The Federal Government Should Have Greater Authority On...

This paper will discuss the prevailing Canadian debate of whether the federal government should have greater authority on administering health care. Essentially, Canada’s health care program referred to as Medicare, is administered by the provinces while regulated by the federal government through the Canada Health Act of 1984. One side of the debate, using the political theory of pluralism, argues against federal leadership and instead emphasizes for provincial authority on matters of health care since Canada is inherently composed of individuals with differing interests and values. Through a decentralized framework, each province will be able to implement efficient health services that will meet the demands of its citizens. Their†¦show more content†¦The political elites also acknowledged that it would be in their best interests to respond to group demands. Barker’s second contention states that provinces can provide the best quality health care according to their demographics and socioeconomic factors. For example, Saskatchewan primarily utilizes its federal grants for a community-based approach of providing health care such rehabilitation services while Ontario primarily invests in effective hospital care. Through a pluralist approach, Barker argues that various interest groups exist that want to play a role in the decision making of national programs to meet their own needs and therefore diversities can be best accommodated when provinces lead social programs. However, an institutionalist approach can critique the pluralist contentions made by Barker. Regarding his legal contention, it can be argued that the distribution of power on health care depicted in the constitution is outdated since there were vast divisions between English and French physicians as well as differing health and religious practices during the 1800s. 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