Friendly Societies, Commercial Insurance, and the State in Sickness Risk Coverage: The Case of Spain (1880–1944)

Pons, Jerònia Pons; Vilar‐Rodríguez, Margarita

doi:10.1017/s0020859010000714

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…When the mixed economy of welfare was created in Spain in 1880, the state was slow to take on an active role and the private insurance market was still very limited (Pons & Vilar, 2011). After decades of lagging behind other European countries, Spanish governments started to implement the first social insurances in the early twentieth century.…”

Section: Institutional Background 21 the Spanish Health Care Systemmentioning

confidence: 99%

Austerity, healthcare provision, and health outcomes in Spain

2019

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The recession that started in the United States in December 2007 has had a significant impact on the Spanish economy through a large increase in the unemployment rate and a long recession which led to tough austerity measures imposed on public finances. Taking advantage of this quasi-natural experiment, we use data from the Spanish Ministry of Health from 1997 to 2014 to provide novel causal evidence on the short-term impact of health care provision on health outcomes. The fact that regional governments have discretionary powers in deciding health care budgets and that austerity measures have not been implemented uniformly across Spain helps isolate the impact of these policy changes on health indicators of the Spanish population. Using Ruhm's (2000) fixed effects model, we find that staff or hospital bed reductions account for a significant increase in mortality rates from cardiovascular disease and external causes, for 25-34 and 65-74 year-old groups, and in the late foetal mortality rate. Mortality rates, however, do not seem to be robustly affected by the 2012 changes in retirees' pharmaceutical co-payments. Contrary to expectations, we find some evidence of reduced mortality rates for cancer and female cancer as a result of the 2012 changes in migrants' access restrictions to the Spanish NHS. Overall, our analyses suggest that short-term impacts of decreases in health care provision on mortality are significant but small. However, impacts prove to be economically and quantitatively significant in the case of fatalities due to external causes, especially accidental deaths.

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Section: Institutional Background 21 the Spanish Health Care Systemmentioning

confidence: 99%

Austerity, healthcare provision, and health outcomes in Spain

2019

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“…The importance of these self-governed organizations for social welfare and socialization in an industrializing region with an underdeveloped state bureaucracy has been stressed in the literature (Pons and Vilar 2011). However, what began as a development characterized by small and highly participative societies eventually evolved into the rise of larger and more bureaucratized organizations.…”

Section: Overview Of Articlesmentioning

confidence: 99%

History and the Commons: A necessary conversation

Pemán¹,

Moor²

2016

Int J Commons

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Acknowledgment:We would like to thank Frank van Laerhoven for his help in putting this issue together, the members of the Common Rules Project -and in particular José Miguel Lana-Berasain, Angus Winchester and René van Weerenfor the fruitful intellectual exchange in recent years, and the authors and reviewers of the articles for their cooperation and diligence in dealing with our requests. Furthermore, we would like to note that the Common Rules Project was funded by the Dutch NWO (project number: 236-50-005).

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“…According to Pons and Vilar (2011), there is a cause-effect relationship between compulsory health insurance (Seguro Obligatorio de Enfermedad, Law 12/14/1942) and the disappearance of democratic friendly societies. The Francoist Health Care System ignored the Dates in parentheses refer to subsidized voluntary insurance (Herranz 2010, 62-64).…”

Section: Fernando Largo Jiménezmentioning

confidence: 99%

Institutional factors in the decline of Spanish workers’ mutualism. The case of Barcelona in the first third of the 20th century

Jiménez

2016

Int J Commons

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Workers' mutualism was highly influential in social and economic terms among Europeans in the 19th and early 20th centuries. The role of the movement is critical not only with regard to social welfare but also in terms of sociability. The mutualism in the Spanish province of Barcelona during the first third of the 20th century was dominated by traditional and democratic societies. This work aims to examine whether these societies met Agrawal's (2008) enabling conditions for the sustainability of collective action groups, in order to estimate whether their institutional design was a burden or a bonus for their development. It has been observed that, despite fulfilling these conditions and being suitable for 19th century, the institutional design of these societies could not adapt to the social and economic changes in the 20th century. Data on the growth of their average size and on the reduction in the percentage of total budget spent on subsidies and social costs indicate the transition from traditional small societies to bigger and highly bureaucratized societies, which would eventually impose themselves on the competitive context set up by commercial insurance companies and, at a late date in the case of Spain, by the welfare state.

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Friendly Societies, Commercial Insurance, and the State in Sickness Risk Coverage: The Case of Spain (1880–1944)

Cited by 9 publications

References 5 publications

Austerity, healthcare provision, and health outcomes in Spain

Austerity, healthcare provision, and health outcomes in Spain

History and the Commons: A necessary conversation

Institutional factors in the decline of Spanish workers’ mutualism. The case of Barcelona in the first third of the 20th century

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