HLTC43H3 Lecture Notes - Lecture 7: Distinct Society, Social Union Framework Agreement, Health Human Resources
Document Summary
Purpose: to review the roles and responsibilities of governments in health care and the character of intergovernmental relationships. Federalism and power sharing leads to blame avoidance and inhibits change. Canada moving toward open federalism with implications for unity of the system. Sharing of power btwn more than 1 level of gov"t. Feds starting to take back the money i. e. giving less $ to prov. However feds play a big role - 5 ways: Fed $ allowed for establishment of health programs; But, prov makes decisions; feds have spending power. Feds can raise a lot more $ than prov. Who cares! (haha) s. 92 prov and also says municipals as "creatures" Think of them as fancy delivery service of prov gov"t. Joint decision trap and the evolution of health care. Reality, all 3 levels of gov"t play role. Situation in policy making, any 1 gov"t has ability to veto policy.
