Many Canadians point to health care as a source of national pride; others are highly critical of the system's shortcomings and call for major reform. Yet meaningful debate cannot occur without an understanding of how the system actually operates. In this overview, Fierlbeck outlines the basic framework of the health care system with reference to specific areas such as administration and governance, public health, human resources, drugs and drug policy, and mental health. She also discusses alternative models in other countries such as Britain, the United States, and France. As health care becomes increasingly complex, it is crucial that Canadians have a solid grasp of the main issues within both the policy and political environments. With its balanced and accessible assessment of the main political and theoretical debates, Health Care in Canada is an essential guide for anyone with a stake in Canada's health system.
Several of the articles in this collection deal with community-based health and long-term care program and policy initiatives that have been facilitated through federal programs such as Medicare, Medicaid and the Older Americans Act. The implementation of some of these community-based programs have significantly influenced social policy thinking regarding the beneficial effects of integrating medical and social aspects of health and long-term care services, as well as the health care team approach to the delivery of health and long-term care services. Another dimension addressed is the impact of interest groups, such as family caregivers, in advancing social policy that supports the efforts of community-based family care givers in providing services to patients in need.
The underlying theme is how such local community programs have contributed in a variety of ways to the development of social policies at the community level that in many ways focus on the integration of health and related long-term care services and a health care team approach to the provision of such services.
The book will be of interest to community development courses in Schools of Social Work and other health professions such as Nursing and Public Health. It will also be of interest to health policy programs in public administration and other social sciences.
This book was published as a special issue of Social Work in Public Health.
The experiences;characterized by Canadian political thought also provide insight and ideas for nations around the world as their citizens struggle with similar questions. The political dynamics of the present are a product of how Canadians have viewed their country, or a vision of their country, in the past. These ideas of Canada, in history and in myth, provide a way of thinking about politics that may provoke and inspire Canadians—and others—to reflect upon their future.