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.

Although there is considerable historical literature describing the social and economic impact of drought on the prairies in the 1930s, little has been written about the challenges presented by drought in more contemporary times. The drought of 2001-02 was, for example, the most recent large-area, intense, and prolonged drought in Canada and one of Canada's most costly natural disasters in a century. Vulnerability and Adaptation to Drought on the Canadian Prairies describes the impacts of droughts and the adaptations made in prairie agriculture over recent decades. These adaptations have enhanced the capacity of rural communities to withstand drought. However, despite the high levels of technical adaptation that have occurred, and the existing human capital and vibrant social and information networks, agricultural producers in the prairie region remain vulnerable to severe droughts that last more than a couple of years. Research findings and projections suggest that droughts could become more frequent, more seveare, and of longer duration in the region over the course of the 21st century. This book provides insights into the conditions generating these challenges and the measures required to reduce vulnerability of prairie communities to them. This volume develops a greater understanding of the social forces and conditions that have contributed to enhanced resilience, as well as those which detract from successful adaptation and examines drought through an interdisciplinary lens encompassing climate science and the social sciences

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.