The Politics of Health in the Canadian Welfare State


Book Description

The first book to discuss the Canadian welfare state through a health-focused lens, The Politics of Health in the Canadian Welfare State argues that the nature of Canada’s liberal welfare state shapes the health care system, the social determinants of health, and the health of all Canadians. Documenting decades of work on the social determinants of health, authors Toba Bryant and Dennis Raphael explore topics such as power and influence in Canadian society, socially and economically marginalized populations, and approaches to promoting health. Each chapter examines different aspects of the links between public policy, health, and the welfare state, investigating how broader societal structures and processes of the country’s economic and political systems shape living and working conditions and, inevitably, the overall health of Canadians. Contextualizing the history and status of Canadian health and health care systems with Canada’s welfare state, this concise and timely text is well suited as a supplementary resource for health studies, sociology of health, and nursing courses in universities across Canada.




Realignments in the Welfare State


Book Description

-- Boston Book Review




The Welfare State in Canada


Book Description

The first major reference work of its kind in the social welfare field in Canada, this volume is a selected bibliography of works on Canadian social welfare policy. The entries in Part One treat general aspects of the origins, development, organization, and administration of the welfare state in Canada; included is a section covering basic statistical sources. The entries in Part Two treat particular areas of policy such as unemployment, disabled persons, prisons, child and family welfare, health care, and day care. Also included are an introductory essay reviewing the literature on social welfare policy in Canada, a "User's Guide," several appendices on archival materials, and an extensive chronology of Canadian social welfare legislation both federal and provincial. The volume will increase the accessibility of literature on the welfare state and stimulate increased awareness and further research. It should be of wide interest to students, researchers, librarians, social welfare policy analysts and administrators, and social work practitioners.




Welfare State and Canadian Federalism


Book Description

The first edition of The Welfare State and Canadian Federalism focused on the impact of federalism on social policy during a period of economic growth and expanding social expenditures. The revised edition extends the analysis by asking how the federal syatem has shaped the social policy response to neo-conservatism, recession, and restraint. It analyses policy trends in detail; examines the implications of constitutional changes, including the Charter; and highlights the continuing role of federalism.




The Shadow Welfare State


Book Description

Why, in the recent campaigns for universal health care, did organized labor maintain its support of employer-mandated insurance? Did labor's weakened condition prevent it from endorsing national health insurance? Marie Gottschalk demonstrates here that the unions' surprising stance was a consequence of the peculiarly private nature of social policy in the United States. Her book combines a much-needed account of labor's important role in determining health care policy with a bold and incisive analysis of the American welfare state. Gottschalk stresses that, in the United States, the social welfare system is anchored in the private sector but backed by government policy. As a result, the private sector is a key political battlefield where business, labor, the state, and employees hotly contest matters such as health care. She maintains that the shadow welfare state of job-based benefits shaped the manner in which labor defined its policy interests and strategies. As evidence, Gottschalk examines the influence of the Taft-Hartley health and welfare funds, the Employee Retirement Income Security Act (E.R.I.S.A.), and experience-rated health insurance, showing how they constrained labor from supporting universal health care. Labor, Gottschalk asserts, missed an important opportunity to develop a broader progressive agenda. She challenges the movement to establish a position on health care that addresses the growing ranks of Americans without insurance, the restructuring of the U.S. economy, and the political travails of the unions themselves.




About Canada: Health and Illness, 3rd Edition


Book Description

Living a long, healthy life is one obvious goal of pretty much all of us. We are told, over and over, to change our “lifestyles” and accept that if we become ill, we have likely brought it on ourselves. Yet, hundreds of studies, over the past four decades, tell the real story: the living and working conditions we experience every day play a determining role in our health. How income and wealth, housing, education and adequate food are distributed, whether or not we are employed, and the working conditions we experience — not medical treatments nor so-called wellness lifestyles — determine whether we stay healthy or become ill. These living and working conditions reflect the social inequalities that are associated with social class, gender, race and other social locations in Canadian society. The third edition of Health and Illness shows how inequitable distribution of the social determinants of health are determined by public policy decisions. Dennis Raphael updates information that connects health and illness to the worsening levels of inequality in Canada – the rich are getting richer and the rest of us are getting sick! This edition also includes a chapter on the social determinants of who got sick and died from COVID-19. The experiences during the COVID-19 pandemic make the clear case that we need to restructure work and living conditions through public policy that more equitably distributes economic resources. It is only through such actions that we will be able to promote the health of Canadians and prevent illness in an effective manner.




Continuities and Discontinuities


Book Description

Continuities and Discontinuities assesses the making of Canadian social and labour market policy in the context of two factors—globalization and neoconservatism. Specialists from a variety of fields and disciplines examine the relation between Canada's changing political economy and its social welfare and labour market policy. These essays analysing continuities and discontinuities in policy emerged from research that initially was presented at the 5th Conference on Social Welfare Policy held at Bishop's University in 1991, and that since then has been revised to reflect the situation of the mid-1990s. Part I introduces the three broad areas explored in the volume. Part II addresses new trends in Canadian political economy and their relation to public policy. Part III analyses social welfare policy. Of the essays included, several investigate the democratizing of the Canadian welfare state and controversies in the conception and definition of poverty. Others address the AIDS crisis, health policy, and social policy issues that primarily affect women, children, and native peoples. In Part IV recent Canadian labour market policies are investigated and appraised, and alternatives suggested or evaluated. One essay argues that employment security and high wages could generate high productivity and international competitiveness; another examines the impact of the growth in part-time employment on the welfare state; a third probes the relation of organized labour to a guaranteed annual income; others investigate the impact of neoconservatism on labour market policy-making in various provinces and regions. Globalization and neoconservatism continue to shape change and require constant evaluation. These thought-provoking and informative essays are an important contribution to the ongoing debate on social welfare and labour market policy in Canada.




Health Policy in Transition


Book Description

Examines how to contain rising costs of health care and looks at the welfare state in advanced democracies. Probes into the prospective payment system and addresses the politics of health policy in the U.S. Finally, focuses on prevention (policy measure) and explains the rediscovery of market principles and solutions in law and policy.




Changing Politics of Canadian Social Policy


Book Description

No one is content with the state of health and social programs in Canada today. The Right thinks that there is too much government involvement, and the Left thinks there is not enough. In Changing Politics of Canadian Social Policy James Rice and Michael Prince track the history of the welfare state from its establishment in the 1940s, through its development in the mid 1970s, to the period of deficit crisis and restraint that followed in the late 1970s and 1980s. Taking a historical perspective, the authors grapple with the politics of social policy in the 1990s. Globalization and the concomitant corporate mobility affect government's ability to regulate the distribution of wealth, while the increasing diversity of the population puts increasingly complex demands on an already overstressed system. Yet in the face of these constraints, the system still endures and is far from irrelevant. Some social programs have been dismantled, but the government has organized and maintained others. Greater democratization of welfare programs and social policy agencies could make the system thrive again. Changing Politics provides the much-needed groundwork for students and policy makers while also proposing real solutions for the future.




Federalism and the Welfare State in a Multicultural World


Book Description

Until the 1990s social policy played an integrative role in Canada, providing a counter-narrative to claims that federalism and diversity undermine the potential of social policy. Today, however, the Canadian model is under strain, reflecting changes in both the welfare state and the immigration-citizenship-multiculturalism regime. Federalism and the Welfare State in a Multicultural World illustrates that there are clear trends that, if unchecked, may exacerbate rather than overcome important social cleavages. The editors argue that we are at a crucial moment to re-evaluate the role of social policy in a federal state and a multicultural society, and if federalism and diversity challenge traditional models of the nation-building function of social policy, they also open up new pathways for social policy to overcome social divisions. Complacency about, or naive celebration of, the Canadian model is unwarranted, but it is premature to conclude that the model is irredeemably broken, or that all the developments are centrifugal rather than centripetal. Social policy is integral to mitigating divisions of class, region, language, race, and ethnicity, and its underlying values of solidarity and risk-sharing also make it a critical mechanism for nation-building. Whether social policy actually accomplishes these goals is variable and contested. The essays in this volume provide some timely answers.