Dear colleagues, hello Alex
I think this is a very interesting question for Social Policy -- but
how many people on the list will be clear about what Rose-ism is.
Would Alex like to clarify it a bit for some of us (I ought to know
but afraid I have forgotten). As I vaguely remember, Rose says that
the extremes of any condition in the population are determined by the
average level, and the famous example is alcohol. In a population
which drinks more on average, there will be more people with 'drink
problems'; in a population which consumes more calories on average
there will be more obese people (does that really follow??). In terms
of the arguments over universalism, I have always believed that when
benefits are means tested then many of those who are deterred are in
fact in greater need than those who manage to qualify. I once had a
group of economics students, around 30, only 2 of whom managed to
fill out a claim form correctly (the ones who had done it before).
Also, it is only with means tested benefits that the poverty trap
exists at all. But I am not at all sure how this relates to Rose's
ideas. I am really interested to hear what other people think.
Regards
> Date: Thu, 2 Sep 1999 16:45:30 +0100 (GMT Daylight Time)
> Priority: NORMAL
> Subject: Universalism and healthy public policy
> From: Alex Scott-Samuel <[log in to unmask]>
> To: [log in to unmask]
> Reply-to: Alex Scott-Samuel <[log in to unmask]>
> Dear colleagues,
> Can you help me get my head around the relationship between
> the universalism vs. particularism/targeting/selectivity in
> social policy issue and the population vs. high-risk
> approaches in preventive medicine issue (usually associated
> with the late Geoffrey Rose)? Do universalist policy
> prescriptions automatically follow if one goes along
> with Rose's population approach? Or is that an ecological
> fallacy? (ie, are universalism and Rose-ism analogous but
> theoretically unrelated 'domains'?) I'd really appreciate
> your thoughts.
>
> Many thanks
>
> Alex S-S
>
> ******************************************************
> Alex Scott-Samuel
> EQUAL (Equity in Health Research and Development Unit)
> Department of Public Health
> University of Liverpool
> Whelan Building
> Quadrangle
> Liverpool
> L69 3GB
> Tel (44)151-794-5569
> Fax (44)151-794-5588
> e-mail [log in to unmask]
> *******************************************************
>
>
Mel Bartley
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