title: Health care, federalism and the new Social Union.
abstract: The Social Union framework agreement and the Health Accord provide examples of the close relationship that exists between federalism and the delivery of health care. These recent agreements represent a move from a federal-unilateral style of federalism to a more collaborative model. This shift will potentially affect federal funding for health care, interpretation of the Canada Health Act and the development of new health care initiatives. The primary advantage of the new collaborative model is protection of jurisdictional autonomy. Its primary disadvantages are blurring of accountability and potential for exclusion of the public from decision-making.
authors.affiliation: Department of Medicine, University of Ottawa, Ont. kwilson@lri.ca
authors.forename: K
authors.initials: K
authors.lastname: Wilson
mesh_terms: D002170:Canada; D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration* / Q000639:trends; D011056:Political Systems; D011632:Public Assistance / Q000458:organization & administration*; D011049:Social Control Policies