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The twelve papers in this third volume of the research program for the Romanow Commission offer a detailed analysis of the governance of health care in Canada from the perspective of constitutionalism, intergovernmental relations, and societal context. In the first section, the authors deal with the formal division of powers regarding health care as outlined in the Canadian constitution and the Charter of Rights and Freedoms. The second section outlines the strengths and weaknesses of the intergovernmental governance of health care. Finally, the third section focuses on governance of health care outside of the governmental sphere. The theme that resonates throughout the contributions - and which is in itself a call for deeper analysis - is that health care governance has become locked in a cycle of mutual recrimination, blame assigning, and blame avoidance from the federal and provincial levels right down to the level of the individual citizen.
Canadians view their healthcare – recognized throughout the world as an exemplary system – as iconic and integral to their identity. In Toward the Health of a Nation Leslie Boehm recounts the first seventy years in the life of one of the foundations of Canada's healthcare system, the Institute of Health Policy, Management and Evaluation at the University of Toronto. Boehm – a graduate of IHPME, and an instructor there throughout his career – charts the institute's history from its inception in 1947 as the Department of Hospital Administration to the present day. The first program of its kind in Canada, and one of the few in the world, the school was founded at a time when the issue of healthcare was becoming a significant part of national and provincial discussions and policies. Initially concentrating on hospital management and professional degrees, it has expanded to offer academic degrees and facilitate important research into health systems, policies, and outcomes. In Toward the Health of a Nation Boehm demonstrates the excellence of the program, its faculty, and its graduates, as well as their accomplishments in major government initiatives and royal commissions. In the seventy years since IHPME's inception healthcare has grown to become a major part of government and business activity, and it will only increase in coming years. An in-depth history of a major program in graduate health education, Toward the Health of a Nation highlights how important healthcare is to a modern, functional society.
Canadian Newspaper Ownership in the Era of Convergence investigates the current state of Canada's newspaper industry in light of recent developments-increasing concentration of ownership, multi-media convergence, and controversy over the actions of proprietors. Case studies examine how Conrad Black's acquisition of newspapers in the mid-1990s, bringing his total ownership to over half of the country's dailies, followed by the subsequent purchase of the most important of these by CanWest Global, has actually influenced the content of newspapers. Canadian Newspaper Ownership revisits "social responsibility" in the context of the changed media landscape as a means of prescribing how newspaper owners and employees might conduct themselves in the public interest.
Memory and Control of Action
Universal healthcare, perhaps the most distinguishing feature of Canada's public policy, is under fire, criticized for its heavy expense and questionable sustainability. In Where to From Here?: Keeping Medicare Sustainable, Stephen Duckett defends Canadian Medicare, addressing key concerns and refuting criticism, while also acknowledging flaws in the system and room for improvement. Duckett argues that while the fundamentals of Medicare are sound, a great deal of change is necessary to keep it sustainable. This book envisions a Medicare that is not static and simply responsive to problems, but an active, shifting system that keeps up with the evolving needs of a rapidly changing time. Duckett systematically lays out proposals for incremental change across a range of areas including primary care, hospitals, and the health workforce. Where to From Here? Presents an unflinching defense of one of Canada's iconic policies, while keeping a clear eye on the future of the nation's health.
My name is Anastasia. The history books say I died. They don’t know the half of it. Anastasia “Nastya” Romanov was given a single mission: to smuggle an ancient spell into her suitcase on her way to exile in Siberia. It might be her family’s only salvation. But the leader of the Bolshevik army is after them, and he’s hunted Romanov before. Nastya’s only chances of saving herself and her family are either to release the spell and deal with the consequences, or to enlist help from Zash, the handsome soldier who doesn’t act like the average Bolshevik. Nastya has only dabbled in magic, but it doesn’t frighten her half as much as her growing attraction to Zash. She likes him. She thinks he might even like her. That is, until she’s on one side of a firing squad . . . and he’s on the other. Praise for Romanov: "I am obsessed with this book! A magical twist on history that will have Anastasia fans wishing for more. I loved every detail Brandes wrote. If you love magic and Imperial Russia, you want Romanov on your shelf!" —Evelyn Skye "Romanov will cast a spell on readers and immerse them in a history anyone would long to be a part of." —Sasha Alsberg "If you think you know the story behind Anastasia Romanov, think again! The perfect blend of history and fantasy, Romanov takes a deeper look at the days leading up to the family’s tragedy, while also exploring the possibilities behind the mysteries that have long intrigued history buffs everywhere. Brandes weaves a brilliant and intricate saga of love, loss, and the power of forgiveness. Prepare to have your breath stolen by this gorgeous novel of brilliant prose and epic enchantment." —Sara Ella Full-length historical fantasy Includes discussion questions for book clubs Paperback contains special bonus chapter
Social Policy and Practice in Canada: A History traces the history of social policy in Canada from the period of First Nations’ control to the present day, exploring the various ways in which residents of the area known today as Canada have organized themselves to deal with (or to ignore) the needs of the ill, the poor, the elderly, and the young. This book is the first synthesis on social policy in Canada to provide a critical perspective on the evolution of social policy in the country. While earlier work has treated each new social program as a major advance, and reacted with shock to neoliberalism’s attack on social programs, Alvin Finkel demonstrates that right-wing and left-wing forces have always battled to shape social policy in Canada. He argues that the notion of a welfare state consensus in the period after 1945 is misleading, and that the social programs developed before the neoliberal counteroffensive were far less radical than they are sometimes depicted. Social Policy and Practice in Canada: A History begins by exploring the non-state mechanisms employed by First Nations to insure the well-being of their members. It then deals with the role of the Church in New France and of voluntary organizations in British North America in helping the unfortunate. After examining why voluntary organizations gradually gave way to state-controlled programs, the book assesses the evolution of social policy in Canada in a variety of areas, including health care, treatment of the elderly, child care, housing, and poverty.
As a result of the Allied bombing campaign against Nazi submarine bases during the Second World War, the cities of Brest, Lorient, and Saint Nazaire were nearly completely destroyed. Despite thousands of bombing missions, all three submarine bunkers still stand today. This monograph examines the effectiveness of the Allied bombing campaign against German submarine bases in Brittany by analyzing the campaign through the use of a design methodology. Research is broken down into three frames: the operational approach, the operational environment and the problem frame. The first frame provides an account of the bombing missions and effects. Next, an overview of the operational environment is conducted by exploring the historical context of Brittany, German construction efforts and Allied institutional barriers. The study concludes by examining the problem frame, which entails how the Allies perceived their operational problem and developed an approach based on their understanding. Ultimately, the Allies failed to accurately identify their problem and developed an ineffective approach towards defeating the threat. Had the Allies incorporated design thinking into their planning and execution, they may have developed an effective campaign towards defeating the Nazi U-boat threat rather than solving the wrong problem.
Program Evaluation and Performance Measurement offers a conceptual and practical introduction to program evaluation and performance measurement for public and non-profit organizations. James C. McDavid, Irene Huse, and Laura R.L. Hawthorn discuss topics in a detailed fashion, making it a useful guide for practitioners who are constructing and implementing performance measurement systems, as well as for students. Woven into the chapters is the performance management cycle in organizations, which includes: strategic planning and resource allocation; program and policy design; implementation and management; and the assessment and reporting of results. The Third Edition has been revised to highlight and integrate the current economic, political, and socio-demographic context within which evaluators are expected to work, and includes new exemplars including the evaluation of body-worn police cameras.
This is the first book entirely dedicated to exploring issues associated with the nature of neuroethics. It reflects on some of the underlying assumptions in neuroethics, and the implications of those assumptions with respect to training and education programs, research activities, policy engagement, public discourse, teaching, ethics consultation and mentoring, to name but a few areas of interest. Internationally respected and emerging leaders in the area have taken up the pen to express and debate their views about the development, focus and future of neuroethics. They share their analyses and make recommendations regarding how neuroscience could more effectively explore and tackle its philosophical, ethical, and societal implications.