Provincial Autonomy and the 2023 Federal-Provincial Healthcare Deal
A Federalism Deficit at Work
Bibliographic Data
| ID | 20494200 |
|---|---|
| Authors | Alina Hart (Graduate student in the Master of Public Administration program at the University of Manitoba and University of Winnipeg), Félix Mathieu (0000-0002-4056-7277, Associate Professor in the department of political science at the University of Winnipeg) |
| Year | 2024 |
| Volume | 62 |
| Pages | 153-180 |
| Publication date | 2024-07-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | International Journal of Canadian Studies (JOURNAL) |
| Journal identifiers | ISSN: 1180-3991 • E-ISSN: 1923-5291 |
| Publisher | University of Toronto Press Inc. (UTPress) (PUBLISHER) |
| DOI | 10.3138/ijcs-2023-0008 |
| OpenAlex | W4401382448 |
| Language | EN |
| References cited | 23 |
The fallout of the COVID-19 pandemic put enormous strain on healthcare services across the country, leading Canadian premiers to call on the federal government to negotiate a new healthcare deal. The dynamics of these negotiations received extensive media coverage and highlighted some of the most fundamental issues in Canadian federalism. The objective of this article is to explore whether the 2023 healthcare negotiations were conducted in accordance with core federalism principles (e.g. autonomy, constitutionalism, partnership), or if they rather reflect some form of federalism deficit. More specifically, it asks whether, and to what extent, provincial autonomy was challenged through conditional federal funding to health care. The authors conclude that the formal division of constitutional powers is blurred through the federal government’s use of its “spending power,” and that the state of intergovernmental relations in Canada has undermined the principle of equal partnership between Ottawa and the provinces within the federal system
Autonomy · Federalism · Health care · Political science · Politics · Canadian Policy and Governance · Engineering · Healthcare Policy and Management · Law · Public Administration · Social Policy and Reform Studies
The Content Analysis Guidebook
Putting Federalism in Its Place
Citizenship and Health Care in Canada
Reimagining Canada
National standards or territorial autonomy? Public opinion and the politics of fiscal federalism for healthcare in Canada
Publius
Federalism, Mature and Emergent
A Note on the Nature of Federalism
The Federal Spending Power in Canada
Federalism and Fiscal Policy
Accommodation and the politics of fiscal equalization in multinational states
The Politics of Blame Avoidance
The influence of federalism on fiscal policy making
Ideas and the Limits on Program Expansion
Federalism and Constitutional Change
| Citation velocity | historical |
|---|---|
| Highly cited | No |