... 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...

...Joel Lexchin; Mary Wiktorowicz; Kathy Moscou; Laura Eggertson The Canadian constitution divides the responsibility for pharmaceuticals between the federal and provincial governments. While the provincial governments are responsible for establishing public formularies, the majority of the safety...

...R. J. Van Loon This paper takes as its starting point recent major changes in arrangements between the federal and provincial governments in Canada concerning the sharing of costs for health insurance programs. The switch from a shared cost (conditional grant) to a modified block funding system...

... received little attention. Yet several attempts to enact such a plan were made in California by Governor Earl Warren in the mid-1940s. Had Warren succeeded, the California example might have been emulated by other states and the United States might have evolved a system similar to Canada's provincial...

... of GNP to run. The difference between the two systems is rooted in differences in funding. By providing coverage of medically necessary care under a single nonprofit payer (the provincial governments, with guidance and some funds from the federal government), the Canadian system avoids the large...

... from others who have had negotiating responsibilities for over a quarter of a century—the provincial medical associations in Canada. In this article we examine the structure, process, and outcomes of negotiations between physicians, with a focus on responses to new physician expenditure caps in Ontario...

..., and Canadian provincial deinsurance policies). Based on this review, some key conceptual conventions and problems in technology assembly can be identified. The boundaries between health technologies are fuzzy, interlocked, layered, and continuously moving. Consequently, the defining features of technological...

...Yogan Pillay This essay evaluates the transformation of the health care system in South Africa in the five years following the end of apartheid. This period has witnessed dramatic and wide-ranging changes in the roles of the central and provincial governments as well as many of the same problems...

...Cathy Charles; Suzanne DeMaio Lay participation in health care decision making has attracted increasing interest in Canada, with numerous provincial government reports advocating this initiative. Interest stems from a number of factors. Among them is a growing recognition that patient preferences...

...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...

... actors is more important than most commentators believe, and that the dynamism in health policy formulation has resulted in a great deal of internal conflict as well as politicization and provincialization. Copyright © 1980 by the Dept. of Health Administration, Duke University 1980 Position Paper...

... provincial initiatives which included construction of additional long-term treatment beds, expansion of home care resources, and extension of universal insurance coverage to long-term institutional and home care. Analyses of means to reduce long hospital stays prior to transfer suggests that building more...

... and their community. This respect for their moral au- tonomy requires full disclosure of relevant information. Throughout the process it must also be made evident that the construction and operation of the facility is only part of a comprehensive provincial, state, or regional strategy, and that the host...

... and McGill-Queen's University Press. Banting, K., and R. Boadway. 2004 . Defining the Sharing Community: The Federal Role in Health Care. In Money, Politics, and Health Care: Reconstructing the Federal-Provincial Partnership , ed. H. Lazar and F. St-Hilaire, 3 -78. Montreal: Institute for Research...

... of Financial Planning. Department of Social Affairs, was very helpful in obtaining data on general health spending in the Department and in the author's obtaining data on the hospital insurance plan. Mr. Fernand Breton, Assistant Comptroller of Finance, was helpful in obtaining data on provincial health...

... financial penalties for provinces that permitted or imposed them. Provincial governments subsequently moved in various ways to remove or suppress such charges. 2. The remainder is public health, research, capital investment, insurance administration, and “other.” 3. Private insurance covers just...

... . The Equity, Efficiency, and Symbolism of National Standards in an Era of Provincialism . Eighth Annual Health Policy Conference, MacMaster University, Hamilton,Ontario. Patton, C.V., and D. S. Sawicki. 1993 . Methods of Policy Analysis and Planning . Englewood Cliffs, NJ: Prentice Hall. Pfeffer, J...

... of Prison Capacity and Judicial Capacity. Benchmark 1 : 22 -30. ———. 1999 . The Irony of Constitutional Democracy: Federalism, the Supreme Court, and the Seventeenth Amendment. San Diego Law Review 36 : 671 -741. Russell, Peter H. 1985 . The Supreme Court and Federal-Provincial Relations...

..., Challenge and Change: Party and Class in Canada Revisited. Ottawa: Carleton University Press. Cairns , Alan C. 1968 . The Electoral System and the Party System in Canada, 1921- 1965. Canadian Journal of Political Science 1 ( 1 ): 55 -80. Canada. Dominion-Provincial Conference...

... centers (terveyskeskus), their associated social service and municipal government agen- cies, the district central hospital (keskussairaala) and its governing federation, as well as extensive interviews with provincial and national officials. In order to compare the actual planning process...