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policies and interventions<br />

case study 65. Assessing employment policies in two clusters of core labour countries: Is there a contradiction between<br />

the performance of economic, social and health indicators - dennis raphael<br />

there are two main streams that constitute the employment policy literature. the first is that of traditional economic<br />

analysis that sees the assessment of employment policies being based primarily on employment or participation rates and<br />

associated unemployment rates and, second, on indicators of economic growth. these kind of economic analyses are seen<br />

as the major criteria of success in employment policies by the organization for economic cooperation and development<br />

(oecd) who provide these on an ongoing basis. the second stream is one that places employment policies within<br />

frameworks that consider the extent to which heath and the determinants of health are influenced by these policies. this<br />

more diverse literature draws upon contributions from the political economy and the social development literatures.<br />

the english-speaking nations (e.g., Usa, UK, canada, australia, new Zealand) have been identified as implementing<br />

very different liberal approaches to economic and social labour market and social policies as compared to the well known<br />

nordic nations (eg., sweden, denmark, norway, Finland) that fol<strong>low</strong> a labour market and social approach informed by social<br />

democratic principles. table 1 illustrates some of the data provided by the oecd indicators. in regards to the key indicators<br />

of economic growth and unemployment rates there are negligible differences between those two clusters of countries.<br />

Table 1. comparison between two clusters of core labour market countries on oecd economic<br />

indicators (liberal labour institutions and social democratic labour institutions).<br />

GroWTh in per capiTa Gdp GroWTh in laBoUr force UneMployMenT raTes<br />

1993-2003 2004 2005 1993-2003 2004 2005 1993-2003 2004 2005<br />

lIberAl<br />

australia 3.9 3.2 2.6 2.1 1.9 3.5 7.7 5.6 5.0<br />

canada 3.5 2.9 2.9 2.0 1.8 1.4 8.7 7.2 6.8<br />

new Zealand 3.7 4.3 1.9 2.3 3.4 2.8 6.5 3.9 3.7<br />

UK 3.0 3.1 1.8 1.1 1.0 1.0 7.0 4.7 4.8<br />

Us 3.2 4.2 3.5 1.4 1.1 1.8 5.3 5.5 5.1<br />

Average 3.5 3.5 2.5 1.8 1.8 2.1 7.0 5.4 5.1<br />

SocIAl DemocrAtIc<br />

denmark 2.5 1.9 3.1 0.7 0.0 0.6 5.8 5.5 4.8<br />

norway 3.3 3.1 2.3 1.2 0.3 0.6 4.3 4.5 4.6<br />

sweden 2.9 3.2 2.7 0.7 -0.4 1.0 6.3 5.5 5.8<br />

finland 3.6 3.5 2.2 1.3 0.0 1.5 12.2 8.9 8.4<br />

Average 3.1 2.9 2.6 1.0 0.0 0.9 7.2 6.1 5.9<br />

table 2 presents data that considers the two clusters of core labour market countries along three social determinants of<br />

health: poverty rates, income inequality, and union density, and three population health indicators: life expectancy, infant mortality,<br />

and <strong>low</strong> birthweight (oecd, 2005; 2006) there are profound differences between the two clusters on poverty rates, income inequality<br />

and Union density. interestingly, health differences are not apparent for life expectancy but do emerge for the infant mortality and<br />

<strong>low</strong> birthweight data favouring the social democratic group of countries.<br />

Table 2. comparison between two hroups of high labour market gunctioning nations on selected<br />

indicators of the social determinants of population health (sdph) and population health itself.<br />

sdph (2002) popUlaTion healTh indicaTors (2004)<br />

life expectancy<br />

poverty Gini income Union density<br />

infant Mortality <strong>low</strong> Birthweight<br />

Women Men<br />

lIberAl<br />

australia 11.2 30.5 24.5 83.0 78.1 5.0 6.3<br />

canada 10.3 30.1 28.1 82.4 77.4 5.2 5.8<br />

new Zealand 10.4 31.4 22.7 81.3 77.0 6.3 6.1<br />

UK 11.4 32.6 31.2 80.7 76.2 5.3 7.6<br />

Us 17.0 35.7 12.8 80.1 74.8 6.8 8.1<br />

Average 12.1 32.1 23.9 81.5 76.7 5.7 6.8<br />

SocIAl DemocrAtIc<br />

denmark 4.3 22.5 74.4 79.9 75.2 4.4 5.3<br />

norway 6.3 26.1 54.3 81.4 76.9 3.9 4.8<br />

sweden 5.3 24.3 81.1 82.3 77.5 2.8 4.2<br />

finland 6.4 26.1 76.2 82.3 75.3 3.0 4.2<br />

Average 5.6 24.8 71.5 81.5 76.2 3.5 4.6<br />

293

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