Beyond Medicine: Why European Social Democracies Enjoy Better Health Outcomes Than the United States
Paul V. Dutton
Abstract
This book provides a penetrating historical analysis of why countless studies show that Americans are far less healthy than their European counterparts. The book 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 impro ... More
This book provides a penetrating historical analysis of why countless studies show that Americans are far less healthy than their European counterparts. The book 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. This book compares the United States 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, the book draws on history to find answers to our most nettlesome health policy questions.
Keywords:
medical care,
social determinants,
national economic policy,
social safety nets,
health systems,
health policy,
US health policy,
European health policy
Bibliographic Information
Print publication date: 2021 |
Print ISBN-13: 9781501754555 |
Published to Cornell Scholarship Online: September 2021 |
DOI:10.7591/cornell/9781501754555.001.0001 |