Solidarity and Care in the Netherlands

  • Jan van der Made
  • Ruud ter Meulen
  • Masja van den Burg
Part of the Philosophy and Medicine book series (PHME, volume 69)


In his chapter on solidarity, based on the theories of classical and modern sociologists, Van Oorschot (1998) defines solidarity as ‘an actual state of interrelations between individuals, groups and the larger society, which enables the collective interest to take priority over the interests of individuals or sub-collectivities’. In doing so, he seems to rephrase Durkheim’s organic solidarity. The Dutch health care system may cause one to wonder if such a definition enables us to grasp what solidarity really means. In our view, it makes the existing solidarity arrangements only partly visible. It takes solidarity on the macro-level into account, but not solidarity on the micro level, with regard to the delivery of informal care.


Home Care Health Care Service Informal Care Private Health Insurance Equal Access 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Doorslaer, E. van, A. Wagstaff and R. Janssen: 1993, in E. van Doorslaer, A. Wagstaff and F. Rutten, (eds.), Equity in the Finance and Delivery of Health Care. An International Perspective, Oxford University Press, Oxford, pp. 166–180.Google Scholar
  2. Duijnstee, M., A. van den Dungen, P. Cuijpers and R. Maliepaard: 1998, The Role, the Burden and the Support of Informal Care,’ in A.J.P. Schrijvers (ed.), Health and Health Care in the Netherlands. A Critical Self-assessment by Dutch Experts in the Medical and Health Sciences, Elsevier/De Tijdstroom, Maarssen, pp. 20–32.Google Scholar
  3. Engelhardt, H.T.: 1992, `Why a two-tier system of health care delivery is morally unavoidable,’ in M. Strosberg, J. Wiener, R. Baker, and I. Fein, Rationing America’s Medical Care: the Oregon Plan and Beyoncï, Brookings Dialogues on Public Policy, Washington DC, pp. 196–207.Google Scholar
  4. Financiering van de Zorg, 1998, Vektis, Zeist.Google Scholar
  5. Grinten, T. van der: 1996 `Scope for policy: essence, operation and reform of the policy system of Dutch health care,’ in L.J. Gunning-Schepers, G.J. Kronjee and R.A. Spasoff (eds.), Fundamental questions about the future of health care, Sdu, The Hague, pp. 135–154.Google Scholar
  6. Hattinga Verschure, J.C.M.: 1972, Ontwikkeling van zorgcriteria voor herstructurering van de gezondheidszorg,’ Net Ziekenhuis, 2, 9, 500–504.Google Scholar
  7. Government Committee on Choices in Health Care,’ 1992, Choices in Health Care, Ministry of Welfare, Health and Cultural Affairs, Zoetermeer.Google Scholar
  8. Janssen, T.: 1988, Thuiszorg: ‘n hele zorg, KUN, Nijmegen.Google Scholar
  9. Knipscheer, C.P.M.: 1992, Demografische veranderingen en het zorgvermogen van de samenleving,’ in N. van Nimwegen and J. de Jong Gierveld (eds.), De demografrsche uitdaging: Nederland in Europa op weg naar de 21ste eeuw, Bohn Stafleu Van Loghum, Houten/Zaventem, pp. 89–107.Google Scholar
  10. Knipscheer, C.P.M.: 1996, Het primant van de informele zorg,’ in H. Dokter, P. van Lieshout and B. Schade (eds.), Zorg aan huis, een stand van zaken, De Tijdstroom, Utrecht.Google Scholar
  11. Kuyper, M.B.: 1993, Op de achtergrond. Een onderzoek naar de problemen van partners met een chronische ziekte, KUN, Nijmegen.Google Scholar
  12. Maarse, J.A.M. and J. van der Made: 1998, Cost Containment and the Right to Health Care,’ European Journal of Public Health, 8, 119–126.CrossRefGoogle Scholar
  13. Made, J. van der and J.A.M. Maarse: 1997, Access to Health Care in the Netherlands,’ in J. Lenaghan (ed.), Hard Chokes in Health Care: Rights and Rationing in Europe, British Medical Journal Publishing Group, London, pp. 93–111.Google Scholar
  14. Meulen, R.H.J. ter: 1995, Limiting Solidarity in the Netherlands: A Two Tier-system on the Way, ’ The Journal of Medicine and Philosophy, 20, 607–616.CrossRefGoogle Scholar
  15. Nationale Raad voor de Volksgezondheid: 1994, NRV Ronde tafeldebat. Analyse en verslag. Hoofdlijnen volksgezondheidsbeleid 1994–1998,Zoetermeer.Google Scholar
  16. Netherlands Scientific Council for Government Policy (NSCGP): 1997, Public Health Care. Priorities and a Sound Financial Basis for Health Care in the 21st Century,The Hague.Google Scholar
  17. NIPO: 1995, Gezondheid is een recht….’ Onderzoek ter gelegenheid van her vijftigjarig jubileum van her NIPO,NIPO, Amsterdam. NSS/Marktonderzoek BV, Evaluatieonderzoek: keuzen in de zorg.Google Scholar
  18. Oorschot, W. van: 1998, Shared identity and shared utility. On solidarity and its motives, Tilburg Institute for Social Sciences, Tilburg.Google Scholar
  19. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioural Research: 1983, Securing Access to Health Care. A Report on the Ethical Implications of Differences in the Availability of Health Services, U.S. Printing Office, Washington DC.Google Scholar
  20. RMO/RVZ (Raad voor Maatschappelijke Ontwikkeling/Raad voor de Volksgezondheid en Zorg): 1999, Zorgarbeid in de toekomst. Advies over de gevolgen van demografische ontwikkeling van vraag en aanbod zorg(arbeid),Den Haag/Zoetermeer.Google Scholar
  21. Roscam Abbing, H.D.C.: 1994, Health Law and the European Union,’ European Journal of Health Law, 123–126.Google Scholar
  22. Schut, E. and H. van der Velden: 1998, Zeker van zorg lI (1941–2000),’ in: J. van Gerwen and M. van Leeuwen (eds.), Studies over zekerheidsarrangementen, Amsterdam, pp. 854–882.Google Scholar
  23. Sociaal en Cultureel Planbureau: 1993, Informele zorg,’ in Sociaal Culturele Verkenningen 1993, VUGA/SCP, Den Haag/Rijswijk.Google Scholar
  24. Sociaal Cultureel Planbureau: 1999, Sociaal en Cultureel Rapport 1998, 25 jaar sociale verandering, Sociaal en Cultureel Planbureau, Rijswijk.Google Scholar
  25. Spasoff, R.A.: 1996, Re-examining Public Health Care: Synthesis and Commentary,’ in L.J. Gunning-Schepers, G.J. Kronjee and R.A. Spasoff (eds.), Fundamental Questions about the Future of Health Care, Sdu, The Hague, pp. 245–256.Google Scholar
  26. Veen, E. van der and H.H.B. Limberger: 1996, `The Assurance of Appropriate Care,’ in L.J. Gunning-Schepers, G.J. Kronjee and R.A. Spasoff (eds.). Fundamental Questions about the Future of Health Care, Sdu; The Hague, pp. 159–185.Google Scholar
  27. Velden, H. van der: 1993, ‘Collectivisering en solidariteit in de Nederlandse gezondheidszorg,’ Gezondheid, 3, 264–281.Google Scholar
  28. Velden, H. van der: 1999, Collectivisering en solidariteit in de Nederlandse gezondheidszorg,’ Zorg en Verzekering, 19–28.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2001

Authors and Affiliations

  • Jan van der Made
  • Ruud ter Meulen
  • Masja van den Burg

There are no affiliations available

Personalised recommendations