Demands for Welfare:
The State and Civil Society in Malta

ANTHONY M. ABELA


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]
 
 

Table 1. Social Security payments, contributions and ‘welfare gap’

year
 payments 
Lm million
contributions 
Lm million
‘welfare gap’
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.
 

Methods

    An evaluation of people’s demands for social welfare is best achieved through an analysis of independent research surveys. This is because national statistics on social welfare are not readily available and official publications supporting government interests are generally not very reliable. The final report from the population and housing census (1997), for example, provides useful information on the geographical distribution by age, gender and citizenship, but does not give any figures on the socio-economic conditions of people in need.

    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).
 

Household composition

    The average Maltese household consists of a breadwinner, his or her spouse and their children. Quite a few have grandparents or other members of the extended family living with them. Most live in small families of two, three or more persons. Very few live on their own. Most people are married, a few are single or widows but extremely few are separated, divorced or cohabiting with a partner of the opposite sex. The most common is the nuclear family, consisting of four or less persons living in the same household. Young single adults keep on living with their parents because they find it more comfortable, are afraid to take responsibility or because of strong family ties, in conformity to culture and tradition.

    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.
 

Housing and amenities

    More than half of respondents are home owners and a few others are paying loans on their property. Two in ten rent a house from private owners, and one in ten live in social housing. The rest live in other types of dwellings, such as private or state homes for the elderly. Apart from spouses who share the same bedroom, many respondents enjoy the privacy of a single bedroom. Quite a few others, however, share a room with one or two other members of the family. But very few share a bedroom with four or more persons. Certain respondents, however, feel uneasy to talk openly about their actual housing conditions.

    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.
 
 

Financial situation

    Taking into consideration the total family income very few reach the end of the month with great ease. Most families are not comfortable with their financial resources and not a few face financial problems. Quite a few have great difficulties to make ends meet. In fact, almost half of the respondents spend all they earn. The rest save a little and only the very few save enough. Some have to live on their previous savings and a few others need to borrow money for their living.

    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.
 

State benefits

    Sixty-one percent in Malta, ten percent higher than in Spain, have a member of their family who receives some form of social benefit from the State. At the time of the survey, most benefits were in the form of children's allowance, old people's pensions, family allowance, widow's pensions, benefits for disability, unemployment, home help and university stipends. Very few receive additional help from public or private organisations which do not form part of social security or social assistance from voluntary workers.  Not a few Maltese, however, are making use of previous savings or spend from their patrimony.
 

Cuts in spending

    In the span of a year not a few families had to take some economic measures to keep on going. These ranged from cuts on pocket expenses, not buying something really needed, doing without something really necessary, reduced spending on food, borrowed money, sent a member of the family out to work, did not pay a bill or instalment, a member of family had to leave studies, changed their residence because it became too expensive to maintain or some other measure. Economic measures were not so much pronounced in Malta as in southern Europe.
 

Relative poverty

    The social welfare survey asked respondents to compare the material well-being of their family relative to that of other families. Respondents were asked to indicate where they stand on a ten-point poverty and wealth scale. Taking into consideration all the resources of their family, relative to other families, very few respondents think of themselves as very poor. Most respondents stand on middle ground, though quite a few think of themselves as rich or very rich. Although most people think that they are doing well (a mean of 5.41 on a ten point scale), fifteen percent in Malta, in comparison to thirty-one percent in Spain, stand on the poverty side of the scale.

    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.
 

Social affliction

    Respondents were asked if they or a member of their family was ever in need of a special kind of help. They were to indicate if they ever experienced problems of a financial nature, physical or mental health problems, disability, substance abuse, AIDS, physical abuse, domestic violence or stress for having to take care of themselves. The most frequent afflictions in descending order of occurrence was reported for mild illness, fatigue for having to take care of oneself, serious and long sickness, financial problems, problems of mental health and physical disability. Apparently, less frequent are problems of alcohol abuse, domestic violence, physical abuse or drug addiction. A considerable number of respondents, however, prefer to keep silent about the incidence of certain afflictions, domestic violence in particular. This suggests that people are afraid to reveal what takes place in the privacy of their homes, possibly because open communication about problems of economic indigence, disability, mental health, substance abuse or violence in the family can easily be an object of dishonour and shame thereby incurring a stigma on the family.

    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.

Welfare mix

    The welfare survey enquired how needs are being met. Respondents were asked whether the greatest support comes from their family, an institution working with people facing these difficulties, friends and neighbours or whether they have to take care of themselves. The family of origin is the main source of help for those who were sick or under stress, and to a lesser extent for those with mental health problems, financial difficulties, long term illness, physical disabilities or problems of alcohol. Specialised institutions and the joint assistance of  the family, are of greatest help in cases of physical disability, mental health, long-term sickness, domestic violence, alcohol and drug abuse. It seems that many people do not seek help and rely exclusively on their own resources when they are afflicted with AIDS, drugs or alcohol abuse, physical abuse, domestic violence or financial difficulties. Possibly, afflicted families do not reach out for help either because in these circumstances they are at a loss and do not know where to go, find inadequate the available services, or more plausibly because they are unwilling to reveal their condition. In this way people in need stand the risk of social exclusion.
 

Evaluation of social services

    Less than four out of every ten respondents in Malta are familiar with social work and counselling services that are available for people in  need. Most accessible is found to be statutory social work closely followed by counselling and social work services of the Church. Least accessible are private services.

    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.
 

Evaluation of state welfare

    Taking into consideration all state welfare provided to the family, including social security, education, health and other services, more than half of respondents in Malta think that they receive less than they actually pay in taxes. Only two in ten are better off through welfare receipts. Similar proportions balance their returns with their contributions though a few others are not so sure about the outcome.

    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]
 
 

Table 2 Citizens’ assessment of state social spending

 
 satisfactory:
      environment 

      35

      health
      59
      elderly 
      60
      delinquency, fight against 
      24
      education
      59
      benefits to low income families 
      27
      retiring pensions
      51
      culture 
      44
      unemployment benefits 
      45
      social housing 
      32

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]

Table 3. Responsibility for the protection of social rights

 
State
%
NGOs
%
family 
%
DK
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
Source:  Social Welfare Survey, Malta (Abela 1996).
 

Welfare reform

    To meet the challenging new social problems, greater demands for welfare and the resultant burden on the taxpayer, the Maltese government just as in other European welfare states, is adopting new strategies for reforms in welfare. In the process, legislators and administrators have a greater chance of success if they take into consideration the opinion of their publics. In this respect, when respondents were asked to identify a solution for the welfare crisis, fewer than one in ten showed approval for cuts in state expenditure on education, health or other public services. Similar proportions agree that the state should raise more revenue through higher taxes. The greatest proportion take a middle of the road position and would prefer minor cuts in welfare and a small increase in taxes. At the same time, however, almost six in ten do not know what to think about the matter, possibly because there are no simple solutions to the welfare crisis. Thus, reform in the welfare system should not be an exclusive exercise in economics, but should take into consideration social, political and administrative dimensions.
 

Conclusion

    In late modernity, the survival of the welfare state in Malta, as in other European countries, depends on its ability to shift its concern from the re-distribution of economic resources towards the development of preventive measures and participative social projects between agencies of the state, families, self-help groups, communities and other non-government organisations. Given the still considerable demands for state welfare, administrators have much work ahead to develop joint welfare services under the regulation or protection of the state, and  to persuade their publics that preventive and  participative enterprises are more efficient and user friendly. The task ahead is to achieve greater quality through a better use of human and social resources and at no additional costs to the taxpayer. In the emerging civil society responsibilities are to be shared between the various agencies of  society. Such an enterprise in social policy entails a ‘civilising’ process of welfare.
 

References

Abela Anthony M. (1996), Il-Harsien Socjali fis-Snin Disghin, L-Ewwel Rapport (Social Welfare in the Nineties, First Report), Institute of Social Welfare, University of Malta.
Economic Survey January - September (1997) Economic Planning Division, Ministry of Finance and Commerce, Malta.
George Vic and Peter Taylor-Gooby (eds.), (1996) European Welfare Policy, Squaring the Welfare Circle, Macmillan.
Giner Salvador and Sebastian Sarasa (1996), "Civil Altruism and Social Policy", International Sociology, June 1996, Vol. 11 (2) 139 - 159.
Hantrais Linda (1996), "France: Squaring the welfare triangle" in Vic George and Peter Taylor-Gooby (eds.).
Hunn Chris and Elizabeth Dunn (1996), Civil society, Challenging Western Models, European Association of Social Anthropologists, Routledge.
Munday Brian & Peter Ely (eds.), (1996), Social Care in Europe, Prentice Hall Harvester Wheatsheaf.
Pace Charles (1997), "Social work asks for more: House of Representatives Committee on Social Affairs", The Sunday Times, November 16, 1997.