Paul V. Dutton - Böcker

This is the first comprehensive analysis of public and private welfare in France available in English, or French, which offers a deeply-researched explanation of how France's welfare state came to be and why the French are so attached to it. The author argues that France simultaneously pursued two different paths toward universal social protection. Family welfare embraced an industrial model in which class distinctions and employer control predominated. By contrast, protection against the risks of illness, disability, maternity, and old age followed a mutual aid model of welfare. The book examines a remarkably broad cast of actors that includes workers' unions, employers, mutual leaders, the parliamentary elite, haut fonctionnaires, doctors, pronatalists, women's organizations - both social Catholic and feminist - and diverse peasant organisations. It also traces foreign influences on French social reform, particularly from Germany's former territories in Alsace-Lorraine and Britain's Beveridge Plan.

This is the first comprehensive analysis of public and private welfare in France available in English, or French, which offers a deeply-researched explanation of how France's welfare state came to be and why the French are so attached to it. The author argues that France simultaneously pursued two different paths toward universal social protection. Family welfare embraced an industrial model in which class distinctions and employer control predominated. By contrast, protection against the risks of illness, disability, maternity, and old age followed a mutual aid model of welfare. The book examines a remarkably broad cast of actors that includes workers' unions, employers, mutual leaders, the parliamentary elite, haut fonctionnaires, doctors, pronatalists, women's organizations - both social Catholic and feminist - and diverse peasant organisations. It also traces foreign influences on French social reform, particularly from Germany's former territories in Alsace-Lorraine and Britain's Beveridge Plan.

Although the United States spends 16 percent of its gross domestic product on health care, more than 46 million people have no insurance coverage, while one in four Americans report difficulty paying for medical care. Indeed, the U.S. health care system, despite being the most expensive health care system in the world, ranked thirty-seventh in a comprehensive World Health Organization report. With health care spending only expected to increase, Americans are again debating new ideas for expanding coverage and cutting costs. According to the historian Paul V. Dutton, Americans should look to France, whose health care system captured the World Health Organization's number-one spot.In Differential Diagnoses, Dutton debunks a common misconception among Americans that European health care systems are essentially similar to each other and vastly different from U.S. health care. In fact, the Americans and the French both distrust "socialized medicine." Both peoples cherish patient choice, independent physicians, medical practice freedoms, and private insurers in a qualitatively different way than the Canadians, the British, and many others. The United States and France have struggled with the same ideals of liberty and equality, but one country followed a path that led to universal health insurance; the other embraced private insurers and has only guaranteed coverage for the elderly and the very poor.How has France reconciled the competing ideals of individual liberty and social equality to assure universal coverage while protecting patient and practitioner freedoms? What can Americans learn from the French experience, and what can the French learn from the U.S. example? Differential Diagnoses answers these questions by comparing how employers, labor unions, insurers, political groups, the state, and medical professionals have shaped their nations' health care systems from the early years of the twentieth century to the present day.

Although the United States spends 16 percent of its gross domestic product on health care, more than 46 million people have no insurance coverage, while one in four Americans report difficulty paying for medical care. Indeed, the U.S. health care system, despite being the most expensive health care system in the world, ranked thirty-seventh in a comprehensive World Health Organization report. With health care spending only expected to increase, Americans are again debating new ideas for expanding coverage and cutting costs. According to the historian Paul V. Dutton, Americans should look to France, whose health care system captured the World Health Organization's number-one spot.In Differential Diagnoses, Dutton debunks a common misconception among Americans that European health care systems are essentially similar to each other and vastly different from U.S. health care. In fact, the Americans and the French both distrust "socialized medicine." Both peoples cherish patient choice, independent physicians, medical practice freedoms, and private insurers in a qualitatively different way than the Canadians, the British, and many others. The United States and France have struggled with the same ideals of liberty and equality, but one country followed a path that led to universal health insurance; the other embraced private insurers and has only guaranteed coverage for the elderly and the very poor.How has France reconciled the competing ideals of individual liberty and social equality to assure universal coverage while protecting patient and practitioner freedoms? What can Americans learn from the French experience, and what can the French learn from the U.S. example? Differential Diagnoses answers these questions by comparing how employers, labor unions, insurers, political groups, the state, and medical professionals have shaped their nations' health care systems from the early years of the twentieth century to the present day.

In Beyond Medicine, Paul V. Dutton provides a penetrating historical analysis of why countless studies show that Americans are far less healthy than their European counterparts. Dutton argues that Europeans are healthier than Americans because beginning in the late nineteenth century European nations began construction of health systems that focused not only on medical care but the broad social determinants of health: where and how we live, work, play, and age. European leaders also created social safety nets that became integral to national economic policy. In contrast, US leaders often viewed investments to improve the social determinants of health and safety-net programs as a competing priority to economic growth. Beyond Medicine compares the US to three European social democracies—France, Germany, and Sweden—in order to explain how, in differing ways, each protects the health of infants and children, working-age adults, and the elderly. Unlike most comparative health system analyses, Dutton draws on history to find answers to our most nettlesome health policy questions.