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Lecture 11

Lecture 11.docx

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University of Toronto Scarborough
Health Studies
Toba Bryant

Lecture 11: The Future Health Policy and Health Care in Canada – Conclusions Overview  Polis vs. market  Welfare state  Social determinants of health  Future directions Polis Versus the Market  Collectivist  Welfare state of community  Share risk across population  Minimize inequality  State intervention to ensure quality o Polis is about society caring about family and it’s about equity. o State makes sure there is access to certain goods. Aim is to reduce poverty and inequality. o Canada has been more of a polis than the US.  Individualist  Role of political ideology – Neo-Liberalism  Minimal state role – “Freedom from government”, deregulation. o US is a market driven society. o High inequality. Parliament  QueenSenateHouse of Commons Judiciary  Supreme Court of CanadaFederal Court of Canada Provincial Courts The State in Modern Society  Legislative, executive and judicial institutions.  Canada, UK: overlap between Cabinet, Parliament (Lower House), Upper House (House of Lords UK), and Senate (Canada).  Municipal, provincial and federal governments have role in health policy. o All levels of government have a specific role in health. At the municipal level it’s public health. o Have to deal with vaccine and sanitation. Things to do if epidemics arise. o Delivering health care. o Provincial and territorial governments to pay for these services. o Provides direct services only to Aboriginals. o It collects more money so collects more taxes and cost-sharing health care in the provinces and territories. o Lester B. Pearson said provincial and territorial governments should split cost 50/50.The Welfare State: Impact on the Health of Populations Welfare State  Key development in modern capitalist societies in post-WWII era (1950-1970).  State intervention in social and health provision. E.G. health, housing, employment insurance, public pensions. Definition  “…a generic term for government intervention …, the welfare state can also be seen as a capitalist society in which the state has intervened in the form of social policies, programs, standards, and regulations in order to mitigate class conflict and to provide for, answer, or accommodate certain social needs for which the capitalist mode of production in itself has no solution or makes no provision”. o Way of ensuring equity. Figure 13.1 Ideological Variations in Forms of the Welfare State  Found in Sweden, Denmark.  Aim is
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