| Preface and Acknowledgments |
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xv | |
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xvii | |
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xix | |
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Solidarity, Health and Social Care in Europe Introduction to the Volume |
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1 | (12) |
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Setting the Scene: the Issue of Solidarity in Modern Society |
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1 | (1) |
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Concerns for Care Put Solidarity under Strain |
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2 | (4) |
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Theoretical Perspectives on Solidarity |
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6 | (2) |
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8 | (3) |
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Solidarity as a Public Value: Empirical Issues |
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9 | (1) |
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Solidarity as a Moral Concept |
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10 | (1) |
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11 | (2) |
| PART I: SOLIDARITY AS A PUBLIC VALUE: EMPIRICAL ISSUES |
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13 | (264) |
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Modernisation, Solidarity and Care in Europe the Sociologist's Tale |
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15 | (26) |
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15 | (2) |
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Modernity, Organised Solidarity, and Individual Responsibility |
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17 | (2) |
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Solidarity as a Sociological Construct |
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19 | (2) |
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Solidarity in a Time of Reflexive Modernity |
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21 | (3) |
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24 | (2) |
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Differences in Organised Solidarity between Welfare States |
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26 | (3) |
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Modernity and its Threat to Solidarity |
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29 | (2) |
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The Dimension of Affluence |
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29 | (1) |
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The Dimension of Structural Differentiation |
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30 | (1) |
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The Dimension of Generalisation of Values and Norms |
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31 | (1) |
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Solidarity as a Public Value in European Care Systems |
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31 | (2) |
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33 | (5) |
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Picking up the Thread of the Volume |
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38 | (1) |
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38 | (3) |
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Popular Support for Health Care in Europe Review of the Evidence of Cross-National Surveys |
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41 | (36) |
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Introduction and Research Question |
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41 | (2) |
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Solidarity and its Motivational Bases |
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43 | (9) |
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45 | (1) |
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Institutional Characteristics of the National Care System |
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46 | (6) |
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Individual, Social and Ideological Position |
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52 | (1) |
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52 | (5) |
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Data, Operationalisation and Methodology |
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57 | (6) |
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57 | (1) |
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57 | (5) |
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62 | (1) |
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63 | (7) |
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Attitudes towards Public Health Care |
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63 | (2) |
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Explaining Differences in Attitudes towards Public Health Care |
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65 | (5) |
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Conclusions and Discussion |
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70 | (3) |
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73 | (1) |
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74 | (3) |
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Solidarity and Care in Sweden |
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77 | (30) |
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77 | (2) |
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79 | (1) |
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The Social Insurance System |
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80 | (2) |
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81 | (1) |
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81 | (1) |
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Cash Benefits during Illness and Parental Insurance |
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82 | (1) |
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The Health Care and Social Services System |
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82 | (4) |
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82 | (2) |
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84 | (2) |
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86 | (1) |
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87 | (3) |
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The Non-Profit Sector and Informal Care |
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90 | (2) |
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92 | (4) |
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96 | (1) |
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Swedish Welfare in Transition? |
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97 | (4) |
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101 | (1) |
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102 | (1) |
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102 | (5) |
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Solidarity and Care in the United Kingdom |
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107 | (26) |
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107 | (4) |
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111 | (9) |
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The National Health Service - Costs and Care |
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111 | (3) |
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The Personal Social Services |
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114 | (5) |
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Informal Care and its Relationship with State Provision |
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119 | (1) |
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120 | (4) |
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Solidarity as a Public Value |
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120 | (4) |
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Solidarity as a Value in Government Policies |
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124 | (4) |
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128 | (1) |
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129 | (4) |
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Solidarity and Care in Italy |
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133 | (26) |
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133 | (1) |
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133 | (3) |
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Charity Versus Solidarity |
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133 | (1) |
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Public Solidarity versus Private Social Solidarity |
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134 | (2) |
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Social Welfare Policy after World War II |
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136 | (4) |
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The Health Policy from the Post War Period to the 90s: the Reform Process |
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136 | (3) |
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Social Care Services: a Residual Part of the Italian Welfare State |
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139 | (1) |
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140 | (8) |
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Health and Social Care Services in the 90s |
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140 | (2) |
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142 | (1) |
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The Provision of Health and Social Services |
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142 | (2) |
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Exit and Market in Health Care |
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144 | (1) |
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Towards more Equity in Service Provision? |
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145 | (2) |
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Summary: a Changing Care System |
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147 | (1) |
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148 | (2) |
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148 | (1) |
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Summary: a Complex Attitude |
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149 | (1) |
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150 | (3) |
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151 | (1) |
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152 | (1) |
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153 | (1) |
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154 | (1) |
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155 | (4) |
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Solidarity and Care in Germany |
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159 | (30) |
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159 | (1) |
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The Changing Forms of Solidarity in the Historical Development of the Health Care System |
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159 | (4) |
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Solidarity and Health Care: from Solidaristic Self Help |
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160 | (1) |
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Towards the Principle of a Welfare State |
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160 | (2) |
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Solidarity and Social Care: the Late Intrusion of Social Solidarity into the Field of Private Care |
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162 | (1) |
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Shaped by Different Principles and Values |
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163 | (2) |
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Similar Principles but Different Levels |
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165 | (8) |
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Basis Elements of the Health and Care System |
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165 | (1) |
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Different Levels of Rights and Benefits in the Health System and the Care System |
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166 | (2) |
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The Social Insurance - A Way to Institutionalise Solidarity |
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168 | (1) |
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The Provision of Services |
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168 | (1) |
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East Germany - the Same Institutions but a Different Situation |
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169 | (1) |
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The Future for Solidarity? Reforms in Health Care During the Past Decade |
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170 | (1) |
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Renewing Solidarity? the Politics of the New Government |
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171 | (2) |
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Public Support for Solidarity in East and West Germany |
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173 | (6) |
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Opinions on the Welfare State and the Principle of Solidarity |
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174 | (1) |
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Attitudes towards Characteristics and Reforms of the Health Care System |
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174 | (2) |
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Solidarity as Social Security - Different Degrees of Esteem |
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176 | (1) |
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177 | (1) |
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178 | (1) |
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Conclusion: a High Approval for Both-Solidarity and Individual Responsibility |
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178 | (1) |
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Where Can We Go from Here? Main Issues in the Public Debate |
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179 | (6) |
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The System of Solidarity in Front of Changes in Labour Markets, Demography and Families |
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179 | (1) |
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Defining the Limits of what Solidarity Should Preserve |
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180 | (2) |
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The Statutory Insurers: Solidaristic Institutions as Market Competitors |
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182 | (1) |
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Developing Synergies? On the Linkages between Insurance Based and Social Solidarities as well as Family Care |
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182 | (3) |
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Conclusions: on the Complementarity of Social Solidarities and Citizenship Rights |
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185 | (1) |
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186 | (1) |
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186 | (3) |
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Solidarity and Care in Austria |
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189 | (40) |
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Approaching Dimensions and Levels of `Solidarity' in Health and Social Care Systems |
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189 | (1) |
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Solidarity and the Political Culture in Austria |
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190 | (3) |
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The Christian-Democratic Idea of Strengthening `Civil Society' |
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191 | (1) |
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Solidarity In the Social-Democratic Discourse |
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192 | (1) |
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The Relative Importance of Solidarity in the Austrian Political Discourse |
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192 | (1) |
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The Social and Health Care System in Austria |
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193 | (8) |
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193 | (1) |
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Financing and Administration of Health Care |
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194 | (1) |
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Social Care Services (in Kind Benefits) |
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195 | (2) |
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Care Benefit Systems (Cash Benefits) |
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197 | (2) |
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Long-Term Care institutions (Private, Public) |
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199 | (1) |
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Institutionalised Solidarity in the Austrian Social and Health Care Systems in the Light of Recent Reforms |
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199 | (2) |
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Solidarity as a Public Value in Austria |
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201 | (15) |
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Solidarity as a Moral Value |
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203 | (3) |
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Solidarity with Specific Groups |
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206 | (2) |
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Solidarity as Expressed in Formal Social Institutions |
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208 | (1) |
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209 | (2) |
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211 | (1) |
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211 | (1) |
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Solidarity as Expressed in Informal Arrangements and Practical Help (`Micro-Solidarity') |
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212 | (1) |
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Solidarity Potential and Practical Solidarity in Families and Among Relatives |
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213 | (3) |
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216 | (1) |
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217 | (1) |
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218 | (3) |
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221 | (8) |
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Solidarity and Care in The Netherlands |
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229 | (26) |
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229 | (2) |
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Solidarity and the Dutch Formal and Informal Health |
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231 | (11) |
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231 | (1) |
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The Dutch Health Insurance System |
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232 | (2) |
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The Extent of Macro Solidarity |
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234 | (2) |
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236 | (2) |
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Micro Solidarity and Informal Care |
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238 | (4) |
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242 | (4) |
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Government, Solidarity and Equal. Access in Recent Years |
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246 | (2) |
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248 | (4) |
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252 | (1) |
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252 | (3) |
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Reforms in Health and Social Care in Europe: The Challenge to Policy |
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255 | (22) |
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255 | (1) |
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256 | (2) |
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Tinkering With the Terms of the Contract |
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258 | (1) |
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Market Mechanisms and Informal Care |
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259 | (2) |
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A New Balance in Welfare State Solidarity |
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261 | (1) |
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Policy Conceptions of the Welfare State |
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262 | (4) |
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The `Homo Economicus' and the `Homo Ethicus' |
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266 | (1) |
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The `Social Investment Society' |
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267 | (1) |
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New Challenges for Welfare State Policies |
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268 | (8) |
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The Relationship Between Formal and Informal Care |
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268 | (6) |
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Future Policy Scenarios in Health and Social Care: Looking For a New Balance of Public and Private Interference |
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274 | (2) |
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276 | (1) |
| PART II: SOLIDARITY AS A MORAL CONCEPT: PHILOSOPHICAL ISSUES |
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277 | (186) |
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Reconsidering Solidarity by Conceptual Analysis |
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279 | (30) |
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279 | (3) |
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The Nature and Content of the Philosophical Contributions |
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282 | (4) |
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The Red Thread of the Philosophical Part |
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286 | (1) |
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287 | (1) |
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Solidarity and Indifference |
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287 | (1) |
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287 | (1) |
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288 | (4) |
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Everyday Use of the Concept |
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289 | (3) |
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Non-Instrumental Cooperation and Ethical Life |
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292 | (5) |
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Two Models of Cooperation |
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293 | (3) |
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The Particularity of 'Ethical Life' |
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296 | (1) |
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Precarious Basis of Solidarity |
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297 | (3) |
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297 | (3) |
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Solidarity As Empowerment |
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300 | (1) |
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De-Solidarization, Social Indifference and the `Crystallised' Solidarity of Welfare States |
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300 | (6) |
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Crystallised Solidarities and Welfare Institutions |
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305 | (1) |
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306 | (1) |
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307 | (2) |
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Solidarity, Citizenship and Selective Distributive Justice in Health Care |
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309 | (24) |
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309 | (1) |
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Traditional, Modern and Present Conceptions of Solidarity |
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310 | (2) |
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Solidarity: from Tradition to Modern Society and Back Again? |
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311 | (1) |
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Towards A New Social Citizenship: Problems and Perspectives |
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312 | (6) |
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Solidarity in an Evolving Model of Citizenship |
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315 | (1) |
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Can We Speak of a `Selective' Solidarity? |
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316 | (2) |
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Solidarity In Health Care: Theoretical Reflections |
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318 | (7) |
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Justice and Solidarity in Health Care Rationing |
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325 | (4) |
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329 | (1) |
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330 | (3) |
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Organ Transplantation in Italy: Forced Solidarity? |
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333 | (6) |
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The New Act on Organ Transplantation |
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333 | (1) |
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334 | (1) |
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335 | (2) |
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337 | (1) |
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337 | (2) |
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Beyond Justice and Moralism: Modernity and Solidarity in the Health Care System |
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339 | (26) |
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339 | (6) |
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Justice and Solidarity Beyond Liberalism and Communitarianism |
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340 | (2) |
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Communitarian Notions of Solidarity |
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342 | (2) |
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Solidarity Beyond the Liberal-Communitarian Split |
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344 | (1) |
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Solidarity and the Development of the Dutch Welfare State and Health Care Arrangements |
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345 | (6) |
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Origins of Welfare State Solidarity |
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345 | (2) |
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Heyday and Crisis of the Welfare State |
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347 | (4) |
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The Modernist Concept of Solidarity: Criticism and |
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351 | (9) |
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351 | (1) |
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Towards A Practically and Culturally Sharpened Concept of Solidarity |
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351 | (2) |
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Solidarity and Care Ethics |
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353 | (3) |
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Reflexivity and Citizenship Theory: Solidarity as Required by the Functioning of a Democracy |
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356 | (4) |
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360 | (2) |
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362 | (3) |
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Personal Budgets for the Elderly: |
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365 | (8) |
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A Case Study in Dutch Solidarity |
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365 | (1) |
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365 | (1) |
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The Personal Budget Experiment |
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366 | (3) |
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Solidarity Beyond Market and Bureaucracy |
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369 | (2) |
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371 | (2) |
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Solidarity in Universal Welfare - the Case of Sweden |
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373 | (24) |
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373 | (1) |
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Perspectives on Solidarity |
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374 | (4) |
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374 | (1) |
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375 | (2) |
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Intergenerational Solidarity |
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377 | (1) |
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The Roots of Swedish Welfare |
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378 | (2) |
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Under a 'Social Democratic Regime' - the Strong State vs. Individual Autonomy |
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380 | (1) |
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The Non-Universalist Traits |
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381 | (2) |
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383 | (2) |
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Solidarity or Self-Interest? |
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385 | (2) |
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Solidarity - the Concern for Others |
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387 | (3) |
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Solidarity - Societal Cohesion |
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390 | (2) |
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392 | (1) |
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392 | (1) |
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393 | (4) |
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The Historical and Philosophical Background of `Solidarity' in UK Social Welfare |
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397 | (20) |
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397 | (2) |
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399 | (2) |
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The Modern Era - from Utilitarianidm to the Welfare State |
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401 | (4) |
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Fifty Years of the Welfare State |
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405 | (6) |
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A New Consensus on Welfare: Titmuss and Marshall |
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406 | (1) |
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The Radical Critique of `Welfarism' |
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407 | (2) |
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409 | (2) |
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411 | (2) |
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413 | (1) |
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413 | (4) |
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A Case Study: The Long Term Care of Older People |
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417 | (6) |
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417 | (4) |
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The Findings of the Royal Commission |
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417 | (1) |
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The Commission's Recommendations |
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418 | (2) |
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420 | (1) |
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Conclusion: Solidarity and Long-Term Care of Older People |
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421 | (1) |
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422 | (1) |
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422 | (1) |
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Which Theories of Solidarity? From the Austrian Case to the European Context |
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423 | (22) |
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423 | (4) |
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Solidarity Discourses in Austria From the Habsburg Empire to the Second Republic: Continuities and Discontinuities |
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427 | (12) |
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`La Longue Duree' of Theoretical Approaches |
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427 | (3) |
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The Parties and their Solidarity Concepts |
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430 | (2) |
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The First Republic: Solidarity and Nation Building |
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432 | (3) |
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The Second Republic: Continuities and Expansion |
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435 | (1) |
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436 | (1) |
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437 | (2) |
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`Liberalism' and Solidarity: the FPO Case |
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439 | (1) |
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The Greens: Ecology and Solidarity |
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440 | (1) |
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440 | (3) |
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443 | (2) |
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The Comprehensive Long-Term Care Allowance Scheme: The Last Grand Enterprise in Austrian Social Policy? |
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445 | (6) |
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445 | (1) |
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The Political Debate on the Long-Term Care Insurance |
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445 | (4) |
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446 | (3) |
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449 | (1) |
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449 | (1) |
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449 | (2) |
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Solidarity, Justice, Reflexivity and Participatory Citizenship |
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451 | (12) |
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Conceptual Analysis: from Solidarity to Justice and Back |
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451 | (3) |
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454 | (2) |
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Opportunities: Participative Citizenship and Reflexivity |
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456 | (3) |
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The Full Range of Participative Solidarity and Citizenship |
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459 | (4) |
| EPILOGUE: THE FUTURE OF SOLIDARISTIC HEALTH AND SOCIAL CARE IN EUROPE |
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463 | (16) |
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463 | (1) |
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Sustained Public Support for the Welfare State |
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464 | (1) |
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464 | (8) |
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Solidarity, an Ambiguous Concept |
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464 | (1) |
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Reflexive Modernity, Trust and the Risk Society |
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465 | (1) |
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Trust and Liquid Modernity |
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466 | (1) |
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467 | (3) |
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Globalisation and Capitalism |
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470 | (2) |
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Solidarity and European Integration |
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472 | (2) |
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The European Social Model |
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472 | (1) |
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Towards a European Network State? |
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473 | (1) |
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The Future of Health and Social Care Practices in Europe |
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474 | (2) |
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The European Face of Citizenship and the Future of Health and Social Care |
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475 | (1) |
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476 | (3) |
| Notes on the Contributors |
|
479 | (4) |
| Index of Subjects |
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483 | (12) |
| Index of Names |
|
495 | |