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Recent developments in the environment surrounding the nonprofit human services sector in Australia have been viewed with some concern, especially given the role of the sector within the Australian welfare state. This paper reviews these developments, noting that some are less visible than others, and that the process of change is more widespread than often perceived. By explicitly employing a theoretical framework derived from organisational theory the paper argues that the contemporary experience of the sector, characterised as the existing institutional order of the field, is set to undergo substantial revision as it is incorporated within an emerging new institutional order of the market and the state as market. [ABSTRACT FROM AUTHOR]

Health policy was an integral component of the post-war welfare state, which represented a nationally based class compromise providing concessions in the form of income support and service provision outside the ambit of the market. In Australia, development of a universal health system was delayed until the introduction of Medibank, and subsequently Medicare. Since its inception, Medicare has been subjected to retrenchment pressures that have dominated welfare state developments since the mid 1970s. This paper traces developments in the Australian health system, revealing that the major trends, privatisation and the transfer of responsibility from the collective to the private sphere, represent a movement towards a more residual system that threatens the Medicare goal of equitable access to quality medical treatment. [ABSTRACT FROM AUTHOR]