A cancer control strategy and deliberative federalism: Modernizing health care and democratizing intergovernmental relations

Canadian Public Administration

Volumn 49, Issue 4, 2006, Pages 468-485

  Prince, Michael J ^a  

^a UNIVERSITY OF VICTORIA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 33846286110     PISSN: 00084840     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1754-7121.2006.tb01994.x     Document Type: Review

References (51)

1. Donald V. Smiley, The Federal Condition in Canada (Toronto: McGraw-Hill Ryerson 1987);
2. Herman Bakvis and Grace Skogstad, "Canadian Federalism: Performance, Effectiveness, Legitimacy," in Herman Bakvis and Grace Skogstad, eds., Canadian Federalism: Performance, Effectiveness, Legitimacy (Toronto: Oxford University Press, 2002), pp. 3-23.
3. National Cancer Institute of Canada, Canadian Cancer Statistics, 2005 (Toronto: NCIC, April 2005), at http://www.cancer.ca/css/internet.
4. A. Picard, "Cancer costing billions," Globe and Mail, April 15, 2004, p. A13;
5. Canadian Strategy for Cancer Control, Synthesis Report (Toronto: National Cancer Institute of Canada, 2001), p. 41.
6. Canadian Strategy for Cancer Control, Synthesis Report.
7. Stephen Lewis and Cathy Fooks, A Primer on Reforming the Canadian Health Care System, discussion paper prepared for the Canadian Cancer Society and the National Cancer Institute of Canada, June 2002, p. 1;
8. Canadian Strategy for Cancer Control, Synthesis Report, p. 55;
9. World Health Organization, National Cancer Control Programs, 2nd ed. (Geneva: WHO, 2002);
10. and Health Canada, Progress Report on Cancer Control in Canada (Ottawa: Centre for Chronic Disease, Prevention and Control, Population Health Branch, Health Canada, 2004), at http://www.hc-sc.gc.ca.
11. See Michael Kirby, chair, The Health of Canadians: The Federal Role - Final Report (Ottawa: Parliament of Canada, 2002) at http://www.parl.gc.ca/ 37/2/parlbus/commbus/senate/com-e/SOCI-E/rep-e/repoct02v016-e.html;
12. Roy J. Romanow, commissioner, Building on Values: The Future of Health Care in Canada (Ottawa: Health Canada, 2002), at http://www.hcsc.gc.ca/ english/care/romanow/hcc0086.html;
13. and D. Naylor, Learning from SARS: Public Health in Canada, Report by the National Advisory Committee on SARS and Public Health (Ottawa: Health Canada, 2003), at http://www.hc-sc.gc.ca/english/protection/warnings/ sars/learning.html.
14. Romanow, Building on Values, p. 118.
15. See Health Canada, Report on Plans and Priorities for recent fiscal years, at http://www.tbssct.gov.gc.ca. On population health
16. see also C.J. Frankish, G. Veenstra and G. Moulton, Population Health in Canada: A Working Paper (Ottawa: Health Canada, 2001)
17. and Candace J. Redden, Health Care, Entitlement and Citizenship (Toronto: University of Toronto Press, 2002).
18. For additional background, see Michael J. Prince, "Chasing a National Priority: Health Canada, the Public Health Agency and a Canadian Strategy for Cancer Control," in G. Bruce Doern, ed., How Ottawa Spends, 2006-2007: In from the Cold: The Tory Rise and the Liberal Demise (Montreal and Kingston: McGill-Queen's University Press, 2006), chapter 10.
19. Interviews. Also see ibid.
20. Kathy Brock, "Executive Federalism: Beggar Thy Neighbour?" in François Rocher and Miriam Smith, eds., New Trends in Canadian Federalism, 2nd ed. (Peterborough: Broadview Press, 2003), pp. 67-83.
21. st Century (Toronto: Prentice Hall, 2003), pp. 204-16. While Stevenson claims executive federalism has declined since the late 1980s, he discusses this model of intergovernmental relations in terms of First Ministers' meetings, leaving aside other important features of the model.
22. Donald. V. Smiley, "An Outsiders' Observations of Federal-Provincial Relations among Consenting Adults," in Richard Simeon, ed., Confrontation and Collaboration - Intergovernmental Relations in Canada Today (Toronto: Institute of Public Administration of Canada, 1979), pp. 105-6.
23. Also see, J. Peter Meekison, Hamish Telford, and Harvey Lazar, "The Institutions of Executive Federalism," in J. Peter Meekison, Hamish Telford, and Harvey Lazar, eds., Reconsidering the Institutions of Canadian Federalism - Canada: The State of the Federation, 2002 (Montreal and Kingston: Institute of Intergovernmental Relations, School of Policy Studies, Queen's University, 2004), pp. 1-25.
24. D.V. Smiley, Canada in Question: Federalism in the Seventies, 2nd ed. (Toronto: McGraw-Hill Ryerson, 1976), pp. 71-73.
25. See also Smiley, The Federal Condition in Canada, pp. 98-99.
26. Steve Patten, "Democratizing the Institutions of Policy-making: Democratic Consultation and Participatory Administration," Journal of Canadian Studies 35, no. 4 (Winter 2001), pp. 221-39. In his later work, Smiley wondered if some of the charges against executive federalism were more serious than others. In The Federal Condition he suggested that ineffective accountability of governments to Parliament and legislatures for intergovernmental agreements was not altogether unique to federalism and was perhaps not as important a consideration as the charge that "federal- provincial co-operation contributes to secrecy in the governmental process and to the frustration of public debate about important aspects of our common affairs" (p. 98).
27. Bakvis and Skogstad, "Canadian Federalism," p. 13.
28. These statements, respectively, are from Richard Simeon and David Cameron, "Intergovernmental Relations and Democracy: An Oxymoron If There Ever Was One?" in Bakvis and Skogstad, eds., Canadian Federalism, p. 285;
29. and Tom McIntosh, "Intergovernmental relations, social policy and federal transfers after Romanow," CANADIAN PUBLIC ADMINISTRATION 47, no. 1 (Spring 2004), p. 48.
30. Harvey Lazar has written on collaborative federalism, both conceptually and empirically, more than anyone has of late. For samples of his work, see "The Federal Role in a New Social Union," in H. Lazar, ed., Canada: The State of the Federation, 1997 (Kingston: Institute of Intergovernmental Relations, Queen's University, 1998);
31. "The Social Union Framework Agreement and the Future of Fiscal Federalism," in Harvey Lazar, ed., Canada: The State of the Federation, 1999/2000 (Kingston: Institute of Intergovernmental Relations, Queen's University, 2000);
32. and, "The intergovernmental dimensions of the social union: A sectoral analysis," CANADIAN PUBLIC ADMINISTRATION 49, no. 1 (Spring 2006), pp. 23-45.
33. Also refer to Alain Noël, "Without Quebec: Collaborative Federalism with a Footnote?," in Tom McIntosh, ed., Building the Social Union: Perspectives, Directions and Challenges (Regina: Canadian Plains Research Centre, 2001), pp. 13-30.
34. Simeon and Cameron, "Intergovernmental Relations and Democracy," p. 291. See also David Cameron and Richard Simeon, "Intergovernmental relations in Canada: The emergence of collaborative federalism," Publius 32, no. 2 (Spring 2002), pp. 49-71.
35. See Donald J. Savoie, Governing from the Centre: The Concentration of Power in Canadian Politics (Toronto: University of Toronto Press, 1999);
36. and Jeffrey Simpson, The Friendly Dictatorship (Toronto: McClelland and Stewart, 2001).
37. Bakvis and Skogstad, p. 20. For a similar assessment, see Gerald Baier, Herman Bakvis, and Douglas Brown, "Executive Federalism, the Democratic Deficit, and Parliamentary Reform," in G. Bruce Doern, ed., How Ottawa Spends 2005-2006, Managing the Minority (Montreal and Kingston: McGill-Queen's University Press, 2005).
38. The literature on deliberation is booming. See James Bohman and William Rehg, eds., Deliberative Democracy: Essays on Reason and Politics (Cambridge, Mass.: MIT Press, 1997);
39. James Bohman, "Constitution Making and Democratic Innovation: The European Union and Transnational Governance," European Journal of Political Theory 3, no. 3 (2004), pp. 315-37;
40. Ian Shapiro, The State of Democratic Theory (Princeton: Princeton University Press, 2003), chapter 2;
41. Michael Walzer, Politics and Passion: Toward a More Egalitarian Liberalism (New Haven: Yale University, 2004), chapter 5;
42. and Canadian Policy Research Network, CPRN and Deliberative Dialogue: A Primer (Ottawa: CPRN, 2005).
43. See, as examples, Canadian Institutes of Health Research, "The Institute of Cancer Research," at http://www.cihr-irsc.gc.ca; Cancer Care Ontario, Targeting Cancer: An Action Plan for Cancer Prevention and Detection, Cancer 2020 Background Report (Toronto: Cancer Care Ontario, 2003);
44. and the Canadian Association of Provincial Cancer Agencies, "About the CAPCA," at http://www.capca.ca.
45. For a somewhat different, though not contradictory, view on recent health care politics as expressed in and through intergovernmental relations, see Duane Adams, ed., Federalism, Democracy and Health Policy in Canada (Montreal and Kingston: McGill-Queen's University Press, 2001).
46. Simeon and Cameron, "Intergovernmental Relations and Democracy," pp. 291-92.
47. Redden, Health Care, Entitlement and Citizenship;
48. Romanow, Building on Values.
49. The Hon. James M. Flaherty, minister of finance, The Budget Speech 2006, Focusing on Priorities (Ottawa: Department of Finance, May 2, 2006), p. 19.
50. Adams, Federalism, Democracy and Health Policy in Canada;
51. Bohman and Rehg, Deliberative Democracy; and Bakvis, Baier, and Brown, "Executive Federalism, the Democratic Deficit, and Parliamentary Reform." For further information on democratic dialogue strategies, see the interactive website created by the Institute of Public Administration of Canada at www.quantumgovernance.ca.