The fiscal crisis of the state and state financing of health care

摘要: Abstract After recognizing the absence of Marxist conflict perspectives in classic surveys public finance and explanations support for medical care. a perspective is suggested. O'Connor's work drawn upon framework suggested here. In addition, places emphasis class struggle within neo-imperialist monopoly capitalism functioning world political economic system. Key components this are seen as national states, their component ruling structures, multinational corporations, supporting cultural hegemony. The nation state collecting disbursing taxes other financing to attempt (1) provide favorable conditions capital accumulation by bourgeoisie (2) integrate potentially rebellious working through variety well welfare service programs and. when necessary, repression. State care then considered perspective. As comes require ever larger amounts financing, pressures develop cut back on services ‘non-productive’ portions population—the unemployed. those welfare, elderly, etc. paper concludes with some action strategies suggestions.