L'assurance-maladie au Canada: les raisons de l'implication de l‘État

Sommaire: Cet article souligne d'abord brièvenient l'importance politique de l'assurance-maladie au Canada, de même que son importance en tant qu'objet de recherche. Á la suite d'un tour d'horizon des principaux champs d'intérêt de la recherche sur les politiques, l'auteur propose de s'attarder plus longriement à la question de savoir pourquoi le Canada s'est doté de programmes d'assurancemaladie. Cette question est abordée par le biais d'une étude comparative d'Anthony King, publiée en 1973, qui attribuait l'absence de programmes universels d'assurance-maladie aux États-Unis à l'influence prépondérante des Idées, c'est-à-dire des valeurs collectives de la nation américaine. Pouvons-nous également expliquer la présence de tels programmes au Canada par cette variable? L'examen du contexte dans lequel chacun des onze gouverneinents impliqués a pris la decision d'implanter un programme d'assurance-maladie perinet d'affirmer que le rôle des Idées a été déterminant pour seulement trois de ceux-ci: le gouvernement fédéral, celui de la Saskatchewan et celui du Québec. La décision du gouvernement fédéral a été fortement influencée par les initiatives britanniques en la matière; la Saskatchewan est intervenue en mison de l'idéologie socialiste de son gouvernement; quant au Québec, il a agi sous l'impulsion dun interventionnisme en rupture avec le passé. Cependant, puisque les huit autres gouvernements en sont venus à croire nécessaire d'offrir de tels programmes à cause des initiatives du gouvernement fédéral et de celui de la Saskatchewan, on peut néanmoins considérer pe la variable des Idées constitue fondanientalement la variable clé qui explique la création de programmes d'assurance-maladie au Canada. Parmi les trois phénomènes d'Idées distingués, c'est l'influence de la Crande-Bretagne qui s'est probahlement avérée la plus importante. Abstract: First of all, this article underlines briefly the political significance of health insurance in Canada. After reviewing the main areas of interest for policy research, the author considers at greater length the reasons why Canada opted in favour of a health insurance plan. This question is introduced through a comparative study by Anthony King, published in 1973. which attributes the absence of a universal health insurance plan in the United States to the preponderont influence of Ideas, which is to say, the collective values of the American nation. Likewise, can we explain the existence of such programs in Canada on the basis of this variable? A study of the context in which each of the eleven governments involved made the decision to set up a health insurance plan shows that Ideas have played a decisive role for only three of them: the federal government, the government of Saskatchewan and the government of Quebec. The federal government's decision had been strongly influenced by the British example; Saskatchewan acted because of the socialist ideology of its government; as to Quebec, it moved under the impulse of an interventionist movement breaking with its tradition. However, since the eight other governments came to believe that they had to offer such programs because of the initiatives of both the federal government and the government of Saskatchewan, one can consider nevertheless that the ideas variable was basically the key to the creation of health insurance programs in Canada. A further examination of the three Ideas phenomena indicates that it is probably Great Britain's influence which has been most important.     

Watchdogs in Our Midst: How Presidents Monitor Coalitions in Brazil's Multiparty Presidential Regime

When delegating governing tasks to a coalition partner, the president would like to give a minister ample administrative powers to be able to effectively accomplish the political mission. Due to information asymmetries, the president runs the risk that this discretion might be used to pursue policy outcomes that may harm the president's preferences. This trade‐off between delegation and control is key to understanding governance strategies the president chooses to minimize agency risks and coordinate public policies. With Brazil as a case study, this article demonstrates that presidents have strategically made frequent use of junior ministers as watchdogs of coalition partners, especially when coalition allies are ideologically distant from the president's preferences. Yet neither the portfolio salience nor the president's decision to share powers with coalition partners proportionally seems to interfere in such strategic decisions.     

Intangible Heritage Lives

<正>Experienced craftsmen share their works of art in downtown Beijing On Beijing’s Qianmen Avenue,hidden between two alleyways a few steps from Tiananmen Square is the small workshop of Yao Huifen.From the outside,you would have a hard time believing that this new and modern-looking shop contains a world of millennial treasures.Yao is a master craftsman of traditional     

Inching Toward Accountability: The Evolution of Brazil's Anticorruption Institutions, 1985–2010

This article analyzes the evolution of the network of Brazilian federal accountability institutions over the course of the past generation, between the transition to democracy and the end of President Luiz Inácio Lula da Silva's second term. Substantively, the article charts the significant gains that have been made in accountability institutions. Theoretically, it evaluates the evolution of these institutions as a consequence of the distribution of rules, routines, roles, and resources across a larger institutional network, demonstrating that changes in the various bureaucratic agencies have mutually reinforced each other and generated autocatalytic processes of reform.     

Legislative production and public spending in France

Public Choice - The aim of this article is to help explain the history of the public spending-to-GDP ratio in France by examining the production of laws and regulations. It empirically finds a...     

Performance management in a benchmarking regime: Quebec's municipal management indicators

We study the occurrence of performance management in a provincially mandated, yet flexible, municipal performance regime in Quebec. Statistical analyses of the determinants of general, management, budgeting and reporting uses of performance information are performed for 321 municipalities. We combined perception data of uses and internal characteristics with archival data on socioeconomic and political characteristics and performance of municipal services. Our results reveal that the propensity of using performance information is not affected by operating in a small municipality or evolving in a hotly disputed political environment. The strongest predictors of performance management are performance and managerial attitudes facing performance measurement.