Scandinavian Common Sense

Policies to Tackle Social Inequalities in Health

Livre numérique

When some claim austerity is the only answer to today’s economic woes, a close look at the best practices in Scandinavia and Finland gives pause for thought.

Cited as models for their egalitarian social and health policies, these countries also have thriving economies where the gap dividing rich from poor is smaller than elsewhere. Despite their quasi mythic status, the policies implemented to combat inequalities in health are neither well known nor understood.

Policies discussed in Scandinavian Common Sense include education, housing, conciliation of work and family life, daycare, sustainable development and more. For these policies to be part of political debate, be it in Quebec, Canada, the United States or elsewhere, they must be in the public domain. That is the purpose of this book.

Table des matières

Table des matières
Scandinavian Common Sense 1
ACKNOWLEDGMENTS 7
CONTENTS 9
THE AUTHORS 12
PREFACE TO THE ENGLISH EDITION 13
PREFACE TO THE FIRST EDITION 17
INTRODUCTION 19
Research of use to decision-makers 21
The choice of studying the Nordic countries 21
Aim and target audience 22
Methodology 22
CHAPTER 1. Social Inequalities in Health:a Real and Persistent Problem 25
Obvious links 25
Some hypotheses on causality of poverty and illness 27
A global trend 34
Widening gaps in Canada 34
The situation in Quebec 36
Possible solutions 37
CHAPTER 2. The Best Strategies for ReducingSocial Inequalities in Health 39
The Netherlands’ program of studies 39
The WHO Commission on Social Determinants of Health 41
The role of policy in reducing poverty 44
Sustainable development 45
CHAPTER 3. The Example of the Nordic Countries 47
The fight against poverty 47
Reducing inequalities 50
Decent living conditions 52
Sustainable development 52
CHAPTER 4. The Characteristics of the Nordic Countries’ Policies 55
Universality and social protection 55
Prevention first and foremost 57
Policy integration 58
The redistribution of wealth 59
Gender equity as a fundamental principle of public policy 61
High employment rate and measures for supporting employment 62
The lifecourse approach 63
A tradition of consensus 65
Democracy and power at the local level 67
Science and social and health research 68
Unionization and the contribution of unions 70
Multipartite governments and the proportional voting system 70
CHAPTER 5. Family and Work-Life Balancing Policies 73
Policy foundations 73
Range and flexibility of measures 75
Policy evaluation 76
Key ideas 81
CHAPTER 6. Policies to Support Housing 83
Key policy principles 83
Housing assistance measures 85
Key ideas 88
CHAPTER 7. Gender Equity Policies 89
The key principles of gender equity policies 89
Key ideas 96
CHAPTER 8. Education Policies 99
The Swedish preschool system 100
Key ideas 107
The Finnish school system 111
Key ideas 115
CHAPTER 9. Policies of Social Inclusion 117
Key policy principles 117
Political action based on an inter-sectoral approach 118
Policies aimed at vulnerable populations 121
Key ideas 130
CHAPTER 10. Sustainable Development at the Local Level 135
The Nordic model of sustainable development 135
The strategies of the Nordic capitals 152
CHAPTER 11. Critical Views on the Nordic Countries’ Policies 159
Conditions favouring the emergence of Nordic social policies 159
The viability of the Nordic model 160
Gaps and unintended effects of certain policies 165
CONCLUSION 169
Bibliography 173

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