Thanks must go to many people but first and foremost to Michael Trebilcock, Faculty of Law, University of Toronto. He has been unflagging in his encouragement of me, both in this work, and in all my academic and professional efforts. His intellect, his visionary scholarship, and his kindness have enriched my life.
Thanks also to Andreja Zivkovic and Alison Kirk at Routledge and John Hodgson at HWA Text and Data Management for their work in getting this manuscript into final shape.
Thank you to the many people who helped me obtain information regarding the systems under study or who discussed issues with me, particularly John Luhrs, Toni Ashton, Erik Schut, Lynn McKenzie, and Pauline Allen. Thanks also to Peter Coyte, Bernard Dickens, Hudson Janisch, Julia Hall, and Margo Hall, all at the University of Toronto, for the help they gave me with different aspects of this project. Many thanks also to the organizations that provided funding for my studies, particularly the Faculty of Law and the School of Graduate Studies in the University of Toronto, the John F. Olin Fund, Massey College, the New Zealand Federation of University Women, and the Spencer Mason Trust.
Thank you to my former colleagues at the Faculty of Law and in the Health Law Institute, Dalhousie University for their encouragement, particularly Jocelyn Downie, Fiona Bergin, and Barbara Carter. Thank you also to Brad Abernethy for proofreading some chapters and to my wonderful research assistants, James MacDonald and Martina Munden, for checking citations, formatting, and proofreading.
Thank you to my friends Nicole and Cathie and to all my loyal New Zealand friends—Helen, Sue, Ibby, Jim, and Johnny—for all their support. To the magnificent and unsurpassable Rebecca—thank you for all the letters, presents, recipes, and all your magical optimism. To my family in New Zealand, especially Wayne, Kath, Camea, Diane, Ronnie, Sharon, Murray, Chloe, and Joan, all of whom I miss so very much; thank you for your encouragement.
And finally, thank you to my dear friend and partner, Andreas Warburton. His Swiss efficiency has been great for helping with proofreading, his British sense of humor has helped make writing fun, and his Canadian generosity and tolerance have helped me through to finishing this book.