A. Bergmark, FROM REFORMS TO RATIONING - CURRENT ALLOCATIVE TRENDS IN SOCIAL-SERVICES IN SWEDEN, Scandinavian journal of social welfare, 6(2), 1997, pp. 74-81
In Sweden, the current national deficit is putting immense pressure on
all government spending. Economic recession and increased levels of u
nemployment have jointly altered the image of the welfare state and re
directed focus on it as a financial burden. A matter of considerable p
olitical and public concern is the consequences of the economic constr
aints on social services - the part of the welfare programs carried ou
t by local authorities. This article raises concerns of resource alloc
ation, starting from an outline of the impact of economic developments
on different sectors of the social services. Expenditure for elderly
care, child care and individual and family care is analyzed in the lig
ht of demographic changes and coverage rates. A main focus is put on t
he most recent development and the perceivable strategies for managing
the financial cut-backs are discussed in detail. Two strategies stand
out as central. One is dilution, which is granting help to an unchang
ed number or proportion of people granted help, combined with a decrea
sed level or altered quality of the service provided. The other is foc
using, where eligibility is defined more narrowly and in the normal ca
se results in a consistent or even improved level of service to the mo
st needy. Dilution seems to be the major strategy for child care and f
ocusing the allocative trend in services for elderly people.