... of outpatient prescription drugs is not. To solve problems of access, Canadian provinces have introduced provincial prescription drug benefit programs. This study analyzes the prescription drug policymaking process in five Canadian provinces between 1992 and 2004 with a view to (1) determining the federal...

...Barry G. Rabe Hazardous waste management poses increasing problems for Canadian provinces and American states, given the vast quantities and types of wastes generated and the virtual inability to open new storage, treatment, or disposal facilities. The Canadian experience is very similar...

... and efficacy information that the provinces use comes from the federal government. We interviewed drug plan officials from eight of the ten provinces and two of three territories regarding their views on the Canadian drug safety system. Here we report on the following categories: the federal drug approval...

...Morris L. Barer This paper traces the development of British Columbia's controversial Bill 41, which empowers that province's Ministry of Health to restrict the issuance of billing numbers entitling physicians to seek payment from the provincial medical services plan. The bill and its predecessors...

... province—also leads to a set of profession-state bargains that define the limits of variation. Duke University Press 2009 Aaron, H. J., and S. M. Butler. 2008 . A Federalist Approach to Health Reform: The Worst Way, Except for All the Others. Health Affairs 27 : 725 -735. Andreopoulos, S...

... among both the American states and the provinces and territories of Canada. Four American states have adopted all-payer hospital rate setting: one other uses competitive bidding. All five show rates of growth in per capita hospital spending comparable to (and in some cases, lower than) the Canadian...

... attempting to impair the financial basis of the former. In Canada, the power contests are between the provinces and the federal government. © 2000 by Duke University Press 2000 Aaron, A. J., and W. B. Schwartz. 1984 . The Painful Prescription: Rationing Hospital Care . Washington, DC:Brookings...

... some of the roots and reasons behind this province's adoption of le partenariat as the basis for policy. I suggest that it is a response to four key strategic problems: (1) the exhaustion of resources and allocation of losses; (2) the loss of faith in government and the consequent need to redefine...

...R. Vincent Crawford ∗ Departments of public health have played a relatively limited direct role in providing primary care to medically underserved areas, a function which has long been the province of the private medical practitioner. This article reports on the personal experiences of the author...

... delivered important decisions affecting the management of health care policy in the province of British Columbia. In July, the British Columbia Supreme Court (the province’s highest trial court) decided Waldman v. Medical Services Commission of British Columbia (30 July 1997, Supreme Court of British...

...” in the personal and corporate income tax fields, making way for provinces to collect more tax money. The federal government has also agreed to provide a block grant, which in 1977 made up about 25 percent of total program costs, in order to further support the provincial treasuries. The block grant...

... For the health sys- tem, this has resulted in local government units (provinces, cities, and municipalities) having to render the bulk of health services. The African National Congress (ANC), the nation’s most significant liberation movement, had always held...

..., by contrast, receive an annual global budget from the Ministry of Health of the province in which they are located. Institutional care outside hospitals is provided by facili- ties reimbursed on a per-diem basis. Some are for-profit, owned by individ- uals or corporations; others are run by community...

... Federalism Many scholars, including Carolyn Tuohy in earlier publications, have described in detail the close resemblance of the Canadian and U.S. health care systems prior to the full diffusion of single-payer financing across the provinces and territories of Canada in the early 1970s. That, along...

... question that needs attention is: What would be the impact of the passage of a comprehensive national health insurance plan on the medical care costs of specific income groups? This study attempts to answer by looking at the experience of the Province of Quebec before and after the adoption...

... of the total), which are covered by the distinctively Canadian form of health care insurance. Although each of the provinces provides some form of assistance with dental care and prescription drugs (when provided out of hospitals), it is usually for only part of the population, or for part...

... for the Future undated. addition, all provinces provide some form of coverage for long-term care and pharmaceutical costs. Each Canadian provincial health ministry holds virtually sole respon- sibility for managing the major components of health care. Funding for hospital, physician, and some long...

... in PEI as an Incentive for Cross-Sectoral Reallocations among Human Services. Canadian Public Administration 39 ( 4 ): 581 -600. Lomas , Jonathan , John Woods, and Gerry Veenstra. 1997 . Devolving Authority for Health Care in Canada’s Provinces: An Introduction to the Issues. Canadian Medcal...

...- clude with several lessons drawn from the experience of Canadian physi- cians and their organizations. 1. We interviewed over thirty individuals in all from medical associations and ministries of health in all three provinces. These face-to-face interviews occurred over a three-day period dur...

... of Inflation-Adjusted Fees and Billings and of Real Output per Physician, by Province, 1975 and 1985 (1971 = 100.0 for Each Province) Activity per “Real” Billings ‘‘ Real ’’ Fees” Physician per Physician 1975 1985...