Abstract
This chapter aims to map the twists and turns in the development of long-term care policy in Finland since the start of the 1990s. The main argument of the chapter is that these changes have to a large part been motivated by what is called here ‘demographic panic’, that is, fear of consequences of population ageing to the public purse. Various policy changes have taken place during the last three decades. Since the late 1980s, Finnish long-term care policies have been made under the shadow of the ‘demographic time bomb’ discourse that argues that care expenditures are to rise exponentially if determined action is not taken to curb the expenditures. As a result, the focus of policy has been on preventing the increase of the costs, not on developing care provisions that are needed by the growing older population. Before taking these policy turns under closer examination, key statistics concerning development of the age structure as well as the use of main care provisions in Finland are presented.
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References
Anttonen, A. (1990). The feminization of the Scandinavian welfare state. In L. Simonen (Ed.), Finnish debates on Women’s studies (pp. 3–25). Tampere: University of Tampere.
Anttonen, A. (2002). Universalism and social policy: A Nordic-feminist revaluation. NORA - Nordic Journal of Feminist and Gender Research, 10(2), 71–80.
Anttonen, A., & Karsio, O. (2017). How marketisation is changing the Nordic model of care for older people. In F. Martinelli, A. Anttonen, & M. Mätzke (Eds.), Social services disrupted: Changes, challenges and policy implications for Europe in times of austerity (pp. 219–238). Cheltenham: Edward Elgar.
Heikkilä, M., & Rintala, T. (2006). Rescaling social welfare policies in Finland. Vienna: European Centre for Social Welfare Policy and Research.
Karsio, O., & Anttonen, A. (2013). Marketisation of eldercare in Finland: Legal frames, outsourcing practices and the rapid growth of for-profit services. In G. Meagher & M. Szebehely (Eds.), Marketisation in Nordic eldercare (pp. 85–125). Stockholm: Stockholm University.
Kröger, T. (1997). Hyvinvointikunnan aika. Kunta hyvinvointivaltion sosiaalipalvelujen rakentajana [The time of the welfare municipality. Local authorities as constructors of social services]. Tampere: Tampereen yliopisto.
Kröger, T. (2002). Paikallisuus, monituottajamalli ja politiikka—Miksi ikääntyneiden palvelut tuotetaan eri paikkakunnilla eri tavoin? [Localness, welfare mix and politics: Why are services for older people produced differently in different localities?]. In J. Lehto & K. Natunen (Eds.), Vastaamme vanhusten hyvinvoinnista. Sosiaali- ja terveyspalvelujärjestelmän sopeuttaminen vanhusten tarpeisiin (pp. 82–95). Helsinki: Kuntaliitto.
Kröger, T. (2011a). Retuning the Nordic welfare municipality: Central regulation of social care under change in Finland. International Journal of Sociology and Social Policy, 31(3/4), 148–159.
Kröger, T. (2011b). Defamilisation, dedomestication and care policy: Comparing childcare service provisions of welfare states. International Journal of Sociology and Social Policy, 31(7/8), 424–440.
Kröger, T. (2017). Sosiaali- ja terveyspalvelujen reformaatio [Reformation of social and health care]. Janus: Sosiaalipolitiikan ja sosiaalityön tutkimuksen aikakauslehti, 25(2), 160–165.
Kröger, T., Anttonen, A., & Sipilä, J. (2003). Social care in Finland: Weak and strong universalism. In A. Anttonen, J. Baldock, & J. Sipilä (Eds.), The young, the old and the state: Social Care Systems in Five Industrial Nations (pp. 25–54). Cheltenham: Edward Elgar.
Kröger, T., & Bagnato, A. (2017). Care for older people in early twenty-first century Europe: Dimensions and directions of change. In F. Martinelli, A. Anttonen, & M. Mätzke (Eds.), Social services disrupted: Changes, challenges and policy implications for Europe in times of austerity (pp. 201–218). Cheltenham: Edward Elgar.
Kröger, T., & Leinonen, A. (2012). Transformation by stealth: The retargeting of home care services in Finland. Health and Social Care in the Community, 20(3), 319–327.
Kröger, T., Van Aerschot, L., & Mathew Puthenparambil, J. (2018). Hoivatyö muutoksessa. Suomalainen vanhustyö pohjoismaisessa vertailussa [Care work under change: Finnish care work for older people in Nordic comparison]. Jyväskylä: Jyväskylän yliopisto.
Mathew Puthenparambil, J., & Kröger, T. (2016). Using private social care services in Finland: Free or forced choices for older people? Journal of Social Services Research, 42(2), 167–179.
Mathew Puthenparambil, J., Kröger, T., & Van Aerschot, L. (2017). Users of care services in a Nordic welfare state under marketisation: The rich, the poor and the sick. Health and Social Care in the Community, 25(1), 54–64.
Mullan, P. (2000). The imaginary time bomb: Why an ageing population is not a social problem. London: I.B. Tauris and Co.
National Audit Office of Finland. (2017). Fiscal policy evaluation assessment on the management of general government finances 3 November 2017. Retrieved April 15, 2018, from https://www.vtv.fi/files/5919/Fiscal_policy_evaluation_assessment_on_the_management_of_general_government_finances.pdf.
National Institute for Health and Welfare. (2018a). SOTKAnet statistical data base on welfare and health in Finland. Retrieved April 15, 2018 from sotkanet.fi.
National Institute for Health and Welfare. (2018b). Terveys- ja sosiaalipalvelujen henkilöstö 2014 [Health and social care staff in 2014]. Retrieved April 15, 2018, from http://www.julkari.fi/bitstream/handle/10024/135915/TR_01_18.pdf?sequence=1.
Niiranen, V. (1992). Vapaakuntakokeilun käyttöarvo sosiaalitoimessa [The applicability of the free municipality experiment in social services]. Helsinki: Valtion painatuskeskus.
Rauhala, P.-L. (1996). Miten sosiaalipalvelut ovat tulleet osaksi suomalaista sosiaaliturvaa? [How did social services become a part of social security in Finland?]. Tampere: Tampereen yliopisto.
Saraceno, C. (2010). Social inequalities in facing old-age dependency: A bi-generational perspective. Journal of European Social Policy, 20(1), 32–44.
Saraceno, C. (2016). Varieties of familialism: Comparing four southern European and east Asian welfare regimes. Journal of European Social Policy, 26(4), 314–326.
Statistics Finland. (2018). StatFin data bank: Population structure, population projections. Retrieved April 15, 2018 from stat.fi.
Sipilä, J., & Simon, B. (1993). Home care allowances for the frail elderly: For and against. The Journal of Sociology & Social Welfare, 20(3), 119–134.
Sipilä, J. (Ed.). (1997). Social care services: The key to the Scandinavian welfare model. Aldershot: Avebury.
STAKES. (1995). Sosiaali- ja terveydenhuollon palvelukatsaus. Helsinki: STAKES.
STAKES. (2000). Sosiaali- ja terveydenhuollon palvelukatsaus 2000. Helsinki: STAKES.
Statistics Finland. (2018). StatFin data bank stat.fi: Population structure, population projections. Accessed April 15, 2018.
Szebehely, M. (2003). Hemhjälp i Norden – Illustrationer och reflektioner [Home care in the Nordic countries – Illustrations and reflections]. Lund: Studentlitteratur.
Szebehely, M., & Meagher, G. (2018). Nordic eldercare—Weak universalism becoming weaker? Journal of European Social Policy, 28(3), 294–308.
Vincent, J. (1996). Who’s afraid of an ageing population? Nationalism, the free market, and the construction of old age as an issue. Critical Social Policy, 16(47), 3–26.
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Kröger, T. (2019). Looking for the Easy Way Out: Demographic Panic and the Twists and Turns of Long-Term Care Policy in Finland. In: Jing, Tk., Kuhnle, S., Pan, Y., Chen, S. (eds) Aging Welfare and Social Policy. International Perspectives on Aging, vol 20. Springer, Cham. https://doi.org/10.1007/978-3-030-10895-3_6
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DOI: https://doi.org/10.1007/978-3-030-10895-3_6
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