The Politics Of Health In The Canadian Welfare State

The first book to discuss the Canadian welfare state through a health-focused lens, The Politics of Health in the Canadian Welfare State argues that the nature of Canada’s liberal welfare state shapes the health care system, the social determinants of health, and the health of all Canadians. Documenting decades of work on the social determinants of health, authors Toba Bryant and Dennis Raphael explore topics such as power and influence in Canadian society, socially and economically marginalized populations, and approaches to promoting health. Each chapter examines different aspects of the links between public policy, health, and the welfare state, investigating how broader societal structures and processes of the country’s economic and political systems shape living and working conditions and, inevitably, the overall health of Canadians. Contextualizing the history and status of Canadian health and health care systems with Canada’s welfare state, this concise and timely text is well suited as a supplementary resource for health studies, sociology of health, and nursing courses in universities across Canada.

-- Boston Book Review

No one is content with the state of health and social programs in Canada today. The Right thinks that there is too much government involvement, and the Left thinks there is not enough. In Changing Politics of Canadian Social Policy James Rice and Michael Prince track the history of the welfare state from its establishment in the 1940s, through its development in the mid 1970s, to the period of deficit crisis and restraint that followed in the late 1970s and 1980s. Taking a historical perspective, the authors grapple with the politics of social policy in the 1990s. Globalization and the concomitant corporate mobility affect government's ability to regulate the distribution of wealth, while the increasing diversity of the population puts increasingly complex demands on an already overstressed system. Yet in the face of these constraints, the system still endures and is far from irrelevant. Some social programs have been dismantled, but the government has organized and maintained others. Greater democratization of welfare programs and social policy agencies could make the system thrive again. Changing Politics provides the much-needed groundwork for students and policy makers while also proposing real solutions for the future.

Living a long, healthy life is one obvious goal of pretty much all of us. We are told, over and over, to change our “lifestyles” and accept that if we become ill, we have likely brought it on ourselves. Yet, hundreds of studies, over the past four decades, tell the real story: the living and working conditions we experience every day play a determining role in our health. How income and wealth, housing, education and adequate food are distributed, whether or not we are employed, and the working conditions we experience — not medical treatments nor so-called wellness lifestyles — determine whether we stay healthy or become ill. These living and working conditions reflect the social inequalities that are associated with social class, gender, race and other social locations in Canadian society. The third edition of Health and Illness shows how inequitable distribution of the social determinants of health are determined by public policy decisions. Dennis Raphael updates information that connects health and illness to the worsening levels of inequality in Canada – the rich are getting richer and the rest of us are getting sick! This edition also includes a chapter on the social determinants of who got sick and died from COVID-19. The experiences during the COVID-19 pandemic make the clear case that we need to restructure work and living conditions through public policy that more equitably distributes economic resources. It is only through such actions that we will be able to promote the health of Canadians and prevent illness in an effective manner.

The first major reference work of its kind in the social welfare field in Canada, this volume is a selected bibliography of works on Canadian social welfare policy. The entries in Part One treat general aspects of the origins, development, organization, and administration of the welfare state in Canada; included is a section covering basic statistical sources. The entries in Part Two treat particular areas of policy such as unemployment, disabled persons, prisons, child and family welfare, health care, and day care. Also included are an introductory essay reviewing the literature on social welfare policy in Canada, a "User's Guide," several appendices on archival materials, and an extensive chronology of Canadian social welfare legislation both federal and provincial. The volume will increase the accessibility of literature on the welfare state and stimulate increased awareness and further research. It should be of wide interest to students, researchers, librarians, social welfare policy analysts and administrators, and social work practitioners.

Developed within the context of the expansion of the Canadian welfare state in the years following the Great Depression, the present organization of Canadian health care delivery is now in serious need of reform. This book documents the causes and effects of changes made in this century to Canada's health care policy. Particular emphasis is placed on the decades following 1940, the years in which Canada moved away from an individualistic entrepreneurial medical care system, first toward a collectivist biomedical model and then to a social model for health care.

The Politics of the Welfare State provides a thorough, comparative analysis of the welfare states in Canada, Sweden and the US detailing the emergence, growth, and recent unravelling of welfare states as well as the variation among them. Beginning with an overview of major welfare typologiesand models and a detailed account of the welfare states in the three nations, the book moves on to cover the central theoretical approaches to welfare state analysis. The text concludes with a discussion of recent developments, which have transpired in the current era of globalization.