Social security has an important influence on illness behaviour. This is due to the fact that those who are somatically ill, psychosomatically disturbed or psychosocially deficient are expelled from the labour market through the ‘channel’ of the social security system and so cushioned against impoverishment This can be proved by comparing the USA and Canada with the European countries. It is not wealth which decides illness behaviour and certainly not affluence, but the social security system which makes health care available for a whole population and prevents the pauperization of the lower classes.

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