First we set the context of the discussion by providing a brief overview of the setting for the debate, focusing on the constitutional framework and the current federal-provincial bal- ance in health care. [...] After discussing the choice of instruments through which the federal government conducts its role, we pull the threads of the discussion together by examining the ways in which judgments on each of the three dimensions of choice may be combined in the debate over the fed- eral role in health care in Canada. [...] F E D E R A L I S M A N D H E A L T H C A R E : T H E C O N T E X T I n this section we present a brief survey of the context of federalism and health care in Canada, examining the constitutional division of powers in the field, the evolution of the role of the federal government in health care, the structure of financial transfers to the provinces which have underpinned that role, and the growing [...] In addition, the federal government is responsible for the direct delivery of the full range of health services to First Nations and the Inuit communities, and for some health services to the RCMP, Correctional Services, the Armed Forces, and veterans. [...] However, conservative governments in Alberta, British Columbia, and Ontario were committed to the principle of private health insurance for the majority of the population, and they implemented programs that limited the pub- lic role to hard-to-insure groups such as the elderly and the poor.3 In 1965 the fed- eral government chose to act and, prompted in part by the report of the Royal Commission o
Authors
- Bibliography, etc. Note
- Includes bibliographical references (p. 289-309)
- Control Number Identifier
- CaOOCEL
- Dewey Decimal Classification Number
- 362.10971
- Dewey Decimal Edition Number
- 22
- General Note
- Co-published by Institute of International Relations Issued as part of the desLibris books collection
- Geographic Area Code
- n-cn---
- ISBN
- 0886452007 9781459300927
- LCCN
- RA410.55.C35
- LCCN Item number
- M65 2003eb
- Modifying agency
- CaBNVSL
- Original cataloging agency
- CaOONL
- Physical Description | Extent
- 1 electronic text (xv, 309 p.)
- Publisher or Distributor Number
- CaOOCEL
- Rights
- Access restricted to authorized users and institutions
- System Control Number
- (CaBNVSL)thg00600047 (OCoLC)243614337 (CaOOCEL)415354
- System Details Note
- Mode of access: World Wide Web
- Transcribing agency
- CaOONL
Table of Contents
- CONTENTS 7
- PREFACE 9
- CONTRIBUTORS 15
- CHAPTER 1 DEFINING THE SHARING COMMUNITY: THE FEDERAL ROLE IN HEALTH CARE 17
- Federalism and Health Care: The Context 19
- The General Rationale for State Intervention in the Health Arena 34
- Defining the Sharing Community in a Federation 49
- The Choice of Federal Instruments 73
- Summary 89
- CHAPTER 2 COOPERATION AND DISPUTE RESOLUTION IN CANADIAN HEALTH CARE 95
- Concepts and Issues 96
- The Canadian Experience 103
- Some Relevant Comparable Experience 116
- Coping with Conflict and Disputes in the Health Care Field 123
- Dispute Settlement Models 132
- Toward a Mature Partnership 143
- CHAPTER 3 VERTICAL FISCAL IMBALANCE: MYTH OR REALITY? 151
- The Debate on Fiscal Imbalance and Federal Health Care Funding 153
- Vertical Fiscal Gap and Vertical Fiscal Imbalance: Working Concepts and Linkages 161
- Vertical Fiscal Imbalance: From Concept to Application 167
- Federal and Provincial Public Finances: Retrospective and Prospective 181
- The Fiscal Context and the Fiscal Imbalance Debate in 2002/03 198
- CHAPTER 4 FEDERAL HEALTH CARE FUNDING: TOWARD A NEW FISCAL PACT 205
- Context and Issues 205
- A Historical Perspective on the Health Care Financing impasse 211
- Determining a "Fair Share" Benchmark for Federal Health Funding 230
- Federal Financing Options 234
- A Framework for Renewal 257
- CHAPTER 5 FEDERAL-PROVINCIAL RELATIONS AND HEALTH CARE: RECONSTRUCTING THE PARTNERSHIP 267
- The Constitutional and Political Setting 268
- Considerations Related to the Public Role in Health Care 273
- Federal-Provincial Political Disputes Relating to Health Care 282
- Options for the Future 296
- Summary and Conclusions 298
- BIBLIOGRAPHY 305
