This paper discusses filial norms, personal preferences for care, and policy opinions about the proper role of the family and the welfare state in elder care, by drawing from a comparative study of urban populations in Norway, England, Germany, Spain and Israel. Support for filial norms has a north-south dimension in Europe, and is highest in Spain and Israel and lowest – but still substantial – in Norway, England and Germany. National differences in preferences and policy opinions are more substantial, and more or less congruent with national family and social policy traditions. Filial solidarity is, however, not incompatible with generous welfare state arrangements, nor do filial obligations necessarily imply that the family is seen as the ‘natural’ care provider. In fact, many in the countries with the highest scores for filial responsibility still find the welfare state to be the main source of care provision. Normative familism is correlated with expressed familism in individuals' preferences and in policy opinions, but the correlations are weak, implying that while filial solidarity may be resilient, as circumstances alter its expressions change.
This article explores the strength and character of responsibility norms between older parents and adult children in a European context. Data from the ‘Generations and Gender Survey’ are analysed to compare seven countries from the North West to the South East of Europe: Norway, Germany, France, Romania, Bulgaria, Russia and Georgia. Norm strength is measured as the level of support for filial and parental responsibility norms. Character differences are indicated by how conditional the norms are, and how they are balanced between the younger and older generations. The general findings are in line with the family culture hypothesis – family norms are stronger towards the East and South of the continent, with Norway and Georgia as the extreme cases. National differences are considerable for filial norms, but moderate for parental norms. Parental responsibility is relatively stronger in the North West, filial responsibility in the South East. Family norms have a more open character in the West, where the limits to responsibility are widely recognised. Women are less supportive of family obligations than men. It is suggested that where the welfare state is more developed, it has moderated the demanding character of family obligations and allowed a more independent relationship between the generations to form. The level of support for filial obligation is for these reasons a poor indicator for family cohesion in more developed welfare states.
Information on public services for older people is often limited to institutional care and Home Help/ Home Care, be it for individuals in surveys, statistics for a specific country or for international comparisons. Yet, these two major services in many countries are supplemented -or substituted -by other, minor services. The latter include services such as transportation services, meals-on-wheels, alarm systems, and day care. In this study the authors use various data sources to provide information on all or most of these types of support for Denmark, Norway, Sweden, Germany, England, Spain, and Israel, concluding with a closer scrutiny of Swedish service profiles. When all types of support are considered, service coverage in these countries is approximately 50-100% higher than for the two major types alone. Data suggest some degree of targeting, at least in countries with higher coverage rates for services. Coverage is estimated as a percentage of a specific age group which uses a service. In countries with lower coverage rates, users may demand or get what is available, with little differentiation between client needs. When user rates are high, there is also a greater overlap between family care and public services. In countries with lower coverage rates, family care and public services are more often substituted for each other. It is suggested that a range of services, major and minor, may suit the varying needs of older people more effectively than the choice between nothing, Home Help or institutional care, but minor services also may be used as an inexpensive substitute for full support.
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