Mérove Gijsberts

This open access book analyzes how sound choices can be made in Dutch health care policies, and shows why they are necessary, urgent, and even inevitable. Analyzing the current functioning and funding of the Dutch health care system, this book shows how three dimensions of sustainability – financial, staffing and societal – are under increasing pressure. This study explores priority setting in health care and calls for well-informed, clear and sometimes uncompromising choices in the allocation of means and personnel. This is necessary in order to maintain accessible and high-quality care for all, and to improve public health. Making balanced choices in health care is of particular importance to vulnerable groups whose voices may not be heard as readily or effectively in the public debate, and whose interests are more easily crowded out. Prioritizing in the domain of public health care is first and foremost a political responsibility, but also one for health care providers across the system and ultimately also for citizens. While this work focuses on the Netherlands, similar processes are at play across the developed economies, making it broadly relevant to policy makers, health care professionals and health care (policy) researchers grappling with the questions surrounding the sustainability of public health care.

The association of exclusionist and nationalist relations, termed ethnocentrism, has been previously explored within single-country contexts. Studies have shown that dispositional factors, such as social identity and personality traits, affect ethnocentric reactions and that attitudes differ between social categories. However, broader national and international explanations have been neglected in the literature. This book fills this major gap by providing a unique account of the relationship between nationalist attitudes and the exclusion of migrants across a range of European countries, the US, Canada and Australia. Drawing on a variety of comparative surveys, the authors assess whether ethnic exclusionist reactions and nationalist attitudes are indeed systematically related across countries, and whether variations in such attitudes reflect country-level as well as individual-level differences. The authors consider the multidimensionality of the concepts of nationalism and exclusionism as well as the empirical associations, and analyze the attitudes of both majority and minority groups within the countries studied.

The association of exclusionist and nationalist relations, termed ethnocentrism, has been previously explored within single-country contexts. Studies have shown that dispositional factors, such as social identity and personality traits, affect ethnocentric reactions and that attitudes differ between social categories. However, broader national and international explanations have been neglected in the literature. This book fills this major gap by providing a unique account of the relationship between nationalist attitudes and the exclusion of migrants across a range of European countries, the US, Canada and Australia. Drawing on a variety of comparative surveys, the authors assess whether ethnic exclusionist reactions and nationalist attitudes are indeed systematically related across countries, and whether variations in such attitudes reflect country-level as well as individual-level differences. The authors consider the multidimensionality of the concepts of nationalism and exclusionism as well as the empirical associations, and analyze the attitudes of both majority and minority groups within the countries studied.