Navarro V
Department of Health Policy and Management, Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD 21205.
Int J Health Serv. 1991;21(4):585-614. doi: 10.2190/R2JB-64T6-TGQA-H38K.
This article is an analysis of the political context of reforms in the production process and in the welfare state. The theories of legitimation and Fordism are criticized for considering the capitalist class the main force behind the reforms. The working class and the process of class struggle are primarily responsible for changes in production and for the establishment of the welfare state. The author then shows that the changes in production and in the state that occurred after World War II were a response to political events triggered by labor's rebellions and capital's need to respond to those rebellions. Post-Fordism and the political practice that derives from it are criticized for their hasty dismissal of class and class practices by the dominated forces in society. The article ends by offering an alternative strategy for change.
