Gregory Marchildon - Böcker

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada.Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored.This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at the Universities of Regina and Saskatchewan.

The Canadian health care system is so indisputably tied to our national identity that its founder, Tommy Douglas, was voted the greatest Canadian of all time in a CBC television contest. However, very little has been written to date on how Medicare as we know it was developed and implemented. This collection fills a serious gap in the existing literature by providing a comprehensive policy history of Medicare in Canada.Making Medicare features explorations of the experiments that predated the federal government’s decision to implement the Saskatchewan health care model, from Newfoundland’s cottage hospital system to Bennettcare in British Columbia. It also includes essays by key individuals (including health practitioners and two premiers) who played a role in the implementation of Medicare and the landmark Royal Commission on Health Services. Along with political scientists, policy specialists, medical historians, and health practitioners, this collection will appeal to anyone interested in the history and legacy of one of Canada’s most visible and centrally important institutions.

Fiscal Federalism and Equalization Policy in Canada aims to increase public understanding of equalization and fiscal federalism by providing a comparative and multidisciplinary perspective on the history, politics, and economics of equalization policy in Canada. The authors provide a brief history, an analysis of the politics of equalization as witnessed over the last fifteen years, and a discussion of key economic debates concerning the role of the program and its effects. They also explore the relationship between equalization and other components of fiscal federalism, particularly the Canada Health Transfer and the Canada Social Transfer. The result is an analysis that draws from the best scholarship available in the fields of economics, economic history, political science, political sociology, and public policy.

Bringing together top scholars in the field, Universality and Social Policy in Canada provides an overview of the universality principle in social welfare. The contributors survey the many contested meanings of universality in relation to specific social programs, the field of social policy, and the modern welfare state. The book argues that while universality is a core value undergirding certain areas of state intervention—most notably health care and education—the contributory principle of social insurance and the selectivity principle of income assistance are also highly significant precepts in practice.

Bringing together top scholars in the field, Universality and Social Policy in Canada provides an overview of the universality principle in social welfare. The contributors survey the many contested meanings of universality in relation to specific social programs, the field of social policy, and the modern welfare state. The book argues that while universality is a core value undergirding certain areas of state intervention—most notably health care and education—the contributory principle of social insurance and the selectivity principle of income assistance are also highly significant precepts in practice.

While health system decentralization is often associated with federations, there has been limited study on the connection between federalism and the organization of publicly financed or mandated health services. Federalism and Decentralization in Health Care examines eight federations that differ in terms of their geography, history and constitutional and political development. Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines constitutional responsibility for health care, the national laws establishing a right to health care, the predominant sources and organization of public revenues directed to health care, and the overall organization of the health system. In additional to these structural features, each country case study is subjected to a "decision space analysis" to determine the actual degree of health system decentralization. This involves determining whether national and subnational governments have narrow, moderate or broad discretion in their decisions on governance, access, human resources, health system organization and financing. This comparative approach highlights the similarities and differences among these federations. Offering reflections on recent trends in centralization or decentralizations for the health system as a whole, Federalism and Decentralization in Health Care, is a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.

While health system decentralization is often associated with federations, there has been limited study on the connection between federalism and the organization of publicly financed or mandated health services. Federalism and Decentralization in Health Care examines eight federations that differ in terms of their geography, history and constitutional and political development. Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines constitutional responsibility for health care, the national laws establishing a right to health care, the predominant sources and organization of public revenues directed to health care, and the overall organization of the health system. In additional to these structural features, each country case study is subjected to a "decision space analysis" to determine the actual degree of health system decentralization. This involves determining whether national and subnational governments have narrow, moderate or broad discretion in their decisions on governance, access, human resources, health system organization and financing. This comparative approach highlights the similarities and differences among these federations. Offering reflections on recent trends in centralization or decentralizations for the health system as a whole, Federalism and Decentralization in Health Care, is a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.

It has been said of Max Aitken (later Lord Beaverbrook) that 'no other Canadian carved his name so large upon his times.' A manipulative, self-serving charmer with immense business acumen, Aitken knew all the important Canadian financiers of his day, and repeatedly demonstrated his remarkable skill for making money in the field of corporate finance. In this book Gregory Marchildon looks at the entrepreneurial history of Max Aitken and his core enterprise, the Royal Securities Corporation. A penetrating study of investment banking and financial capitalism during the Laurier boom years, the book also deals more generally with the relationship between Canadian politics and imperial ideology before the Great War.Marchildon walks us through the machinations, uncertainties, and bravado that went into Aitken's world of promoting, financing, and stockbroking. He describes in riveting detail the playing out of the great mergers in Canadian politics and business life - most notably that of Stelco and Canada Cement. We see the inner workings of finance capitalism, coloured by many remarkable personalities of the day, and we learn how Aitken's innovative tactics made him a very rich man while still in his twenties. This is a deeply textured account of the dynamics of the securities market in the formative years at the beginning of the twentieth century.The first study of the whole of Aitken's Canadian career, Profits and Politics adds significantly to our understanding of finance capitalism during the Laurier era, and especially during Canada's first great merger era, from 1909 to 1913.

How and why was universal health coverage implemented so early in a poverty-stricken province in Canada? Why was its design so faithfully replicated in the national standards that ultimately shaped Medicare across the rest of Canada?Seeking to answer these questions, Tommy Douglas and the Quest for Medicare in Canada explores the history of universal health care through the life of Canadian politician Tommy Douglas, identifying the pivotal moments and decisions that led to the establishment of Medicare in Canada.The book traces the origins of Medicare back to the 1930s Depression and its devastating impact on the Prairie populations. Marchildon examines how Tommy Douglas and a new generation of reformers, radicalized by the Depression, prioritized socialized health care. The book reveals how, as the provincial party leader, Douglas leveraged support from both local and external allies to rapidly implement universal hospital insurance and lay the groundwork for a new health system.Despite strong opposition from physician and business lobbies, Douglas continued to pressure the government for federal cost-sharing of universal health coverage. Drawing on archival sources including speeches, television broadcasts, and cabinet documents, Tommy Douglas and the Quest for Medicare in Canada illuminates how Douglas’s vision, leadership, and coalition-building among unions were crucial to the successful establishment of Medicare in Canada.