Federalism and Health Care in Canada
A Troubled Romance?
Bibliographic Data
| ID | 23666151 |
|---|---|
| Authors | Colleen M Flood (0009-0006-4502-9554, University of Toronto), Colleen Flood (University of Toronto), William Lahey (Law, Dalhousie University), Bryan Thomas (0009-0006-7056-4954, Law, O'Neill Institute) |
| Year | 2017 |
| Pages | 449-474 |
| Publication date | 2017-11-06 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | CHAPTER |
| Venue | Oxford Handbook of the Canadian Constitution (SOURCE_BOOK) |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/law/9780190664817.003.0021 |
| OpenAlex | W2940880850 |
| ISBN | 9780190664817 |
| Language | EN |
| Citations received | 4 |
| References cited | 5 |
Canadian federalism fragments health system governance. Although the Constitution has been interpreted as providing shared jurisdiction over health generally, with respect to health care, the courts have interpreted it as giving direct jurisdiction to the provinces. The federal role in health care is therefore indirect, but nevertheless potentially powerful. For example, the federal government has used its spending powers to establish the Canada Health Act (CHA), which commits funding to provinces on condition they provide first-dollar public coverage of hospital and physician services. However, in recent times, as federal contributions have declined, the CHA has been weakly enforced. Further, the failure to broaden the CHA to include prescription drugs, dentistry, and other important aspects of health care have contributed to Canada’s abysmal record on Aboriginal health and its increasingly poor rankings in international comparisons. Progress requires enforcement of an adequately funded CHA, national pharmacare, and concerted action on Aboriginal health.
Constitution · Enforcement · Federal jurisdiction · Federalism · Government (linguistics) · Health care · Jurisdiction · Political science · Politics · Public health · Canadian Policy and Governance · Indigenous Health, Education, and Rights · Law · Medicine · Multicultural Socio-Legal Studies · Nursing · Public Administration
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| Unique citing works | 4 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2018 - 2024 (7) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |