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Health Care Federalism in Canada

by Katherine Fierlbeck William Lahey

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 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).

Health Care in Canada

by Katherine Fierlbeck

Health Care in Canada examines the challenges faced by the Canadian health care system, a subject of much public debate. In this book Katherine Fierlbeck provides an in-depth discussion of how health care decisions are shaped by politics and why there is so much disagreement over how to fix the system.Many Canadians point to health care as a source of national pride; others are highly critical of the system's shortcomings and call for major reform. Yet meaningful debate cannot occur without an understanding of how the system actually operates. In this overview, Fierlbeck outlines the basic framework of the health care system with reference to specific areas such as administration and governance, public health, human resources, drugs and drug policy, and mental health. She also discusses alternative models in other countries such as Britain, the United States, and France. As health care becomes increasingly complex, it is crucial that Canadians have a solid grasp of the main issues within both the policy and political environments. With its balanced and accessible assessment of the main political and theoretical debates, Health Care in Canada is an essential guide for anyone with a stake in Canada's health system.

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