title: The outer limits of the welfare state: discrimination, racism and their effect on human services.
abstract: The European social democracies have been more generous than the United States in social provision, including services to aged. The momentum of provision has slowed down in recent years. We suggest that prosperity which has led to use of foreign laborers in menial jobs has caused this slow down. The dynamics are similar to the historical U.S. use of "non-100% Americans" as our menial workers. Changes in social policy strategies are needed: 1) universal provision, rather than programs aimed at minorities, is needed to enlist support of stable working and middle classes; 2) tax reforms, which lower progressive income-tax structures for middle incomes, and value-added tax, may be necessary to overcome anti-tax ideologies; 3) clear priorities as to most necessary services must be established by the gerontological community.
mesh_terms: D000368:Aged; D001290:Attitude; D006801:Humans; D009426:Netherlands; D009735:Nursing Homes; D011287:Prejudice; D011638:Public Housing; D011640:Public Policy; D012939:Social Planning; D012943:Social Security; D012946:Social Welfare; D014481:United States