Health Policy and Federalism: A Comparative Perspective on Multi-Level Governance

By Uzych, Leo | Canadian Journal of Public Health, July/August 2003 | Go to article overview

Health Policy and Federalism: A Comparative Perspective on Multi-Level Governance


Uzych, Leo, Canadian Journal of Public Health


Health Policy and Federalism: A Comparative Perspective on Multi-Level Governance Keith G. Banting and Stan Corbett (Eds.), Kingston, ON: McGill-Queen's University Press, 2002;199 pp. Soft cover $29.95

Health Policy and Federalism: A Comparative Perspective on Multi-Level Governance opens a portal and directs readers' attention to the continually evolving, often vexing realm of federalism and health care. The volume derives from a project initiated by the Institute of Intergovernmental Relations, designed broadly to study issues relating to federalism, health care and social policy. And indeed, the volume should be a boon to persons involved professionally with Canadian health and social policy concerns, who may be edified by how counterparts in other federations grapple with issues of overlapping interest.

The editors have worked with a bevy of experts from several continents to construct a volume examining the intricate dynamics enmeshing federal governance, social programs, and health policies in five federations: Australia, Belgium, Canada, Germany and the United States. Each of the five federations, in an individual sense, is described well; but in a directly comparative sense, the analysis overall is lacking. The concluding chapter expounds on the real world of Canadian federalism, the federal-provincial relationship, and health care in Canada; and does the best job of comparing health care concerns in different federations. …

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