National standards or territorial autonomy? Public opinion and the politics of fiscal federalism for healthcare in Canada

Borwein, Sophie; Jacques, Olivier; Béland, Daniel; Lecours, André

doi:10.1080/21622671.2023.2196303

Cited by 5 publications

(1 citation statement)

References 31 publications

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“…Both factors are related to preferences for imposing federal conditions to healthcare transfers, thereby confirming hypotheses 4a and 4b. As shown in other studies (Borwein et al, 2023), the left is more likely to prefer conditional transfers than the right. Hence, crisis perception is higher among left‐wing respondents, who also tend to prefer centralization and to impose conditions on provinces, which they possibly perceive as poor managers of the healthcare system.…”

Section: Discussionsupporting

confidence: 70%

Who's to blame for the crisis of the healthcare system?

Jacques,

Perrot

2024

Can Public Adm

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Using an original survey, we probe Canadians' evaluation of the performance of their healthcare system and their attribution of the blame for the system's problems. We show that more vulnerable and left‐wing respondents are more likely to believe that the system is in crisis. In turn, respondents having negative performance evaluations are more likely to blame poor provincial organization rather than insufficient federal funding. Perceiving that the system is in crisis and that poor organization is the main problem are associated with support for the imposition of national standards by the federal government as a condition for additional healthcare transfers.

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Section: Discussionsupporting

confidence: 70%

Who's to blame for the crisis of the healthcare system?

Jacques,

Perrot

2024

Can Public Adm

Self Cite

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Between Decentralization and Asymmetry: Explaining Preferences toward the Division of Power in Canada

Chassé,

Jacques,

Scott

2024

Publius: The Journal of Federalism

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In most federations, the division of power between central and subnational governments represents an important cleavage dividing voters and structuring party systems. Yet we lack a robust body of research regarding individuals’ preferences for different forms of devolved decision-making such as decentralization and asymmetrical federalism. This article contributes to this research agenda by analyzing the effects of identity and grievances on public opinion toward the division of powers in Canada. Leveraging four waves of the Confederation of Tomorrow survey, we find that respondents who identify predominantly with their province are more likely to prefer decentralization and asymmetrical federalism, whereas those who hold grievances against the federation prefer decentralization. Studying provincial variations in the impact of our main variables, we point to the role of the political context by showing that in certain provinces, the political mobilization of grievances strengthens the relationship between provincial identity and support for decentralization.

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Les préférences des Québécois envers la redistribution : l'exception canadienne?

Déry,

Jacques,

Dinan

2024

Canadian Public Policy

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Est-ce que le modèle québécois de politiques sociales reflète une opinion publique plus favorable aux services publics et à la redistribution de la richesse? Pour répondre à cette question, les auteurs utilisent trois séries de sondages portant sur deux questions centrales dans l’étude comparée des préférences des citoyens à l’État-providence : l'appui à la redistribution du revenu (1986 à 2021) et les préférences quant à la taille des services publics (2019 à 2023). Dans ces trois séries de sondages, ils observent un appui significativement plus élevé envers la redistribution et les services publics chez les répondants québécois que chez les répondants des autres provinces, bien que les répondants des provinces de l'Atlantique affichent aussi un appui élevé. Les électeurs conservateurs et les citoyens plus aisés sont significativement moins en faveur des services publics et de la redistribution hors du Québec.

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National standards or territorial autonomy? Public opinion and the politics of fiscal federalism for healthcare in Canada

Cited by 5 publications

References 31 publications

Who's to blame for the crisis of the healthcare system?

Who's to blame for the crisis of the healthcare system?

Between Decentralization and Asymmetry: Explaining Preferences toward the Division of Power in Canada

Les préférences des Québécois envers la redistribution : l'exception canadienne?

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