Final answer:
The statement that Western states have become the primary institution in guaranteeing a minimum level of welfare is true. States in the U.S. have discretion over welfare after the 1996 reform, and welfare provision varies among Western countries.
Step-by-step explanation:
The question pertains to the role of western states in guaranteeing a minimum level of welfare. Historically and in the context of the United States, after welfare reform in 1996, states have been given more discretion over welfare provisions with less federal monetary support. This allowed states to set stricter requirements and limits for welfare assistance. Moreover, many European countries provide extensive welfare benefits and national medical insurance, while the debate over the role of government in welfare continues in the U.S.
In response to your question, the statement that Western states have become the primary institution in guaranteeing a minimum level of welfare is True, as it is generally the responsibility of national governments in Western states to ensure the welfare of their citizens through various programs, albeit the actual mechanisms and extent of this welfare provision can vary greatly between countries.