Building Social Security: The Challenge of Privatization

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Xenia Scheil-Adlung
Transaction Publishers - Business & Economics - 311 pages
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In recent years, in both the specialist press and the tabloids, the idea of privatization of social security has become a shimmering catch phrase. Politicians base election campaigns on promises of more or less privatization in social security. Many governments introduce private business management methods into their social security systems. Representatives of social security institutions and academics prepare theory papers on the possible outcomes of privatization. And international financial organizations describe doomsday scenarios based on the premise of failure to privatize.

What is the role of privatization today in the development of national social security systems? How does privatization concern the developments in different social security programs such as old age, sickness, unemployment, accident insurance and family allowances? What are the visions and effects of privatization in social security?

This volume provides an overview of the various positions of supporters and opponents of privatization in the main branches of social security, followed by national experience of privatized or part-privatized social security systems. While the perspective of each of the contributors is markedly different, the overall objective cuts across differences: namely, to develop the most efficient and cost-effective system of social security protection.

The authors' views and knowledge are derived from their firsthand experiences with social security in Africa, Asia, the Americas and Europe. Representatives of the leading international organizations dealing with social security issues-the International Labour Organization, the OECD, the World Bank and the World Health Organization-further expand the parameters of the viewpoints and experiences expressed.

This multifaceted book allows the reader to learn about the challenge of privatization in the various forms of social security by assembling a set of highly up-to-date, technically complex and legal issues based on practical analysis and actual experience. It will be of interest to those concerned with national social policy in a comparative context. This is the sixth volume in an ongoing series that aims to review social security in a comparative, global context. Xenia Scheil-Adlung is program manager, International Social Security Association, Geneva, Switzerland.

 

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Contents

Social Security Privatization Different ContextDifferent Discourse
3
Privatization More Individual Choice in Social Protection
19
Africa Implications of Privatization Measures Initiated by International Financing Organizations
31
Privatization An Organizing Principle for Financing Social Security
43
The Case for Funded Individual Accounts in Pension Reform
45
Individual Accounts Versus Social Insurance A United States Perspective
63
Strengthening Public Pensions with Private InvestmentCanadas Approach to Privatization Pressures
83
Privatization A Tool for Governance?
93
Austrias Discussion on Social Security Privatization Some Notes Focusing on OldAge Insurance
175
The Evolution of Public and Private Insurance in Sweden during the 1990s
185
Tunisian Health Insurance Towards Complementarity of Public and Private Sector
201
Impact of Private Sector Involvement in Health Insurance in Uruguay A Status Report
209
China From Public Health Insurance to a MultiTiered Structure
215
Impacts of Private Sector Involvement in Health Insurance in Indonesia
223
Trends in Private Sector Involvement in the Delivery of Workforce Development Services in the United States
233
Changes in Employment Services through Deregulation
247

Germany Efficiency and Affordability in Social Security through Partial Privatization of Provision for Risks
95
Privatization From Panacea to Poison PillThe Dutch Paradigm
101
Healthy MarketsSick Patients? Effects of Recent Trends on the Health Care Market
113
Social Health Insurance Development in LowIncome Developing Countries New Roles for Government and Nonprofit Health Insurance Organizatio...
125
The Empirical Framework National Experiences of Privatization in Various Branches of Social Security
155
The Privatization of Pensions in Latin America and Its Impacts on the Insured the Economy and OldAge People
157
First Experiences with the Privatization of the Polish Pension Scheme A Status Report
169
The Privatization of Accident Compensation in New Zealand
259
The Advantages of Statutory over Private Employment Accident Insurance The Example of Germany
269
The Danish Experience with Privatization New ways of Solving Tasks
283
List of Authors
291
Index
295
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