Health Care in Federal Systems
How do multilevel health care systems evolve? Do they develop in a similar manner, or are their respective paths of evolution more sui generis? The aim of this article is to compare the way in which Canada and the European Union have attempted to coordinate health policy between their component mult...
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| Format: | Article |
| Language: | English |
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Cogitatio
2023-09-01
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| Series: | Politics and Governance |
| Subjects: | |
| Online Access: | https://www.cogitatiopress.com/politicsandgovernance/article/view/6706 |
| _version_ | 1797672516318134272 |
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| author | Katherine Fierlbeck |
| author_facet | Katherine Fierlbeck |
| author_sort | Katherine Fierlbeck |
| collection | DOAJ |
| description | How do multilevel health care systems evolve? Do they develop in a similar manner, or are their respective paths of evolution more sui generis? The aim of this article is to compare the way in which Canada and the European Union have attempted to coordinate health policy between their component multilevel jurisdictions over time. This article argues that the EU—despite its limited authority over health care—has been better able than Canada to develop a greater capacity for addressing health policy at a supranational level, notwithstanding Canada’s greater federal involvement in financing health care. While the experience of the EU supports the theoretical premises of neofunctionalism (that a certain level of integration will induce even greater integration in other areas, especially in response to crisis), the experience of Canadian health care federalism does not fit that theoretical paradigm. This suggests a limited applicability for neofunctionalist theory across multilevel systems more widely. |
| first_indexed | 2024-03-11T21:31:12Z |
| format | Article |
| id | doaj.art-cd74d9366c5946ddbda8d8c543430425 |
| institution | Directory Open Access Journal |
| issn | 2183-2463 |
| language | English |
| last_indexed | 2024-03-11T21:31:12Z |
| publishDate | 2023-09-01 |
| publisher | Cogitatio |
| record_format | Article |
| series | Politics and Governance |
| spelling | doaj.art-cd74d9366c5946ddbda8d8c5434304252023-09-27T09:07:59ZengCogitatioPolitics and Governance2183-24632023-09-0111328929910.17645/pag.v11i3.67063100Health Care in Federal SystemsKatherine Fierlbeck0Department of Political Science, Dalhousie University, CanadaHow do multilevel health care systems evolve? Do they develop in a similar manner, or are their respective paths of evolution more sui generis? The aim of this article is to compare the way in which Canada and the European Union have attempted to coordinate health policy between their component multilevel jurisdictions over time. This article argues that the EU—despite its limited authority over health care—has been better able than Canada to develop a greater capacity for addressing health policy at a supranational level, notwithstanding Canada’s greater federal involvement in financing health care. While the experience of the EU supports the theoretical premises of neofunctionalism (that a certain level of integration will induce even greater integration in other areas, especially in response to crisis), the experience of Canadian health care federalism does not fit that theoretical paradigm. This suggests a limited applicability for neofunctionalist theory across multilevel systems more widely.https://www.cogitatiopress.com/politicsandgovernance/article/view/6706canadacovid‐19european unionfederalismhealth carehealth policyneofunctionalism |
| spellingShingle | Katherine Fierlbeck Health Care in Federal Systems Politics and Governance canada covid‐19 european union federalism health care health policy neofunctionalism |
| title | Health Care in Federal Systems |
| title_full | Health Care in Federal Systems |
| title_fullStr | Health Care in Federal Systems |
| title_full_unstemmed | Health Care in Federal Systems |
| title_short | Health Care in Federal Systems |
| title_sort | health care in federal systems |
| topic | canada covid‐19 european union federalism health care health policy neofunctionalism |
| url | https://www.cogitatiopress.com/politicsandgovernance/article/view/6706 |
| work_keys_str_mv | AT katherinefierlbeck healthcareinfederalsystems |