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The Political and Economic Sustainability of Health Care in Canada: Private-Sector In ...

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The Political and Economic Sustainability of Health Care in Canada:


Political and Economic Sustainability:
Private Sector Involvement in the
Federal Provincial Health Care System

Globally, the mix of private and public sector involvement in health care delivery is a focus of political and public-policy concern. This study uses a comparative, multidimensional methodology that also is a theory with respect to the dimensions of public-policy making in order to examine the nature of expanding commercial activities within provincial health care systems. In so doing, it presents case analyses of Ontario, Quebec, and Alberta. Such factors as the provincial political culture and history related to the delivery of health care services are examined. The dynamic process between federal and provincial officials operating within the context of the Canada Health Act and Canadian fiscal federalism is also discussed, and we focus too on economic and political sustainability concerns as they relate to increased commercial activities in the health care systems of the provinces. In addition, the ideology of political leadership and the disposition to act (or to refrain from acting) are examined. These are some of the factors that shape the ways various provinces have dealt with the phenomenon of commercial activity in their provincial health care