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An exploration of the ways in which federal and provincial governments relate to one another, and to the citizenry, in the making of health policy.
American Federal Systems and COVID-19 analyzes five American federations – Argentina, Brazil, Canada, Mexico, and United States – and how they have responded to a complex intergovernmental problem (CIP) such as the COVID-19 pandemic.
The 1999 signing of the Social Union Framework Agreement, the elimination of government deficits, and an apparent trend to decentralisation have increased the focus on Canada's social policy and the manner of its formulation. While disability policy, a key element of social policy that is seldom high on the country's policy agenda, is sharing in the renewed interest, no significant disability policy changes have yet emerged.The Social Union and Disability Policy examines the development of Canadian disability policy and the current political landscape that will influence new policy. It offers an agenda for reform of the disability insurance system and for the provision of supports and services for people with disabilities. The focus is on the impact of governance structures, those now in place and those that might be expected to yield improved policy outcomes while promoting the principles of federalism and democratic oversight.Contributors to the volume are academics Michael Prince (University of Victoria), Roy Hanes (Carleton University) and Allan Moscovitch (Carleton University), NGO representative Michael Bach (Roeher Institute) and social policy analysts Marcia Rioux (York University) and Alan Puttee.
This book provides insight into how the Canadian health care system is financed and organized, how it has evolved over time, and how well it performs relative to peer countries.
The Oxford Handbook of Canadian Politics provides a comprehensive overview of the transformation that has occurred in Canadian politics since it acheived autonomy nearly a century ago, examining the institutions and processes of Canadian government and politics at the local, provincial and federal levels. It analyzes all aspects of the Canadian political system: the courts, elections, political parties, Parliament, the constitution, fiscal and political federalism, the diffusion of policies between regions, and various aspects of public policy.
"Federalism, defined generally as a collection of self-governing regions under a central government, is widely viewed as a sensible choice of polity both for emerging democracies and for established states. But while federal institutions are positively correlated with valued economic, democratic, and justice outcomes, ultimately it is unclear how they are connected and which cause which. In Democratic Federalism, Robert Inman and Daniel Rubinfeld explore how federalism works and propose concrete and proven policy guidance on how federalist policies can be designed and implemented successfully. The authors define federalism according to three parameters: how much federal revenue comes through local governmental bodies, the number of local governmental bodies, and the extent to which these local bodies are represented federally. In applying these parameters to economic concepts and theory, Inman and Rubinfeld explain how federalism works in a way meant to engage scholars in political science and sociology and policymakers drafting regulation in federalist governments. The book offers applicable ideas and comparative case studies on how to assess potential policies and how to actually design federalist institutions from scratch. Both authors have real experience with both, most notably in their work advising the South African government on how to build a federalist democracy. This book will be an essential guide to understanding and applying federalist concepts and principles"--
In Federalism, Democracy and Labour Market Policy in Canada the authors provide comprehensive assessments of the current state of governance within the areas of income support for the unemployed, active labour market measures, and youth policy. The analysis focuses on how the current state of governance reflects a combined commitment to specific social policy goals, principles of federalism, and democratic oversight of the policy making process.;This volume sheds new light on the complex nature of the intergovernmental regimes governing labour market policy. It makes recommendations concerning how different governance structures might better serve both Canadians and the federation.
Governance and Public Policy in Canada lays the foundation for a systematic analysis of policy developments, shaped as they are by multiple players, institutional tensions, and governance legacies. Arguing that provinces are now the most central site of governance and policy innovation, the book assesses the role of the provinces and places the provincial state in its broader economic, institutional, social, and territorial context. The aim throughout is to highlight the crucial role of provinces in policy changes that directly affect the lives of citizens. Three key themes unify this book. First, it addresses the role of policy convergence and divergence among provinces. Although the analysis acknowledges enduring differences in political culture and institutions, it also points to patterns of policy diffusion and convergence in specific areas in a number of provinces. Second, the book explores the push and pull between centralization and decentralization in Canada as it affects intergovernmental relations. Third, it underscores that although the provinces play a greater role in policy development than ever before, they now face a growing tension between their expanding policy ambitions and their capacity to develop, fund, implement, manage, and evaluate policy programs. Governance and Public Policy in Canada describes how the provincial state has adapted in the context of these changing circumstances to transcend its limited capacity while engaging with a growing number of civil society actors, policy networks, and intergovernmental bodies.
As almost all newspaper or magazine readers know, Canada figured prominently in the turbulent U.S. debates over health care reform in the early Clinton presidency. Furthermore, future news analysts and policymakers will undoubtedly again use Canada to cite the "good" and the "bad" aspects of single-payer national health insurance. Beyond the debate about the desirability of Canadian-style health care reforms, Antonia Maioni sees another question: Why did the United States and Canada, alike in so many ways, part "at the crossroads" to produce such different systems of health insurance? She answers this previously neglected query so interestingly that her book will hold the attention of anyone concerned with health care in either country or both. The author explores the development of health insurance in the United States and Canada, from the emergence of health care as a political issue in the 1930s to the passage of federal health insurance legislation in the 1960s. Focusing on how political institutions influence policy development, she shows that Canada's federal structure and its parliamentary institutions encouraged a social-democratic third party that became pivotal in demonstrating the feasibility of universal, public health insurance. Meanwhile, the constraints of the U.S. political system forced health care reformers to temper their own ideas to appeal to a wide coalition within the Democratic party. Even readers previously unfamiliar with Canadian politics will find in this book important clues about the "realm of the possible" in the uncertain future of U.S. health care.
Canada's representative democracy is confronting important challenges. At the top of the list is the growing inability of the national government to perform its most important roles: namely mapping out collective actions that resonate in all regions as well as enforcing these measures. Others include Parliament's failure to carry out important responsibilities, an activist judiciary, incessant calls for greater transparency, the media's rapidly changing role, and a federal government bureaucracy that has lost both its way and its standing. Arguing that Canadians must reconsider the origins of their country in order to understand why change is difficult and why they continue to embrace regional identities, Democracy in Canada explains how Canada's national institutions were shaped by British historical experiences, and why there was little effort to bring Canadian realities into the mix. As a result, the scope and size of government and Canadian federalism have taken on new forms largely outside the Constitution. Parliament and now even Cabinet have been pushed aside so that policy makers can design and manage the modern state. This also accounts for the average citizen's belief that national institutions cater to economic elites, to these institutions' own members, and to interest groups at citizens' own expense. A masterwork analysis, Democracy in Canada investigates the forces shaping the workings of Canadian federalism and the country's national political and bureaucratic institutions.