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Is Two-Tier Health Care the Future? - Law, Technology and Media (Paperback)
  • Is Two-Tier Health Care the Future? - Law, Technology and Media (Paperback)
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Is Two-Tier Health Care the Future? - Law, Technology and Media (Paperback)

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Paperback 348 Pages / Published: 26/05/2020
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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.


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Cet ouvrage fait l'analyse des experiences canadienne, australienne, irlandaise, francaise et d'ailleurs en matiere de reglementation de soins de sante a deux vitesses afin d'en tirer des options en matiere de politiques publiques qui pourraient etre mises en place advenant que la contestation constitutionnelle actuelle du systeme des soins de sante ait gain de cause.

Le Canada fait souvent bande a part dans la mesure ou il limite severement l'injection de fonds prives dans les services publics de soins de sante. Or, une contestation constitutionnelle des lois qui protegent ces services publics est presentement en cours. Si les cliniques privees et les medecins reussissent a avoir gain de cause et a faire abolir les lois qui protegent ces services publics, les decideurs auront tres peu de temps pour elaborer de nouvelles lois et politiques qui protegeront le systeme canadien d'une privatisation poussee.

Les collaborateurs a ce volume sont experts en droit, en economie, en histoire, en medecine, en sociologie, en science politique et en politique publique. Une analyse qui fait appel a ces disciplines permettrait de mieux determiner la meilleure facon de reglementer un systeme de soins a deux vitesses.

Parmi les sujets abordes, nommons l'histoire du financement prive des soins de sante canadiens, une analyse des defis historiques et de la contestation constitutionnelle actuelle auxquels sont confrontes les soins de sante, l'analyse de la reglementation des systemes a deux vitesse en Australie, en Irlande et en France, et les lecons retenues pour le Canada, le modele economique d'un systeme de financement parallele, les liens entre l'inegalite croissante et la demande accrue pour des assurances privees, les questions ethiques liees au resquillage, les soins a domicile a deux vitesse au Canada, l'autoreglementation en tant que moyen de reglementer les soins a deux vitesse, l'utilisation de contrats de medecins pour limiter les soins a deux vitesse, et la synthese des options juridiques et en matiere de politiques publiques pour reglementer les soins a deux vitesses au Canada. Les thematiques reprises tout au long des chapitres multidisciplinaires sont presentees dans l'introduction puis ramenees en conclusion pour offrir une comprehension approfondie des enjeux de ce grand debat sur l'avenir des soins de sante.

Ce livre est publie en anglais.

Publisher: University of Ottawa Press
ISBN: 9780776628073
Number of pages: 348
Dimensions: 229 x 152 mm

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