with dependent relatives in Estonia. European Commission.
Wagner, M., & Brandt, M. (2018). Long-term care provision and the well-being of spousal caregivers: An analysis of 138 European regions. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 73(4): 24–34. DOI: https://doi.org/10.1093/geronb/gbx133
Yamane, S. (2021). Gender equality, paid and unpaid care and domestic work: Disadvantages of state-supported marketization of care and domestic work. The Japanese Political Economy, 47(1): 44–63. DOI: https://doi.org/10.1080/2329194X.2021.1874826
Zigante, V. (2018). Informal care in Europe – Exploring ormalization, availability and quality. European Commission.
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