Romanow Papers: The fiscal sustainability of health care in Canada

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University of Toronto Press, Jan 1, 2004 - Political Science - 422 pages

The Fiscal Sustainability of Health Care - the first of a three-volume set of selected papers from the Romanow Commission - comprises the most influential discussion papers on the fiscal sustainability of public health care in the future. The subjects covered include the current and potential cost drivers of the system, the financing and delivery of health care, fiscal federalism, and international trade regimes. While some of the contributors are among Canada's best known and respected figures in the field, others are relatively new scholars from Canada and abroad who bring fresh perspectives and new insights to the issue of fiscal sustainability.

Presenting divergent diagnoses and policy prescriptions, the papers collectively highlight the many factors that governments and health care sector managers must confront to keep the Canadian health care system viable in the 21st century.


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Technological Change as a CostDriver in Health Care
How an Ageing Population Will Affect Health Care
Medical Malpractice the Common Law and HealthCare Reform
Section 7 of the Charter and HealthCare Spending
Options Consequences and Objectives
Public NotforProfit or Private?
Increasing Provincial Revenues for Health Care
The Changing Political and Economic Environment of Health Care
Paying to Play? Government Financing and Agenda Setting
International Trade Agreements and Canadian Health Care
The Effects of International Trade Agreements and Options

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About the author (2004)

Gregory P. Marchildon is a Canada Research Chair in Public Policy and Economic History and professor in the Faculty of Administration at the University of Regina. Tom McIntosh is an assistant professor in the Department of Political Science, and Research Faculty at the Saskatchewan Population Health and Evaluation Research Branch, University of Regina. Pierre-Gerlier Forest is an associate professor in the Department of Political Science at Universit Laval.

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