COVID-19, Federalism, and Health Care Financing in Canada, the United States, and Mexico

Béland, Daniel; Marchildon, Gregory P.; Medrano, Anahely; Rocco, Philip

doi:10.1080/13876988.2020.1848353

Cited by 27 publications

(25 citation statements)

References 17 publications

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“…According to some authors [ 11 ], the pandemic has combined two different types of crisis—health and economic—which together have affected national health systems, and budgetary rebalancing measures are recommended, corroborated by an increase in the degree of collection and an increase in the capacity of the system to generate tax payments, which is the measure of sustainable development of an economic system. The same problem-solution approach is found in their research [ 12 ], which emphasizes the need for fiscal decentralization, reforming the system so that the interaction between economic agents and control bodies involves a novel approach to the taxpayer-state representative relationship.…”

Section: Literature Reviewmentioning

confidence: 99%

Approaches to Health Efficiency across the European Space through the Lens of the Health Budget Effort

Antohi

Ionescu

Zlati

et al. 2022

IJERPH

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In the context of the COVID-19 pandemic, financial resources allocated to the health system have been refocused according to priority 0: fighting the pandemic. The main objective of this research is to identify the vulnerabilities affecting the health budget effort in the EU and in the Member States during the health crisis period. The analysis takes into account relevant statistical indicators both in terms of financial allocation to health and expenditure on health protection of the population in the Member States, with the effect being tracked even during the pandemic period. The novelty of the study is the identification of viable directions of intervention based on the structural determination of expenditures related to measures to combat the pandemic and making proposals for changes in public policies based on the determination of the effectiveness of budget allocations in health in relation to the proposed purpose. The main outcome of the study is the identification of the vulnerabilities and the projection of measures to mitigate them in the medium and long term.

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Section: Literature Reviewmentioning

confidence: 99%

Approaches to Health Efficiency across the European Space through the Lens of the Health Budget Effort

Antohi

Ionescu

Zlati

et al. 2022

IJERPH

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show abstract

“…41 Their fiscal challenges have been amplified by the economic and social dislocations of the pandemic and the problems it has exposed within and beyond Canada's health system. 44 New investment is needed to expand Canada's narrow but deep system of universal healthcare and to invest in building the country forward, for more sustainable social, economic, and environmental ways of operating. 65 Both traditional and more contemporary arguments can be marshalled to suggest that the federal government (and not the provinces) has the spending power to pursue an ambitious, strategic investment agenda.…”

Section: Discussionmentioning

confidence: 99%

“…40,41 Fortunately, the projected federal surplus can more than offset the provincial gap, 41 even without needed reforms to Canada's tax system to make it fairer. 42 Canada is already an international outlier in the limited extent to which the federal government contributes to the expenditures of subnational governments, 43,44 with federal transfers estimated to cover only 23.5% of provincial healthcare expenditures. 43 Correcting this, by increasing federal fiscal transfers to the provinces and territories (as has been demanded by Canada's premiers 45 ), will be an essential element of sustainable government budgets going forward.…”

Section: The Capacity For Investmentmentioning

confidence: 99%

The federal spending power: Building forward after the pandemic

Miller

2021

Healthc Manage Forum

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The phrase, “the federal spending power,” identifies the federal government’s ability to spend in areas beyond its constitutional authority to legislate—a power that has supported the development of a national system of universal healthcare coverage in Canada. Even before the COVID-19 pandemic, this power was critical to the expansion of Canada’s narrow but deep basket of universally covered services. The challenges exposed by the pandemic mean that still more federal investment will be required. Yet for traditionalists, the material basis of this power is now constrained: the federal government may possess the constitutional authority to invest, but it lacks the fiscal capacity; some form of belt tightening—even austerity—will be necessary. As debates over public spending intensify, health leaders will need to address these questions. Depending on how they do so, health leaders will either support or detract from a healthy recovery.

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“…Good or agile leadership is regarded as a valid approach to dealing with pandemics [ 32 , 33 ]. Though political leadership plays an essential role in fighting pandemics [ 34 ], countries’ political and institutional differences shape their emergency responses [ 33 , 34 , 35 , 36 , 37 , 38 ]. Partisan politics also matters [ 39 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Understanding the Evolution of Government Attention in Response to COVID-19 in China: A Topic Modeling Approach

2021

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The effective control over the outbreak of COVID-19 in China showcases a prompt government response, in which, however, the allocation of attention, as an essential parameter, remains obscure. This study is designed to clarify the evolution of the Chinese government’s attention in tackling the pandemic. To this end, 674 policy documents issued by the State Council of China are collected to establish a text corpus, which is then used to extract policy topics by applying the latent dirichlet allocation (LDA) model, a topic modelling approach. It is found that the response policies take different tracks in a four-stage controlling process, and five policy topics are identified as major government attention areas in all stages. Moreover, a topic evolution path is highlighted to show internal relationships between different policy topics. These findings shed light on the Chinese government’s dynamic response to the pandemic and indicate the strength of applying adaptive governance strategies in coping with public health emergencies.

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COVID-19, Federalism, and Health Care Financing in Canada, the United States, and Mexico

Cited by 27 publications

References 17 publications

Approaches to Health Efficiency across the European Space through the Lens of the Health Budget Effort

Approaches to Health Efficiency across the European Space through the Lens of the Health Budget Effort

The federal spending power: Building forward after the pandemic

Understanding the Evolution of Government Attention in Response to COVID-19 in China: A Topic Modeling Approach

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