The political economy of decentralization of health and social services in Canada.
A trend to decentralization in Canada's 'welfare state' has received support from the Left and from the Right. Some social critics of the Left expect decentralization to result in holistic services adjusted to local needs. Others, moreover, feel we are in the dawn of a new epoch in which major economic transformations are to bring about, through new class alliances and conflict, decentralization of power and a better quality of life in communities. These assumptions and their theoretical pitfalls are discussed here following an historical overview of the centralization/decentralization issue in Canadian social policy. It is argued that recent proposals of decentralization are a continuation of reactionary tendencies to constrain social expenditures, but not a path to better quality of life.
D002170:Canada; D006076:Government; D006291:Health Policy / Q000639:trends*; D007348:Insurance, Health / Q000458:organization & administration*; D009313:National Health Programs / Q000458:organization & administration*; D011332:Privatization / Q000639:trends; D012946:Social Welfare / Q000639:trends; D012959:Socioeconomic Factors