Welfare states are highly innovative when it comes to dealing with care.
The range of policies in place across nations is striking as is the degree to
which making provision for care cuts across long-standing principles of
social provision. This article focuses on care as a policy good, identifying
care as an inherently social activity and linking it with different manifestations
in and anticipated outcomes of public policy. Care is developed
here as one of the key activities connecting state and society. Making provision
for care, it is argued, affects a whole series of societal settlements.
A consideration of a number of such settlements helps to identify factors
which must be taken into account when we assay the relationship
between public policy, care and society. The following are primary considerations:
choices around receiving care, the choice to give care, gender
equity, the legitimising of care, the welfare mix, public as against private
expenditure, the demand for and supply of paid and unpaid labour.
Having considered some of the main variations which are to be found in
European welfare states' handling of care, the article goes on to conjecture
about possible outcomes of a range of policy responses on the basis of
the above considerations. All provisions have particular strengths and
weaknesses but ‘quality’, understood in a broad sense, is elusive to any
single measure.