Health Care Federalism in Canada: Critical Junctures and Critical Perspectives
Now that Ottawa has left health care to the provinces, what is the future for Canadian health care in a decentralized federal context? Is the Canada Health Act dead? Health Care Federalism in Canada provides a multi-perspective, interdisciplinary analysis of a critical juncture in Canadian public policy and the contributing factors which have led to this point. Social scientists, legal scholars, health services researchers, and decision-makers examine the shift from a system where Ottawa has played a significant, sometimes controversial role, to one where provinces have more ability to push health care design in new directions. Will this change inspire innovation and collaboration, or inequality and confusion? Providing an up-to-date analysis of health care policy and intergovernmental relations at a crucial time, Health Care Federalism in Canada will be of interest to anyone concerned with the current dynamics and future potential of Canadian health care. Contributors include Greg Marchildon (Canada Research Chair at the Johnson-Shoyama Graduate School of Public Policy in Saskatchewan), Ken Boessenkool (public affairs strategist and former political advisor to Stephen Harper), Adrian Levy (Professor and Head, Department of Community Health and Epidemiology at Dalhousie University), Boris Sobolev (Canada Research Chair at the School of Public and Population Health, University of British Columbia), Gail Tomblin Murphy (Director, WHO Collaborating Centre for Health Workforce Planning and Research), and David Haardt (Department of Economics, Dalhousie University).
1115249724
Health Care Federalism in Canada: Critical Junctures and Critical Perspectives
Now that Ottawa has left health care to the provinces, what is the future for Canadian health care in a decentralized federal context? Is the Canada Health Act dead? Health Care Federalism in Canada provides a multi-perspective, interdisciplinary analysis of a critical juncture in Canadian public policy and the contributing factors which have led to this point. Social scientists, legal scholars, health services researchers, and decision-makers examine the shift from a system where Ottawa has played a significant, sometimes controversial role, to one where provinces have more ability to push health care design in new directions. Will this change inspire innovation and collaboration, or inequality and confusion? Providing an up-to-date analysis of health care policy and intergovernmental relations at a crucial time, Health Care Federalism in Canada will be of interest to anyone concerned with the current dynamics and future potential of Canadian health care. Contributors include Greg Marchildon (Canada Research Chair at the Johnson-Shoyama Graduate School of Public Policy in Saskatchewan), Ken Boessenkool (public affairs strategist and former political advisor to Stephen Harper), Adrian Levy (Professor and Head, Department of Community Health and Epidemiology at Dalhousie University), Boris Sobolev (Canada Research Chair at the School of Public and Population Health, University of British Columbia), Gail Tomblin Murphy (Director, WHO Collaborating Centre for Health Workforce Planning and Research), and David Haardt (Department of Economics, Dalhousie University).
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Health Care Federalism in Canada: Critical Junctures and Critical Perspectives

Health Care Federalism in Canada: Critical Junctures and Critical Perspectives

by Katherine Fierlbeck, William Lahey
Health Care Federalism in Canada: Critical Junctures and Critical Perspectives

Health Care Federalism in Canada: Critical Junctures and Critical Perspectives

by Katherine Fierlbeck, William Lahey

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Overview

Now that Ottawa has left health care to the provinces, what is the future for Canadian health care in a decentralized federal context? Is the Canada Health Act dead? Health Care Federalism in Canada provides a multi-perspective, interdisciplinary analysis of a critical juncture in Canadian public policy and the contributing factors which have led to this point. Social scientists, legal scholars, health services researchers, and decision-makers examine the shift from a system where Ottawa has played a significant, sometimes controversial role, to one where provinces have more ability to push health care design in new directions. Will this change inspire innovation and collaboration, or inequality and confusion? Providing an up-to-date analysis of health care policy and intergovernmental relations at a crucial time, Health Care Federalism in Canada will be of interest to anyone concerned with the current dynamics and future potential of Canadian health care. Contributors include Greg Marchildon (Canada Research Chair at the Johnson-Shoyama Graduate School of Public Policy in Saskatchewan), Ken Boessenkool (public affairs strategist and former political advisor to Stephen Harper), Adrian Levy (Professor and Head, Department of Community Health and Epidemiology at Dalhousie University), Boris Sobolev (Canada Research Chair at the School of Public and Population Health, University of British Columbia), Gail Tomblin Murphy (Director, WHO Collaborating Centre for Health Workforce Planning and Research), and David Haardt (Department of Economics, Dalhousie University).

Product Details

ISBN-13: 9780773589421
Publisher: McGill-Queens University Press
Publication date: 12/01/2013
Sold by: Barnes & Noble
Format: eBook
Pages: 280
File size: 1 MB

About the Author

Katherine Fierlbeck is McCulloch Professor of Political Science at Dalhousie University.

William Lahey is associate professor of law at Dalhousie University and a former assistant deputy minister of health in Nova Scotia.


Katherine Fierlbeck is professor and chair of the Department of Political Science at Dalhousie University.

Table of Contents

Tables and Figures vii

Acronyms ix

Preface Steven Lewis xi

1 Introduction: Renewing Federalism, Improving Health Care: Can This Marriage Be Saved? Katherine Fierlbeck 3

A Multidisciplinary Overview of Health Care Federalism

2 The Economics of Health Care Federalism: What Do We Know? David Haardt 27

3 The Political Dynamics of Health Care Federalism Katherine Fierlbeck 45

4 The Legal Framework for Intergovernmental Health Care Governance: Making the Most of Limited Options William Lahey 71

Challenges and Opportunities in Health Care Federalism

5 Economic Trends and Challenges David Haardt 101

6 Governance Challenges in Implementing Needs-Based Health Human Resources Planning Gail Tomblin Murphy 118

7 The Challenges of Measuring the Performance of Health Systems in Canada Adrian R. Levy Boris G. Sobolev 139

Health Care Federalism and the Debate Over Decentralization

8 The Future of the Provincial Role in Canadian Health Care Federalism Ken Boessenkool 159

9 The Future of the Federal Role in Canadian Health Care Greg Marchildon 177

10 Conclusion: Combining the Knowledge of Federalism Researchers, Health Care Researchers, and Policy Practitioners to Understand and Improve Canadian Health Care Federalism William Lahey 192

Appendices

1 Text of the First Ministers' Accord on Health Care Renewal, 2003 207

2 Text of the 10-Year Plan to Strengthen Health Care, 2004 219

Bibliography 229

Contributors 251

Index 255

What People are Saying About This

From the Publisher


“Health Care Federalism in Canada is an essential addition to the existing literature and features scholarship of the highest calibre. Fierlbeck’s introductory chapter is excellent and succeeding chapters bring together perspectives from a number of different disciplines – necessary for a topic as complex as the challenges of health care system reform.” Stephen Brooks, Department of Political Science, University of Windsor

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