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

Ray H. Elling1
1Department of Community Medicine, UConn Health Center, Farmington, CT 06032, U.S.A.

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In modern times, one could suggest the postal service, an increasingly state supported rail transport system which, in the U.S., seems to concentrate on transport of industrial products, leaving the passengers to Detroit and the automobile manufacturers, etc. It is interesting to speculate that the current and possibly growing strength of European, especially German, capitalism, as well as Japanese capitalism, in world-system competition may be due in large part to the frank embrace between monopoly capital and the state in these systems whereby the general external conditions of production—railroads, etc.—are well supported and maintained, whereas large parts of the U.S. capitalism suffer from a strong dose of reactionary suspicion of anything governmental more appropriate to the laissez faire age of capitalist development. 1975, 474 1971 1975, 475 Navarro, 1978, The economic and political determinants of human (including health) rights, Int. J. 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