Abstract
Universalists, such as Titmuss and Townsend, have consistently condemned the use of charges and means tests in the welfare sector. This may explain why so many students of social policy dismiss out of hand all arguments in favour of selective welfare provision and why little empirical research has been carried out into consumers’ reactions to the use of charges and means-testing. The consequences of their use have tended to be assumed rather than proved. Yet taken at face value much of the selectivists’ case in favour of charges and means tests makes good sense. It is difficult to deny, for example, the logic of concentrating scarce welfare resources on those otherwise unable to obtain help. Indeed universalists do not deny that the only way to ensure that the social services redistribute welfare to the poor is to positively discriminate in their favour. Supporters of the NHS and compulsory state education now accept that the relatively affluent have tended to get more out of them than the poor and deprived. According to Brian Abel-Smith, ‘The main effect of the post war development of the social services has been to provide free social services to the middle classes.’1 Universalists, however, reject consumer charges combined with means tests as the answer to this problem.
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References
B. Abel-Smith, ‘Whose Welfare State?’, in N. McKenzie (ed.), Conviction (London: MacGibbon & Kee, 1958) p. 57.
See E. Ferlie and K. Judge, ‘Retrenchment and Rationality in the Personal Social Services’, Policy and Politics, vol. 9, no. 3 (1981) pp. 311–30.
M. Carlisle, reported in The Times Higher Educational Supplement, no. 388 (1980) p. 32.
R. Parker, ‘Policies, Presumptions and Prospects in Charging for the Social Services’, in K. Judge (ed.), Pricing the Social Services (London: Macmillan, 1980) p. 28.
Ibid.
Quoted by K. Judge and J. Matthews, Charging for Social Care (London: Allen & Unwin, 1980) p. 54.
Select Committee on Estimates, Child Care: Sixth Report from the Select Committee on Estimates, Session 1951–52 (London: HMSO, 1952) p. 74.
House of Commons Debates, 1947, col. 1609.
R. Parker, ‘Policies, Presumptions and Prospects in Charging for the Social Services’, p. 36.
Ibid, p. 28.
Ibid, p. 29.
Ibid, p. 29.
J. P. Martin and S. Williams, ‘The Effects of Imposing Prescriptions Charges’, Lancet, vol. 1, no. 7062 (1959) pp. 36–9.
T. Lavers, ‘A Demand Model for Prescriptions’, unpublished paper (Institute of Social and Economic Research, University of York, 1977).
H. Chappell, ‘Deterrent Charges?’ New Society, vol. 56, no. 970 (1981) p. 484.
See R. Simpson, Access to Primary Care, Royal Commission on the National Health Service Research Paper No. 6 (London: HMSO, 1979).
A. Waind, ‘Plaque Jack Wins Through’, New Society, vol. 60, no. 1018 (1982) pp. 289–90.
See R. Simpson, Access to Primary Care.
W. Davies, Health or Health Service? (London: Charles Knight, 1972) p. 17.
D. Reisman, Richard Titmuss: Welfare and Society (London: Heinemann, 1977) p. 155.
A. Maynard, ‘Medical Care and the Price Mechanism’, in K. Judge (ed.), Pricing the Social Services (London: Macmillan, 1980) pp. 86–106.
R. G. Beck, ‘The Effects of Co-payment on the Poor’, Journal of Human Resources, vol. 9, no. 1 (1974) pp. 129–42.
A. Maynard, ‘Medical Care and the Price Mechanism’, p. 101.
K. Judge and J. Matthews, Charging for Social Care, p. 2.
K. Judge, Rationing Social Services (London: Heinemann, 1978) p. 147.
Ibid, p. 152.
K. Judge and J. Matthews, Charging for Social Care, p. 103.
A. Hunt, The Home Help Service in England and Wales (London: HMSO, 1970) p. 343.
K. Judge et al., Home Help Charges (Canterbury: Social Services Research Unit, University of Kent, 1981) p. 15.
Ibid, p. 14.
K. Judge, ‘An Introduction to the Economic Theory of Pricing’ in K. Judge (ed.), Pricing the Social Services (London: Macmillan, 1980).
A. Maynard, ‘Medical Care and the Price Mechanism’.
A. Rashid, ‘Do Patients Cash Prescriptions?’, British Medical Journal, vol. 284, no. 6308 (1982) pp. 24–6.
I. Russell and N. Bentzen, ‘Deputising Services in Denmark: The Effect of Abolishing the Charge to Patients’, Interim Report presented to SSRC Health Economist Study Group at Bath, cited by K. Judge and J. Matthews, Charging for Social Care, p. 98.
K. Judge and J. Matthews, Charging for Social Care, p. 98.
K. Judge and J. Matthews, ‘Pricing Personal Social Services’ in K. Judge (ed.), Pricing the Social Services, p. 120.
K. Judge et al., Home Help Charges p. 15.
M. Hyman, The Home Help Service: A Case Study in the London Borough of Redbridge (Redbridge: Social Services Department, 1980).
A. Seldon, Charge (London: Temple Smith, 1977) p. 30.
This argument is considered in K. Judge, ‘An Introduction to the Economic Theory of Pricing’.
K. Judge and J. Matthews, Charging for Social Care, p. 138.
Ibid, p. 82.
A. Seldon and H. Gray, Universal or Selective Social Benefits?, Institute of Economic Affairs Monograph No. 8 (London: Institute of Economic Affairs, 1967) p. 26.
Ibid, p. 29.
Ibid, p. 3.
J. Lorant, ‘The Problem of Take Up’ in Dear SSAC, Poverty Pamphlet 49 (London: Child Poverty Action Group, 1980) p. 55.
Ibid, p. 54.
Ibid, p. 54.
A. Seldon and H. Gray, Universal or Selective Social Benefits?, p. 29.
B. Davies, Universality, Selectivity and Effectiveness in Social Policy (London: Heinemann, 1978) p. 12.
House of Commons Debates, 1967–8, vol. 759, col. 606.
B. Davies, Universality, Selectivity and Effectiveness in Social Policy, p. 68.
M. Meacher, Rate Rebates: A Study of the Effectiveness of Means Test (London: Child Poverty Action Group, 1973).
J. Lorant, ‘The Problem of Take Up’, p. 55.
S. Weir, ‘Stigma with Chips’, New Society, vol. 59, no. 1002 (1982) pp. 142–4.
Lancashire School Meals Campaign, Now You See Them, Now You Don’t (Accrington, Lancashire: Lancashire School Meals Campaign) p. 3.
S. Weir, ‘Stigma with Chips’, p. 144.
R. Simpson, ‘Education Cuts’, Poverty, no. 47 (December 1980) p. 14.
R. Titmuss, Commitment to Welfare (London: Allen & Unwin, 1968) p. 129.
The Schlackman Research Organization, ‘Report on Research on Public Attitudes Towards the Supplementary Benefit System’, unpublished report submitted to Central Office of Information (London, 1978).
L. Burghes, Living From Hand to Mouth, Poverty Pamphlet 50 (London: Child Poverty Action Group, 1980) p. 15.
The Schlackman Research Organization, ‘Report on Research on Public Attitudes Towards the Supplementary Benefit System’, pp. 40–1.
D. Reisman, Richard Titmuss: Welfare and Society, p. 51.
The Schlackman Research Organization, ‘Report on Research on Public Attitudes Towards the Supplementary Benefit System’, p. 51.
A. Forder, Concepts in Social Administration (London: Routledge & KeganPaul, 1974) p. 37.
R. Pinker, Social Theory and Social Policy (London: Heinemann, 1971) p. 142.
P. Townsend, Poverty in the United Kingdom (Harmondsworth: Penguin, 1979) p. 880.
Ibid, p. 880.
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© 1983 Peggy Foster
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Foster, P. (1983). Charges and Means Tests. In: Access to Welfare. Studies in Social Policy. Palgrave, London. https://doi.org/10.1007/978-1-349-86064-7_9
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