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Unemployment insurance (UI) reduces the opportunity cost of leisure, but it is unknown whether this additional leisure time is physically active. To obtain unbiased estimates of the effect of UI on physically active leisure participation, I exploit changes in UI program legislation across US states and time. Using nationally representative monthly data between 2003 and 2010 from the Behavioral Risk Factor Surveillance System (BRFSS) and the American Time Use Survey (ATUS), I find evidence that both state UI eligibility expansions and increases in maximum allowable state UI benefits coincide with greater probability of physical activity among the recently unemployed. Based on point estimates, state UI eligibility expansions increased the probability of physical activity participation by 8–10 percentage points among the unemployed with less than a high school education, while a 10% increase in the maximum allowable state UI benefit increased the probability of physical activity by 0.3 to 0.6 percentage points among the unemployed who have completed high school or some college.

This chapter addresses inequalities in the United Kingdom through the lens of health inequalities. Driven by inequalities in income and power, health inequalities represent a microcosm of wider debates on inequalities. They also play a role as the more politically unacceptable face of inequalities – where other types of inequality are more blatantly argued as collateral damage of advanced neoliberalism including ‘inevitable’ austerity measures, politicians are more squeamish about discussing health inequalities in these terms.

The chapter starts by depicting health inequalities in Scotland and summarises health policy analyses of the causes of, and solutions to, health inequalities. It then describes the concept of ‘proportionate’ universalism’ and sets this within the context of debates around universal versus targeted welfare provision in times of fiscal austerity.

It then turns to a small empirical case-study which investigates these tensions within the Scottish National Health Service. The study asks those operating at policy and practice levels: how is proportionate universalism understood; and, is it a threat or ballast to universal welfare provision?

Findings are discussed within the political context of welfare retrenchment, and in terms of meso- and micro-practices. We conclude that there are three levels at which proportionate universalism needs to be critiqued as a means of mitigating the impacts of inequalities in the social determinants of health. These are within the political arenas, at a policy and planning level and at the practice level where individual practitioners are enabled or not to practice in ways that might mitigate existing inequalities.

Many governments stress the importance of “learning from abroad”. An analysis of official documents over a period of some 20 years examines learning from abroad in the case of funding long-term care in England through the lens of prospective policy transfer.

The paper analyses the eight “official” documents in England that examined funding LTC from 1999 to 2019. It uses interpretive content analysis in a deductive approach that focuses on both manifest and latent content.

Only four of the eight documents gave more than a token level of attention to other nations, and of the remaining four, none fully satisfied the criteria or followed the recommendations of prospective policy transfer. Moreover, a rather limited pool of lessons from other nations is examined. Much of the material is rather descriptive, with limited explicit attention towards goals, problems, settings and policy performance, and a clear recommendation explicitly associated with a clear lesson or policy recommendation is rare.

This is the first analysis of the eight official documents that have discussed funding long-term care in England.

William Baumol famously introduced the “cost disease” according to which the relative price of services vis-á-vis manufactured goods keeps rising because of a negative productivity differential between services and manufacturing industries. Empirical evidence strongly supports the predictions of Baumol’s model of “unbalanced growth” as we show in this article. Baumol was convinced that the cost disease need not have fatal consequences for growing economies as they can afford to earmark ever-higher shares of GDP to pay for services like healthcare and education if the overall “pie” keeps growing. Then, consumption of goods may rise as well even if its share in GDP steadily declines. However, income inequality has surged since the 1980s; and the rising price of vital services means that lower-income strata may be increasingly unable to pay for them. In this article, we develop the nexus between the cost disease and rising income inequality and sketch the ensuing challenges for social policy.