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HLTC24H3 (7)
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University of Toronto Scarborough
Health Studies

Sancton and Sams (2010) Chapter 25, Provincial and Local Public Administration The Canadian federal government accounts for less than half of all government spending in Canada. Canada = decentralized federation Provincial and local spend most of our public funds. The federal and provincial governments in Canada share common institutional arrangements. All are parliamentary systems of the Westminster model. Federal and provincial governments share same public admin. arrangements, local = more influenced by American arrangements In America states and local governments = same, in Canada, provinces and local = different Provinces must also grapple with difficult issues involving the organization of municipal governments and special-purpose bodies (SPBS), or specific organization, issues that are entirely foreign to the kinds of organizational problems that confront the federal government. Despite the obvious differences in their institutional structures, the concerns of provincial and local governments in Canada are inextricably intertwined (more intertwined than federal-provincial) Functions and Organizational Structures of Provincial Governments Section 92 and 93 = outline responsibilities of provincial govts The Constitution provides that within each parliamentary system, the lieutenant governor, appointed on the advice of the federal minister, acts in place of the monarch. This CANT change. Premier head of the provincial government, appoints all cabinet & deputy ministers, appointed by Liet.governor Every (Ministry of Finance) in a province main goal = raising enough revenue from taxes to cover expenses Ministry of Justice, Ministry of the Attorney General = responsible for ensuring that ppl who violate the law are prosecuted by Crown attorneys (who work closely with police) in courts. Eg. An alleged murderer will be arrested by a municipal police officer, charged under the provisions of a federal law (the Criminal Code) and prosecuted by a provincial Crown attorney before a federally judge in a court of law established by the province Provincial ministries of municipal affairs = implement the laws concerning the establishment and operation of municipal governments and to monitor their financial management. Municipal affairs ministries are left to regulate the municipal electoral process, conflict-of-interest rules, record-keeping and financial procedures. Ministries of labour / human resources = governs the relationship between employers and employees. Except in Ontario, Nova Scotia, and Manitoba, provinces directly administer income security (welfare) programs themselves Virtually all other provincial ministries are in one way or another concerned with providing services to the public, either directly, through Crown corporations and non-governmental organizations, or through local governments. Real story about provincial government activity in Canada is that it is usually some other organization- such as a Crown corporation or provincially funded non-profit organization-that has direct contact with ordinary citizens and consumers. Crown Corporations and Non-Profit Organizations Crown corporation = an organization structured in many ways like a private corporation except that the provincial government owns all the shares Provincial involvement in electricity through Crown corporations was a crucial feature of most provinces' economic development throughout the twentieth century the most ubiquitous (widespread) provincial Crown corporations in Canada involve liquor, other corporations are related to water supply (aimed towards municipalities) Non profit organizations, originally sponsored by churches, charitable organizations and municipalities, rely on provincial funding Non profit organizations = universities, churches, hospitals = are at the boundary between the public sector and the civil society, which is the network of voluntary organizations that stands between the state, on the one hand, and families and individuals, on the other Subsequent to the establishment of this system in Quebec, Ontario and Alberta also created regional councils of one kind or another, usually for health services. Are not elected & have taxing authority The Organization of Local Government 2 kinds of local government = municipalities and specialpurpose bodies Municipalities = responsible for a number of government activities and functions whereas special purpose bodies are responsible for usually one function or a bunch of closely related ones, are appointed. Eg. Municipal responsibility = public education, special purpose body = school board Populated areas (eg. Ontario & Quebec) have 2 tiers of municipal governments Upper tier in Quebec being either a municipal regional county or a metropolitan community. In Ontario it is either a county (in rural areas) or a regional municipality (in large urban centres & their rural hinterland). Two-tier systems (two-tier municipal systems is that a lower-tier municipality has exclusive authority to pass by-laws under a sphere unless the sphere or part of the sphere has been assigned to its upper- tier) came under severe attack in Ontario under the Harris government because of alleged overlap and duplication Some were converted to single tier systems (eg. Hamilton, Chatham) , biggest one 1998 = Toronto BCs regional districts = brought municipal services to areas that previously had no municipal government and provided a mechanism for co-operation among neighbouring municipalities that were already established. Responsibilities of municipalities include = education, public health and income security Whether a municipality / special-purpose body carries out a function is a decision made by the provincial govt Municipal staff headed by one individual the city manager which has its origins in the American-based The position of city manager (the head of a municipal staff) has its origins in the American-based Progressive movement of a hundred years ago. The belief was that corrupt urban political machines could be cleaned up by removing elected councillors from any managerial functions and convincing or forcing them to hire a professional manager with broad authority over all municipal staff The city manager remain a chief administrative officer (CAO) in function A CAO is involved in the hiring of department heads but do not make the final decision; they are the main conduit of information between staff and council. All CAOs report to all councillors collectively, not to any particular individual, not one boss but many Provincial-Municipal Relations At various times since the mid-1960s municipalities have faced major plans in reorganization. Many municipalities got reduced in Ontario and Quebec. Another form of major change in the provincial-local relationship involves an upheaval in the allocation of functions between the two levels and consequent financial rearrangements. One of the most important issues in provincial-municipal relations is the role of local special - purpose bodies. Two main sets of interests are involved here, best labelled professional and municipal rather than provincial and municipal. Professional interests favour special purpose bodies while municipal interests oppose them. The best-known local special-purpose bodies in Canada are school boards because their existence is protected by the Constitution of Canada. Municipalities in Canada have 3 complaints about their provincial governments. #1 = Provinces havent provided them with a secure revenue base. Most municipalities are limited to restricted areas of direct taxation which is a tax on property and to various forms of user charges. #2 = fiscal downloading #3 = provincial conditional grant programs have distorted local priorities by inducing municipalities to fund programs at levels they might not have chosen on their own. Issue of disentanglement during the 1990s most provinces agreed to disentangle the provincial-local relationship. Fitzpatrick & LaGory - Placing Health in an Urban Sociology: Cities as Mosaics of Risk & Protection Central to urban sociology is the assumption that place matters. Yet, urban sociology has virtually ignored the role of place in understanding a critical aspect of personal and collective well-beinghealth. This article attempts to synthesize major sociological theories of health, within an urban ecological framework, in an effort to provide insight into how the distinct spatial qualities of neighbourhoods impact the health risks, beliefs, and behaviours of their residents. Because the ecology of metropolitan regions is a landscape of uneven risk, hazard, and protection, it produces dramatic differences in the physical and mental health of its residents. Most affected by this process have been inner-city, disadvantaged populations who have shouldered the primary weight of the urban health penalty. He describes the distance between the old and new schools of thought as the yawning gap of an intellectual fault line, separating Chicago from Los Angeles (Dear, 2002). Article is intended to begin the process of revisiting the health-place relationship and its role in the
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