Managing moral distress: social policy cuts and the suppression of employee conscience

Abstract Previous research shows that welfare cuts often cause distress amongst frontline workers. From the perspective of organisations implementing cuts, distressed caseworkers may hinder cost reductions and delay implementation. However, previous research has not analysed whether public agencies seek to reduce the moral distress experienced by their employees. This article examines the reorganisation of casework at the Swedish Social Insurance Agency (SSIA) between 2015 and 2020, after the introduction of a government target to reduce costs. The overarching argument is that the logic behind many organisational changes during this period was to relieve staff of any remorse for those who lost financial support. This was achieved by distancing SSIA staff from claimants, blurring caseworkers’ responsibilities and promoting an internal culture that presented stricter assessments as a democratic duty. This analysis suggests that research on social policy cuts should pay more attention to how public agencies manage the emotional lives of their employees.

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Publication Details

Journal
Journal of Social Policy
Published
2025-11-04
DOI
https://doi.org/10.1017/s0047279425101232
Primary Topic
Social Policy and Reform Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Managing moral distress: social policy cuts and the suppression of employee conscience

Niklas Altermark
Journal of Social Policy
Social Policy and Reform Studies
article

Managing moral distress: social policy cuts and the suppression of employee conscience

Niklas Altermark
article en

Abstract

Abstract Previous research shows that welfare cuts often cause distress amongst frontline workers. From the perspective of organisations implementing cuts, distressed caseworkers may hinder cost reductions and delay implementation. However, previous research has not analysed whether public agencies seek to reduce the moral distress experienced by their employees. This article examines the reorganisation of casework at the Swedish Social Insurance Agency (SSIA) between 2015 and 2020, after the introduction of a government target to reduce costs. The overarching argument is that the logic behind many organisational changes during this period was to relieve staff of any remorse for those who lost financial support. This was achieved by distancing SSIA staff from claimants, blurring caseworkers’ responsibilities and promoting an internal culture that presented stricter assessments as a democratic duty. This analysis suggests that research on social policy cuts should pay more attention to how public agencies manage the emotional lives of their employees.

Journal of Social Policy
Lund University (SE)
Openalex Percentile: Top 63%
Social Policy and Reform Studies
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Managing moral distress: social policy cuts and the suppression of employee conscience — Niklas Altermark · Journal of Social Policy (2025) | TGRS Research Map | TGRS