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Global Social Policy, Vol. 6, No. 3,
288-303 (2006)
DOI: 10.1177/1468018106069202
Local Culture, Globalization and Policy Outcomes
An Example from Long-Term Care
Gail Wilson
London School of Economics, UK
It is argued that the impact of globalization and global ideologies on social policy can depend on the ways that local cultures reinforce or combat global ideologies and pressures. The article discusses the importance of local policy factors in shaping responses to globalization, taking as an example the way in which global forces have affected outcomes for older people needing long-term care in one marginalized province of a rich country. Local political, economic and sociocultural factors can reinforce global pressures for neo-liberal policies and rising individualism and overwhelm the global ideologies of democracy and human rights (including gender rights and anti ageism) that might lead to better outcomes for older people and their caregivers. In the New Brunswick province of Canada, traditional cultural values can be seen as one factor allowing politicians to make suboptimal social policy choices.
Key Words: globalization • local culture • local outcomes • long-term care
References
- Aronson, J. (2002a) ‘Frail and Disabled Users of Home Care: Confident Consumers or Disentitled Citizens?’ , Canadian Journal on Aging 21(1): 11–25 .
- Aronson, J. (2002b) ‘Elderly People's Accounts of Home Care Rationing: Missing Voices in Long-Term Care Policy Debates’ , Ageing and Society 22(4): 399–418 .[CrossRef][Medline]
[Order article via Infotrieve]
- Asgeirsdottir, B. (2004) ‘What Does the Future Hold?: Demography, Jobs and Public Finances’, accessed 2 February 2005, http://www.oecd.org/topic/0,2686,en_2649_34757_1_1_1_1_37435,00.html
- Bebbington, A., Davies, B. and Charnley, H. (1990) Resources, Needs and Outcomes in Community-Based Care: A Comparative Study of the Production of Welfare for Elderly People in Ten Local Authorities in England and Wales. Aldershot: Avebury .
- Breton, R., Hartmann, N.J., Lennard, H. and Reed, P. (2004) A Fragile Social Fabric: Fairness, Trust and Commitment in Canada. Montreal: McGill-Queen's University Press .
- Campani, G. (1995) ‘Women Migrants: From Marginal Subjects to Social Actors’, in R. Cohen (ed.) The Cambridge Survey of World Migration (pp. 546–550). Cambridge: Cambridge University Press .
- Campobello Lodge Inc. Nursing Home (2004) ‘Our Mission Statement’, accessed 19 July 2004, http://www.geocities.com/campobellolodge/entrance.html
- Chalifoux, É., Crépeau, S, Poitras, F., Rimbaud, F. and Vachon, M. under the direction of Poitras, F. (2004) ‘Regional Economies, Regional Economies Special Report Micro-Economic Policy Analysis, Industry Canada January 2004’, accessed 22 July 2004, http://strategis.ic.gc.ca/epic/internet/ineas-aes.nsf/vwapj/srreo200401e.PDF/$FILE/srreo200401e.PDF
- Challis, D. and Davies, B. (1986) Case Management in Community Care: An Evaluated Experiment in the Home Care of the Elderly. Aldershot: Gower .
- Chiarelli, N. (2002) ‘Nearly 20 per cent of Seniors Abused’ , New Brunswick Telegraph- Journal (23 November), http://www.fpinfomart.ca/ar/
- Denton, M.A., Zeytinoglu, I.U., Webb, S. and Lian, J. (1999) ‘Occupational Health Issues Among Employees of Home Care Agencies’ , Canadian Journal on Aging 18(2): 154–181 .
- Denton, F.T., Feaver, C.H. and Spencer, B.G. (2000) ‘Projections of the Population and Labour Force to 2046: The Provinces and Territories’, QSEP Research Report No. 348, accessed 11 November 2003, http://socserv.mcmaster.ca/qsep/p/qsep348.PDF
- Gowan, D. (2003) ‘Nursing Home Average Wait Two Months’ , New Brunswick Telegraph- Journal (7 July), http://www.fpinfomart.ca/ar/
- Hallman, B.C. and Joseph, A.E. (1999) ‘Getting There: Mapping the Gendered Geography of Caregiving to Elderly Relatives’ , Canadian Journal on Aging 18(4): 397–414 .
- Health Canada, Division of Aging and Seniors (2001) Seniors Guide to Federal Programs and Services, 2001. Ottawa: Health Canada, Division of Aging and Seniors .
- Held, D. and McGrew, A. (2002) Globalization/Anti-Globalization. Cambridge: Polity .
- Hewitt, P.S. (2002) ‘The End of the Postwar Welfare State’ , The Washington Quarterly 25(2): 7–16 .
- Hollander, M. and Chappell, N. (2002) ‘Final Report of the National Evaluation of the Cost-Effectiveness of Home Care, Health Canada, Health Transition Fund’, Centre on Ageing, University of Victoria .
- Jaeger, M.M. and Kvist, J. (2003) ‘Pressures on State Welfare in Post-Industrial Societies: Is More or Less Better?’ , Social Policy and Administration 37(6): 555–572 .[CrossRef]
- Jonsson, I. (2003) ‘Policy Perspectives on Changing Intergenerational Relations’ , Social Policy and Society 2(3): 241–248 .[CrossRef]
- Kemp, K.L. and Denton, M. (2003) ‘The Allocation of Responsibility for Later Life: Canadian Reflections on the Roles of Individuals, Government, Employers and Families’ , Ageing and Society 23(6): 737–760 .[CrossRef]
- Llewellyn, S. (2002) ‘Caught in a Relentless Squeeze between Low Wages and Burgeoning Demand, the Province's Home-Support Industry is in Crisis’, The Daily Gleaner (18 October), http://www.fpinfomart.ca/ar/
- Llewellyn, S. (2003) ‘Home-Care Situation Critical, Says President’, The Daily Gleaner (7 October), http://www.fpinfomart.ca/ar/
- MacDonald, M. (1998) ‘The Impact of a Restructured Canadian Welfare State on Atlantic Canada’ , Social Policy & Administration 32(4): 389–400 .[CrossRef]
- McHardie, D. (2004) ‘Auditor Blasts Nursing Home Inspections’, Times and Transcript (15 December), http://www.fpinfomart.ca/
- Morgan, R.E., Jr and Sam, D. (2002) ‘Human Rights: A New Language for Aging Advocacy’ , Gerontologist 42(4): 436–442 .[Abstract/Free Full Text]
- Myles, J. (2003) ‘Maturation of Canada's Retirement Income System: Income Levels, Income Inequality and Low Income Among Older Persons’ , Canadian Journal on Aging 19(3): 287–316 .
- New Brunswick Department of Family and Community Services (2004a) ‘Nursing Home Services Annual Statistical Report 2003’, accessed 7 December 2004, http://www.gnb.ca/0017/publications/NHStatisticalReport03-e.pdf
- New Brunswick Department of Family and Community Services (2004b) ‘Over $90 Million to be Invested in New Brunswick Nursing Homes’, accessed 19 July 2004, http://www.gnb.ca/0017/Seniors/invest-e.asp
- New Brunswick, Department of Finance (2004) ‘Budget 2004–2005: Living Within Our Means Focusing on Priorities’, accessed 1 April 2004, http://www.gnb.ca/0160/budget/buddoc2004/bud2004-e.html%23Living
- New Brunswick Health and Community Services (1999) ‘Health Services Review Report of the Committee’, accessed 10 November 2003, http://www.gnb.ca/hwsm/hw/pub/hsrc/5/longterm.htm%234
- New Brunswick Telegraph-Journal (2003) ‘Long-Term use of Acute-Care Beds a Growing Concern’, (2 December), http://www.fpinfomart.ca/ar
- New Brunswick Telegraph-Journal (2004) ‘Volpé: "We Must Live Within Our Means"’, (31 March), http://www.fpinfomart.ca/ar
- Nugent, L.T. (2003) ‘Understanding Home Support Labour in New Brunswick: The Human Costs of Care’, unpublished PhD thesis, Department of Nursing, University of New Brunswick, St. John.
- Organisation for Economic Co-operation and Development (OECD) (2001) ‘Maintaining the Economic Well-Being of Older People: Challenges for Retirement Income Policies’, Policy Brief, http://www.oecd.org/dataoecd/39/21/2674669.pdf
- Penning, M.J. and Keating, N. (2000) ‘Self-, Informal and Formal Care: Partnerships in Community-Based and Residential Long-Term Care Settings’ , Canadian Journal on Aging 19(Suppl. 1): 75–100 .
- Pierson, P. (1998) ‘Irresistible Forces, Immovable Objects: Post-Industrial Welfare States Confront Permanent Austerity’ , Journal of European Public Policy 5(4): 539–560 .
- Pierson, P. (2001) ‘Post Industrial Pressures on the Mature Welfare State’, in P. Pierson (ed.) The New Politics of the Welfare State (pp. 80–104). Oxford: Oxford University Press .
- Pupo, N. and Duffy, A. (2003) ‘Caught in the Net: The Impact of Changes to Canadian Employment Insurance Legislation on Part-Time Workers’ , Social Policy and Society 2(1): 1–11 .
- Richardson, J., Moreland, J. and Fox, P. (2001) ‘State of Evidence-Based Care in Long-Term Care Institutions: A Provincial Survey’ , Canadian Journal on Aging 20(3): 357–372 .
- Sassen, S. (2002) ‘Deconstructing Labor Demand in Today's Advanced Economies: Implications for Low-Wage Employment’, in F. Munger (ed.) Laboring Below the Line: The New Ethnography of Poverty, Low-Wage Work, and Survival in the Global Economy (pp. 73–94). New York: Russell Sage .
- Sharan, K.K. (2000) ‘Sources of Differences in Provincial Earnings in Canada’, 75F0002MIE–00008. Ottawa: Statistics Canada Income Statistics Division .
- Smith, E.S. (2002) A Comparative Study of Home Support Service Delivery. Harvey, Canada: Harvey Outreach for Seniors .
- Taylor Gooby, P. (2002) ‘Introduction: Themed Section on Social Welfare and Social Democracy’ , Social Policy and Society 1(1): 35–36 .
- United Nations (n.d.) ‘The Convention on the Elimination of All Forms of Discrimination against Women’, accessed 12 February 2005, http://www.un.org/womenwatch/daw/cedaw/
- United Nations (2002a) ‘Madrid International Plan of Action on Ageing 2002’, accessed 14 November 2004, http://www.un.org/esa/socdev/ageing/waa/a-conf-197-9b.htm
- United Nations (2002b) Abuse of Older Persons: Recognizing and Responding to Abuse of Older Persons in a Global Context. New York: United Nations, Economic and Social Council .
- Urquhart, M. (2002) ‘Caregiver Cashes $CN120,000 in Cheques’ , New Brunswick Telegraph-Journal (9 November), http://www.fpinfomart.ca/ar
- Van den Hoonaard, D.K. (2001) The Widowed Self: The Older Woman's Journey through Widowhood. Waterloo, Canada: Wilfrid Laurier University Press .
- Watson, W.G. (1998) Globalization and the Meaning of Canadian Life. Toronto: University of Toronto Press .
- Wilson, G. (1994) ‘Assembling Their Own Care Packages: Payment for Care by Men and Women in Advanced Old Age’ , Health and Social Care in the Community 2(4): 283–291 .
- Wilson, G. (2002) ‘Globalisation and Older People: Effects of Markets and Migration’ , Ageing and Society 22(5): 647–663 .[CrossRef]
- World Bank (1996) From Plan to Market, World Development Report 1996. New York: Oxford University Press for the World Bank .
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