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list price: $29.99
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category: Law
published: May 2020
ISBN:9780776628097

Is Two-Tier Health Care the Future?

contributions by Martha Jackman; Bridget Johnston; Achim Schmid; Amélie Quesnel-Vallée; Rachel McKay; Vanessa Gruben; Lorraine Frisina Doetter; Danielle Dawson; Stephen Thomas; Sara Allin; Bryan Thoma; Aurélie Pierre; Zeynep Or; Jonathan Mullen; Fiona McDonald; David Rudoler; Gregory Marchildon; Jeremiah Hurley; Sara Burke; Noushon Farmanara; Stephen Duckett; Rikke Siersbaek; Carolyn Tuohy; Sarah Barry, edited by Colleen Flood & Bryan Thomas

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medical law & legislation
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list price: $29.99
edition:eBook
also available: Paperback
category: Law
published: May 2020
ISBN:9780776628097
Description

Cet ouvrage fait l’analyse des expériences canadienne, australienne, irlandaise, française et d’ailleurs en matière de réglementation de soins de santé à deux vitesses afin d’en tirer des options en matière de politiques publiques qui pourraient être mises en place advenant que la contestation constitutionnelle actuelle du système des soins de santé ait gain de cause.

Le Canada fait souvent bande à part dans la mesure où il limite sévèrement l’injection de fonds privés dans les services publics de soins de santé. Or, une contestation constitutionnelle des lois qui protègent ces services publics est présentement en cours. Si les cliniques privées et les médecins réussissent à avoir gain de cause et à faire abolir les lois qui protègent ces services publics, les décideurs auront très peu de temps pour élaborer de nouvelles lois et politiques qui protégeront le système canadien d’une privatisation poussée.

Les collaborateurs à ce volume sont experts en droit, en économie, en histoire, en médecine, en sociologie, en science politique et en politique publique. Une analyse qui fait appel à ces disciplines permettrait de mieux déterminer la meilleure façon de réglementer un système de soins à deux vitesses.

Parmi les sujets abordés, nommons l’histoire du financement privé des soins de santé canadiens, une analyse des défis historiques et de la contestation constitutionnelle actuelle auxquels sont confrontés les soins de santé, l’analyse de la réglementation des systèmes à deux vitesse en Australie, en Irlande et en France, et les leçons retenues pour le Canada, le modèle économique d’un système de financement parallèle, les liens entre l’inégalité croissante et la demande accrue pour des assurances privées, les questions éthiques liées au resquillage, les soins à domicile à deux vitesse au Canada, l’autoréglementation en tant que moyen de réglementer les soins à deux vitesse, l’utilisation de contrats de médecins pour limiter les soins à deux vitesse, et la synthèse des options juridiques et en matière de politiques publiques pour réglementer les soins à deux vitesses au Canada. Les thématiques reprises tout au long des chapitres multidisciplinaires sont présentées dans l’introduction puis ramenées en conclusion pour offrir une compréhension approfondie des enjeux de ce grand débat sur l’avenir des soins de santé.

Ce livre est publié en anglais. 

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Canadians are deeply worried about wait times for health and this book explores whether or not two-tier health care is a solution.

Entrepreneurial doctors and private clinics are bringing Charter challenges to existing laws restrictive of a two-tier system. They argue (wrongly in our view) that Canada is an outlier amongst developed countries in limiting options to jump the queue. 

In this book, leading researchers explore the public and private mix in Canada and within countries such as Australia, Germany, France and Ireland. We explain the history and complexity of interactions between public and private funding of health care. We also explain the many regulations and policies found in different countries used to both inhibit and sometimes to encourage two-tier care (for example, tax breaks). If a Canadian court strikes down laws restrictive of two-tier, Canadian governments can (i) permit and even encourage two-tier care to grow; (ii) pass new regulations that allow a small measure of two-tier care; or (iii) take positive steps to eliminate wait times in Canadian health care, and thereby reduce demand for two-tier care. We argue for option three as the best means to ensure Canadian principles of equity in access, ensure timely care, and fend off constitutional challenges.

This work is critical not only for court challenges but also for Canadian governments who need the best evidence possible about different approaches to regulating two-tier care if they are forced by a court to revisit existing laws as a result of a successful Charter challenge.

This book is published in English. 

About the Authors
Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
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Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Martha Jackman is a professor in the faculty of law at the University of Ottawa and co-director (academic) of the SSHRC-CURA research project “Reconceiving Human Rights Practice.”
Author profile page >

Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.
Author profile page >

Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.
Author profile page >

Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.
Author profile page >

Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.
Author profile page >

Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.
Author profile page >

Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.
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Bryan Thomas is Senior Research Fellow with the Centre for Health Law, Policy and Ethics and Adjunct Professor with the Faculty of Law, University of Ottawa. His research spans a wide range of topics including Canadian and comparative health law and policy, health rights litigation, long-term care, global health law, and the role of religious argument in legal and political discourse.
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Bryan Thomas is Senior Research Fellow with the Centre for Health Law, Policy and Ethics and Adjunct Professor with the Faculty of Law, University of Ottawa. His research spans a wide range of topics including Canadian and comparative health law and policy, health rights litigation, long-term care, global health law, and the role of religious argument in legal and political discourse.
Author profile page >

Bryan Thomas is Senior Research Fellow with the Centre for Health Law, Policy and Ethics and Adjunct Professor with the Faculty of Law, University of Ottawa. His research spans a wide range of topics including Canadian and comparative health law and policy, health rights litigation, long-term care, global health law, and the role of religious argument in legal and political discourse.
Author profile page >
Contributor Notes

Colleen M. Flood FRSC is a University of Ottawa Research Chair in Health Law & Policy and inaugural director of the Ottawa Centre for Health Law, Policy and Ethics.  From 2017-2018 she served as Associate Vice-President Research at the University of Ottawa. From 2000-2015 she was a Professor and Canada Research Chair at the Faculty of Law, University of Toronto with cross-appointments to the School of Public Policy and the Institute of Health Policy, Management & Evaluation. From 2006-2011 she served as a Scientific Director of the Institute for Health Services and Policy Research, one of the Canadian Institutes of Health Research.  

 

Bryan Thomas is Senior Research Fellow with the Centre for Health Law, Policy and Ethics and Adjunct Professor with the Faculty of Law, University of Ottawa.  His research spans a wide range of topics including Canadian and comparative health law and policy, health rights litigation, long-term care, global health law, and the role of religious argument in legal and political discourse.  Dr. Thomas holds an SJD from University of Toronto and a Master’s degree in Philosophy from Dalhousie.

 

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