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Health care reform has become one of the most prevalent topics in recent policy discourse within and across nations. In the 1990s, common features of the health care arena elevated the importance of bargaining relationships among large, sophisticated entities as the dominant mode of decision-making, fundamentally challenging the traditional dominance of the medical profession, which had been grounded in individualized "agency" relationships between providers and patients. These developments have played out in varying ways around the globe. Carolyn Hughes Tuohy looks at the experiences of the...

Scrutinizing various public policy issues through the prism of Canada's sesquicentennial, contributors consider the transformation of policy and present an accessible portrait of how the Canadian view of policymaking has been reshaped, and where it may be heading in the next fifty years.

Regional resource disparities and the tensions they generate are a perennial Canadian topic. This edition of Canada: The State of the Federation presents essays on regions, resources, and the resiliency of the Canadian federal system. Contributors consider questions such as: to what extent do Canada s natural resource industries benefit the Canadian economy? Do Canada s federal institutions hinder or promote the ability of the economy to respond to global economic shifts? Do current intergovernmental structures allow for constructive dialogue about national policy issues? In responding to...