Journal Article by Carolyn Tuohy
Health Economics, Policy and Law, 2021
The coronavirus disease 2019 (COVID-19) pandemic has shifted the health policy debate in Canada. ... more The coronavirus disease 2019 (COVID-19) pandemic has shifted the health policy debate in Canada. While the pre-pandemic focus of policy experts and government reports was on the question of whether to add outpatient pharmaceuticals to universal health coverage, the clustering of pandemic deaths in longterm care facilities has spurred calls for federal standards in long-term care (LTC) and its possible inclusion
in universal health coverage. This has led to the probability that the federal government will attempt to expand medicare as Canadians have known it for the first time in over a half century. However, these efforts are likely to fail if the federal government relies on the shared-cost federalism that marked the earlier introduction of medicare. Two alternative pathways are suggested, one for LTC and one for pharmaceuticals, that are more likely to succeed given the state of the Canadian federation in the early 21st century.
Papers by Carolyn Tuohy
This article describes the role of government in the health care system and the factors and force... more This article describes the role of government in the health care system and the factors and forces that determine how that role is played. It examines the application of theories of political economy drawn from both economics and political science to this sector. It discusses the implications of these theories for political choices including interest groups, voting behavior, and institutions. Governments play several roles in the health care system and focus on four broad categories of government action in health care markets, linked to corresponding market failures, namely, health care as a merit good; information gaps; infrastructure as a public good; and externalities. It explores the relevance of this literature to the health domain, and confirms the powerful influence of politics on the shape of the health system.
Comparative Studies and the Politics of Modern Medical Care, 2017
Journal of law and medicine, 1994
University of Toronto Press eBooks, 2019
Preface ix 1 downstream from the centennial: navigating fifty years of Policy change 3 sophie bor... more Preface ix 1 downstream from the centennial: navigating fifty years of Policy change 3 sophie borwein and carolyn hughes tuohy Part One: Generational Prospects, Then and Now 2 dreams along a Journey 15 michael valpy 3 discounting now and Then 23 joseph heath 4 Postponed adulthood, the inequality surge, and the millennial burden 31 john myles 5 Half a century of Pension reform in canada 39 daniel béland Part Two: The Economy, the Environment, and the Federation 6 The Economy: from innovation to Policy 49 michelle alexopoulos and jon cohen 7 natural resources, federalism, and the canadian Economy 59 kathryn harrison 8 Environmental Policy Transformations and canada at 150 68 jennifer winter 9 The Environment as an Urban Policy issue in canada 79 matti siemiatycki 10 canada's radical fiscal federation: The next fifty years 87 kevin milligan Part Three: Rethinking Sovereignty, Allegiance, and Rights 11 reasonable accommodation, diversity, and the supreme court of canada 99 emmett macfarlane 12 invisibility, wilful blindness, and impending doom: The future (if any) of canadian federalism 106 jean leclair 13 canadian federalism, canadian allegiance, and Economic inequality 117 jeremy webber 14 indigenous-canadian relations at the sesquicentennial: an opportunity for real and lasting Transformation 124 sheryl lightfoot 15 reconciliation with a Question mark: Three moments 132 christa scholtz 16 reconciliation, colonization, and climate futures 139 deborah mcgregor Part Four: Canada's Borders and Beyond 17 fifty years of canadian immigration Policy 151 antje ellermann vi contents downstream from the centennial 11 and non-indigenous canadians is giving rise to new ways of thinking about sovereignty that have the potential to transform canadian federalism, as Jean leclair argues elsewhere in this volume. as for political will, the confluence of issues of indigenous relations, environmental protection, migration, and economic change may drive the formation of new coalitions of interest, new political alignments, and new partisan agendas. in 2019, for the first time since the late 1970s, the baby boomers will no longer be the largest generational demographic in the canadian electorate-they will cede that status to millennials. 14 Just possibly, the ground for transformative politics is being prepared. noTEs 1 miles corak, "'inequality is the root of social evil,' or maybe not? Two stories about inequality and Public Policy,"
Journal of Health Politics Policy and Law, Sep 27, 2022
Osgoode Hall Law Journal, Sep 1, 1982
This general model comprises a number of variants of relative degrees 86 Montjoy and O'Toole, "Or... more This general model comprises a number of variants of relative degrees 86 Montjoy and O'Toole, "Organization Theory and the Implementation of Policy Mandates," a paper presented at the annual meeting of the American Society for Public Administration (Mar. 30-Apr. 2, 1977). 8 T Fuller, supra note 48.
Social Science Research Network, Jun 20, 2008
The impact of private finance on publicly funded health care systems depends on how the relations... more The impact of private finance on publicly funded health care systems depends on how the relationship between public and private finance is structured. This essay first reviews the experience in five nations that exemplify different ways of drawing the public/private boundary to address the particular questions raised by each model. This review is then used to interpret aggregate empirical analyses of the dynamic effects between public and private finance in OECD nations over time. Our findings suggest that while increases in the private share of health spending substitute in part for public finance (and vice versa), this is the result of a complex mix of factors having as much to do with cross-sectoral shifts as with deliberate policy decisions within sectors and that these effects are mediated by the different dynamics of distinctive national models. On balance, we argue that a resort to private finance is more likely to harm than to help publicly financed systems, although the effects will vary depending on the form of private finance. Across the member nations of the Organization for Economic Cooperation and Development (OECD), the decade of the 1990s was on balance one of relative fiscal constraint in the health care sector. Whereas real per capita public expenditures increased at a rate averaging 4.4 percent a year in the 1980s in the twenty-three OECD nations for which data are consistently available, during the 1990-1998 period the average annual rate of increase slowed to 3.3 percent. After decades in which the public share of total health expenditures steadily increased on average across OECD nations, this share marginally declined from 74.9 percent to 73.9 percent between 1990 and 1998. There was, however, considerable variation across nations with respect to the degree of fiscal constraint and its impli
University of British Columbia Press eBooks, Sep 1, 2013
University of Toronto Press eBooks, 2005
2017 APPAM Fall Research Conference, Nov 4, 2017
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Journal Article by Carolyn Tuohy
in universal health coverage. This has led to the probability that the federal government will attempt to expand medicare as Canadians have known it for the first time in over a half century. However, these efforts are likely to fail if the federal government relies on the shared-cost federalism that marked the earlier introduction of medicare. Two alternative pathways are suggested, one for LTC and one for pharmaceuticals, that are more likely to succeed given the state of the Canadian federation in the early 21st century.
Papers by Carolyn Tuohy
in universal health coverage. This has led to the probability that the federal government will attempt to expand medicare as Canadians have known it for the first time in over a half century. However, these efforts are likely to fail if the federal government relies on the shared-cost federalism that marked the earlier introduction of medicare. Two alternative pathways are suggested, one for LTC and one for pharmaceuticals, that are more likely to succeed given the state of the Canadian federation in the early 21st century.