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The Transformation of the Welfare State in the Republic of North Macedonia

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The Palgrave Handbook of Global Social Change

Abstract

This chapter will analyze the changes in the welfare state in the Republic of North Macedonia that occur over a longer period of time since the early 1990s. In the analysis of the transformation of the welfare state, special attention will be paid to the transformation of the social protection system, the pension and health care system. The transformation of the welfare state in North Macedonia does not differ much from that in other post-communist countries, but it has certain specifics. The reason is that in the transformation of the welfare state two factors have an important place: external and internal ones. External factors were globalization and its instruments such as the World Bank and the International Monetary Fund, which in all post-communist countries recommended similar neoliberal policies for reduction of public spending on welfare services and privatization in the area of pension and health insurance. Internal factors include the configuration of relationships between key institutions in a society, as well as the processes and conditions in institutions that provide welfare state services, such as the financial self-sufficiency of a pension or health insurance scheme. In this chapter we will get acquainted with the structural setup of certain segments of the welfare state but also their transformation, both at the level of legislation and at the level of services that the welfare state provides to citizens. It is a well-known fact that in the last 30 years in North Macedonia there is a process of increasing selectivity of the welfare state, as well as the reduction of the services it provides to the citizens. Here we will try to point out how and why it happened.

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References

  • Anceva, M. (2015). Annual review of labour relations and social dialogue in Macedonia. Friedrich Ebert Stiftung.

    Google Scholar 

  • Annual Report of the Health Insurance Fund 2019. (2020). Health Insurance Fund. CSOBISS MK – ID 51266821. https://fzo.org.mk/WBStorage/Files/GODISEN%202019%20.pdf.

  • Apostolska, Z. (2009). Preparing the financial market for an aging population: The case of the FYR Macedonia. In R. Holzmann, L. MacKellar, & J. Repansek (Eds.), Pension reform in Southeast Europe: Linking to labor and financial market reform. World Bank and The Center for Excellence in Finance.

    Google Scholar 

  • Barr, N., & Diamond, P. (2006). The economics of pensions. Oxford Review of Economic Policy, 22(1), 15–39.

    Article  Google Scholar 

  • Bornarova, S. (2011). Development of the social protection system in post-communist Macedonia: Social policy making and political processes. In Welfare states in transition: 20 Years after Yugoslav welfare model. Friedrich Ebert Foundation.

    Google Scholar 

  • Bozinovski, D., & Biseroski, K. (2015). Health as a right and as a service: Patients’ rights in the Macedonian legislation 1991–2014. Leftist Movement Solidarity.

    Google Scholar 

  • Burtlett, W., & Xhumari, M. (2007). Social security policy and pension reforms in the Western Balkans. European Journal of Social Security, 9(4), 1–25.

    Google Scholar 

  • Cangiano, M., Cottarelli, C., & Cubeddu, L. (1998). Pension development and reform in transition economies. International Monetary Fund.

    Google Scholar 

  • Carovska, M. (2019). A new standard in social investment. Challenges – Journal for Social Issues, (4), 11–23.

    Google Scholar 

  • Centre for Research and Policy Making. (2005). Rationalization of health care services in Macedonia – Case studies: Skopje, Tetovo, Sveti Nikole, Negotino. Centre for Research and Policy Making.

    Google Scholar 

  • Deacon, B., & Lakinska, D. (1997). F.Y.R.O.M. Country Policy Paper, EC PHARE Consensus Programe, European Centre for Social Welfare Policy and Research.

    Google Scholar 

  • Donev, D. M. (2009). Health insurance system in Republic of Macedonia. Croatian Medical Journal, 40(2), 1–12.

    Google Scholar 

  • Donevska, M., Gjorgjev, D., Gerovska-Mitev, M., & Kalovska, T. (2007). Social protection and social inclusion in the former Yugoslav Republic of Macedonia. Euro-Balkan Institute.

    Google Scholar 

  • European Observatory on Health Care System. (2000). Health care systems in transitions: The former Republic of Macedonia. European Observatory on Health Care System.

    Google Scholar 

  • Gerovska-Mitev, M. (2007). Reform processes and challenges in social policy in Republic of Macedonia. In Framing of new social policy: Actors, dimensions and reforms. Institute of Social Affairs and Social Policy, University Ss. Cyril and Methodius and Friedrich Eberth Foundation.

    Google Scholar 

  • Gerovska-Mitev, M. (2016). Welfare state relations in Macedonia: Trends and perspectives. In K. Schubert, P. de Villota, & J. Kuhlmann (Eds.), Challenges to European welfare system (pp. 497–513). Springer.

    Chapter  Google Scholar 

  • Gerovska-Mitev, M. (2019). Financing social protection: North Macedonia; European Commission – Directorate-General for Employment, Social Affairs and Inclusion. European Social Policy Network (ESPN).

    Google Scholar 

  • Golubovic, V. (2008). The functioning of the pension insurance system in the countries of former Yugoslavia. SEER: Journal for Labour and Social Affairs in Eastern Europe, 11, 445–467.

    Article  Google Scholar 

  • Hofucker, D. (2013). Review of the book “Pension trajectories in Western Balkans, three case studies: Albania, Macedonia, Kosovo 1990–2010” written by Xhumari V. Merita. International Journal of Ageing and Later Life, 8(2), 77–82.

    Article  Google Scholar 

  • Lazarevik, K., Kasapinov, B., & Gudeva-Nikolovska, D. (2010). Health care reforms in the Republic of Macedonia (1991–2010) panel on comparative health reforms in CEE. Macedonian Academy of Sciences and Arts.

    Google Scholar 

  • Lazarevski, D., Mrsic, J., & Smokvarski, E. (2012). Evolution of the venture capital financing for growing small and medium enterprises in central and eastern Europe countries: The case of Macedonia. MPRA Papers, Munich Personal RePec Archive. https://mpra.ub.uni-muenchen.de/41997/.

  • Lorenzo, F., & Giordano, R. (2001). Funding a PAYG pension system: The case of Italy. Fiscal Studies, 22(4), 487–526.

    Google Scholar 

  • Matkovic, G. (2017). The welfare state in Western Balkan countries. Centre for Social Policy.

    Google Scholar 

  • Maurano, S. (2015). Welfare state in Mediterranean countries: Republic of Macedonia. Centre for Administrative Innovation in the Euro-Mediterranean Region.

    Google Scholar 

  • Milevska Kostova, N., Chichevalieva, S., Ponte, N. A., van Ginneken, E., & Winkelmann, J. (2017). The former Republic of Macedonia: Health system review. Health System in Transition, 19(3), 1–160.

    Google Scholar 

  • Ministry of Health of the Republic of Macedonia. (2007). Health strategy of the Republic of Macedonia 2020: Safe, efficient and just health care system. Ministry of Health of the Republic of Macedonia.

    Google Scholar 

  • Mrsic, J. (2012). Guide for your right to pension. International Labour Organization, ILO Docent Work Technical Support Team and Country Office for Central and Eastern Europe.

    Google Scholar 

  • Muller, K. (2003). Toward contributory approaches: Pension reform in the Transition Countries. Paper presented at the parallel session: “Aging and Development 1” at the DSA annual conference, Glasgow, September 10–12, 2003.

    Google Scholar 

  • Nickel, C., & Almenberg, J. (2006). Ageing, pension reforms and capital market development in transition countries. EBRD working paper 99.

    Google Scholar 

  • Official Gazette 50/1997.

    Google Scholar 

  • Official Gazette 142/2008.

    Google Scholar 

  • Official Gazette 79/2009.

    Google Scholar 

  • Official Gazette 34/2012.

    Google Scholar 

  • Official Gazette 190/2016.

    Google Scholar 

  • Official Gazette 104/2019.

    Google Scholar 

  • Pejkovski, J., & Majovski, I. (2007). Social security and development. In Framing of new social policy: Actors, dimensions and reforms. Institute of Social Affairs and Social Policy, University Ss. Cyril and Methodius and Friedrich Eberth Foundation.

    Google Scholar 

  • Sharlamanov, K., & Jovanoski, A. (2017). Social transformation of Macedonian society. Lambert Academic Publishing.

    Google Scholar 

  • Spasovska, S., Bornarova, S., & Bogoevska, N. (2010). National Programe for Development of Social Protection 2011–2021. Ministry of Labor and Social Policy.

    Google Scholar 

  • State Statistical Office. (2017). Macedonia in numbers. State Statistical Office.

    Google Scholar 

  • Statistical Yearbook. (2019). State Statistical Office.

    Google Scholar 

  • Sulejmani, V. (2015). The theoretical aspects of pension reforms, labor market and financial sector reforms. European Journal of Sustainable Development, 3(4), 167–174.

    Google Scholar 

  • Uzunov, V. (2011). Socio-economic transformation of the welfare system of the Republic of Macedonia in the period of transition. In Welfare states in transition: 20 Years after Yugoslav welfare model. Friedrich Ebert Foundation.

    Google Scholar 

  • Xhumari, M. (2007). Social security policy and pension reforms in the Western Balkans. European Journal of Social Security, 9(4), 297–322.

    Article  Google Scholar 

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Sharlamanov, K., Petreska, J. (2022). The Transformation of the Welfare State in the Republic of North Macedonia. In: Baikady, R., Sajid, S., Nadesan, V., Przeperski, J., Islam, M.R., Gao, J. (eds) The Palgrave Handbook of Global Social Change . Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-87624-1_359-1

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  • DOI: https://doi.org/10.1007/978-3-030-87624-1_359-1

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  • Print ISBN: 978-3-030-87624-1

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