This study sets out to describe and e::...-plain the- system of financial access to curative health care in The Netherlands, that was operative around 1930. The 'system-1930' had roots in the nineteenth century, but developed mainly during the fust decades of the t\Ventieth century. It consiseed of three important types of organization: roeelical relief, the sickness funds, and the associati.ons for hospital care. Each type of organization delivered certain kinds of service to eertaio parts of the population. lndividualfinancial access depends on the individual's income and the e:>:penditure for health care made on his behalf. People with low incomes, high expenditure, or both, vvill. have insufficient access to health care. These people depend on income transfers from people with a high income to people with a low income, and from people who enjoy good health to people who are in poor health. These income transfers, or solidarity, can be realized only in such group arrangements as the three types of organization discussed in this book. Sirree voluntary group arrangements tend to produce litde solidarity, fora sufficient system of financial access some geveroment interference is required. The description of the system focuses on the three types of organization: which part of the population received what kinds of services from each type of organization, and in what marmer was solidarity realized? The explanation will be found in social policy, and developments within health care.

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A.F. Casparie (Anton)
Erasmus University Rotterdam
hdl.handle.net/1765/37450
Erasmus School of Health Policy & Management (ESHPM)

van der Velden, H. (1993, September). Financiële toegankelijkheid tot gezondheidszorg in Nederland, 1850-1941 : medische armenzorg, ziekenfondsen en de verenigingen voor ziekenhuisverpleging op nationaal en lokaal niveau (Schiedam, Roordahuizum en Amsterdam). Retrieved from http://hdl.handle.net/1765/37450