Social policy in Malta is undergoing
a civilising process, not far removed from what has been observed in other
European countries as the squaring of the welfare ‘circle’ (George 1996)
or ‘triangle’ (Hantrais 1996). In these countries there is an increasing
awareness that the ever expanding, universalist and bureaucratically run
welfare state has to be gradually contained, modified and replaced by new
forms. This entails a move away from predominant state welfare towards
the provision of care by informal sectors of the family, friends and neighbours,
the independent not-for-profit sector, and, to a lesser degree, the commercial
organisation of care (Munday 1996: 226). Accordingly, institutional welfare
structures of the state are giving way to a welfare-mix in civil society.
In the new situation, state agents have to share their space with a growing
number of voluntary and altruistic associations (Giner and Sarasa 1996:
139).
In the beginning of the nineties, government social policy has taken measures to implement the principles of solidarity and subsidiarity, participation, decentralisation, prevention, empowerment and self-reliance with a special focus on the family. Huge capital was invested in infra-structural social projects having to do with a rapid expansion of tertiary education, an investment in human capital, reforms in mental health services, opening of new homes for the elderly in local communities and the building of a new national hospital. Public funds were also spent to set up and maintain new welfare units for specialised needs having to do with substance abuse, child protection, domestic violence, community work and a multiplicity of home-based services for diverse client groups. Most initiatives and joint ventures with non-governmental organisations relied heavily on state funding. The most recent economic survey (1997: 200-3) records an upward rise in capital and recurrent expenditures over the past few years, in particular for social security benefits, health, care for the elderly and family affairs but less for social housing, primary and secondary education.
Successive Maltese governments
have manifested their commitment to maintain state social security whilst
developing new social services for the needs of late modernity. At
the same time, new professional organisations keep advancing claims for
the expansion of statutory social services, social work in particular (Pace
1997). Such demands are taking place at a time when national accounts record
an increasing gap between government revenue and expenses on social welfare.
[Table 1]
|
|
Lm million |
Lm million |
Lm million |
|
1990
|
110.5
|
71.2
|
39.3
|
|
1991
|
117.7
|
72.0
|
45.7
|
|
1992
|
133.9
|
80.5
|
53.5
|
|
1993
|
145.8
|
97.0
|
48.8
|
|
1994
|
163.4
|
101.8
|
61.6
|
|
1995
|
175.9
|
115.5
|
60.4
|
|
1996
|
191.9
|
126.2
|
65.7
|
In a first measure
to reduce welfare spending the former nationalist government put an end
to universal children allowances, making them exclusively available to
low income families. This move marked a shift from state universal provision
towards targeted benefits. More recently, the labour government has taken
measures to curb public spending and to ensure that fiscal morality is
observed. In the budget for 1998, there was an increase in taxes and subsidies
on basic public services like water and electricity were reduced. More
innovative policies, however, seem to be required to reconcile the demands
for welfare and the incumbent necessity to cut public spending. Very likely,
in order to guarantee social security for future generations, governments
would have to give greater importance to civil society, and to enter into
partnerships with the voluntary, church and informal sectors. For this
purpose, reliable knowledge on the real needs of citizens, the extent to
which people in need make use of self-help resources in the family and
community, and the kind of help they demand from specialised institutions
is indispensable. The crucial question is whether citizens are willing,
and if so how, to transfer demands for social benefits and welfare services
from direct provision by the state to other institutions, self-help groups,
producers and consumers in civil society. In the final analysis,
what is the relation between civil society and the welfare state?
Social scientists observe
that civil society is not to be associated with a private realm clearly
separated and in opposition to the state. Nor is it to be confined to the
institutions of the voluntary or non-governmental sector. A broad understanding
of civil society involves the investigation of everyday social practices,
social relations and the shared moralities that hold communities together
(Hann and Dunn eds. 1996). The development of civil society is concerned
with citizens’ actual participation in a combination of self-help groups,
exchange of services with family members, relatives, neighbours or friends,
voluntary organisations, social institutions in the community and the corresponding
demands for state subsidiary help or intervention. The success or otherwise
of the welfare mix in civil society depends on an adequate appraisal of
citizens’ strategies for welfare, their demands for help from the various
agents of society, and the subsequent development of policies by the state
and its social partners. This paper is a contribution in this direction.
In the mid-nineties
a nationally representative survey on social welfare was organised by a
university sociologist in Malta and Gozo (N = 500) similar to a study held
in Spain by the Centro de Estudios Sobre la Realidad Social (CIRES). The
population was chosen in a two-stage random sample from the full list of
registered voters. Specially trained interviewers administered a Maltese
version of the questionnaire in the homes of respondents. The survey enquired
about living arrangements, relations with family members, neighbours and
friends, participation in the job market, home ownership, the possession
of utilities in the home, the sufficiency or otherwise of family income,
cuts in spending, reliance on social security and experience of hardship
in the family. Respondents were to assess the available social services
and to identify their demands for social welfare from the state, the family,
voluntary and non-governmental organisations. Data sets from both surveys
made possible a comparative analysis of present social conditions and the
demands for social welfare in two neighbouring southern European and Mediterranean
countries (Abela 1996).
The spatial density
of the Maltese islands coupled with the reproduction of traditional values
in the community favour the upkeep of strong family ties and kinship networks.
In fact, most respondents meet a member of their family who does not live
in the same household almost everyday, or at least once a week. Very few
see their relatives less than once a month or never. Kinship and family
networks remain one of the strongest human resources. Most find solace
and support in their immediate or extended family. This explains why Maltese
social policy shares with other southern or ‘latin’ European countries
a strong reliance on family and community networks.
Most households have
basic amenities of modern living such as a bathroom, hot water, a refrigerator
and a colour television. Automatic washing machines, micro-wave ovens,
dishwashers and central heating are less to be found in Maltese households,
possibly because, by local standards, these appliances are still considered
a luxury. More respondents in Malta than in other southern European countries
like Spain, however, have a telephone, a video player, a hi-fi equipment,
a vacuum cleaner and a computer. The relatively higher possession of electronic
appliances suggests that people in Malta value information technology more
than the products of industrial society. The advancing information society,
however, can easily overlook certain sectors of society who lack the basic
amenities of modern living, where not a few households still do not have
a bathroom and hot water, a colour T.V. or a telephone. These people stand
a risk of social exclusion in the emerging information society.
Most respondents have
a family member presently employed. Very few families have an adult member
not in paid employment and on unemployment benefits. The low unemployment
rate relative to western Europe, is partly explained by the high performance
of the Maltese economy and a diffuse enterprise culture, but also by the
government's policy to invest in human capital favouring the rapid expansion
of tertiary education, paying generous stipends to young university students.
A few receive financial help from relatives, friends or acquaintances not
living in the same house but extremely few receive financial help from
private organisations such as the Church or Caritas.
Most respondents hold
that there is less poverty in Malta than in other southern European countries.
Only two in ten think that there are more poor people in their country
than in other Southern European states, though some are unable to estimate
the level of their country's poverty relative to others. At the time of
the survey a feeling of economic insecurity was less pronounced in Malta
than in a country like Spain where most respondents were somewhat worried
or very worried about how things will be for the future of their family.
Only ten percent in Spain in contrast to thirty-five percent in Malta were
indifferent or never used to think about the matter, suggesting that the
apprehension about the future was more widespread in Spain.
The relative high incidence of fatigue for having to take care of oneself corresponds to the feeling of stress, nervousness and uneasiness which was reported by Maltese respondents at the time of the survey. This is also accompanied by an over-preoccupation with the financial situation and to a lesser extent with health but not so much with family relationships. In Malta, poverty in the modality of economic insecurity, is not unrelated to psychological stress and strain. At the same time, most people in Malta find support in their family.
Families in situations of poverty often experience multiple and inter-related problems. Conventional poverty or economic deprivation in the family is accompanied by physical and mental health problems, disability and stress. New forms of poverty in the family are manifest in the incidence of drug addiction, substance abuse, AIDS, physical abuse, domestic violence and economic difficulties.
When in need of a special
type of help, clients were in the main sent to a special centre for care,
in some cases they were given financial aid, received a home visit by a
professional or a voluntary worker. Six in ten were pleased with the help
offered, some others were quite happy and only the very few were totally
unsatisfied with the service. More concretely, the greatest assistance
primarily came from Health Centres and to a lesser extent from Social Security,
followed by the Centre for Social Work, Church parishes, organisations
or movements, and other private centres or associations. Additional assistance
should preferably be of a financial nature, though a few others request
to receive help from professionals or voluntary workers.
Most respondents in Malta think that the education and health services of the state compare well with similar services in other European countries. In fact, twenty-six percent find state education and thirteen percent health services and social security better in Malta than generally in Europe. Although less than three in ten think that social security and social services are inferior, similar proportions are not so sure, suggesting a measure of uncertainty about the quality of these services. There is no doubt, however, that in the opinion of most Maltese respondents, relative to other European countries, public transport and the public service leave much to be desired.
In the current situation,
the majority think that the government is addressing sufficient funds for
health services, the elderly, education, and retirement pensions. It is
not spending enough, however, to protect the environment, in the struggle
against delinquency, in social housing and in benefits for the low income
families. [Table 2]
satisfactory:
|
35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Source: Social Welfare Survey, Malta
(Abela 1996).
Joint responsibilities
Respondents were asked to identify the agents they deem to be responsible for the protection of a series of citizens’ rights and the protection of vulnerable groups in society. The majority think that the state has the greatest responsibility for the provision of health services, education and work and to a lesser extent for housing and social assistance. The family has the greatest responsibility for nutrition. The individual is held responsible mainly for friendship and free-time and to a lesser extent for adequate accommodation, work and food. The onus for housing is equally assigned to the individual and the state but less to the family, social institutions or private agencies. A measure of responsibility, however much limited, is given to civil society for the protection of those in need, health services, work, food, education, social life and leisure. Overall, major areas of welfare are still attributed to the state, whereas personal social services are the joint responsibility of individuals, families, self-help groups and the state in civil society.
The state in held responsible to protect, in descending order of importance, vulnerable social groups of homeless people, the unemployed, the economically deprived, refugees, immigrants, mentally and physically disabled, ex-convicts, the elderly, abused children and women, and to a lesser extent drug addicts and alcoholics, unmarried mothers and AIDS patients. Joint responsibility is given to the state, non-government organisations and the family for the protection of the elderly, abused children and women, substance abusers, unmarried mothers and AIDS patients. The family has greatest responsibility for the elderly, unmarried mothers, drug addicts and alcoholics. Non-government organisations are mostly responsible for battered wives, abused and neglected children, drug addicts and alcoholics, unmarried mothers, the disabled, AIDS patients, prison fellowship and refugees. [Table 3]
|
|
% |
% |
% |
%
|
|
unmarried mothers
|
45
|
22
|
26
|
7
|
|
homeless
|
87
|
4
|
3
|
6
|
|
unemployed
|
86
|
3
|
6
|
4
|
|
financially poor
|
81
|
4
|
8
|
7
|
|
refugees
|
79
|
12
|
2
|
7
|
|
immigrants
|
64
|
8
|
16
|
11
|
|
physically & mentally
disabled
|
61
|
15
|
19
|
5
|
|
ex-convicts
|
57
|
14
|
18
|
11
|
|
elderly
|
55
|
4
|
38
|
3
|
|
abused & neglected children
|
53
|
31
|
13
|
3
|
|
battered women
|
50
|
35
|
11
|
4
|
|
drug addicts, alcoholics
|
47
|
23
|
24
|
6
|
|
AIDS patients
|
42
|
14
|
17
|
7
|