One step forward,one step back: Quebec's 2003–04 health and social services regionalization policy

Abstract: This article focuses on Quebec's most recent reform in the regionalization of health care to understand why the government chose to transform the regional boards into agencies. This case study used interviews and documentary analysis. Rooted in a political science perspective, the conceptual framework is inspired by the work of John Kingdon (1995) and draws on the four variables that influence the choice of policy: ideas, interests, institutions and events. Results of the case study suggest that Quebec's Commission of Study for Health and Social Services (the Clair Commission) in 2000 and the 2002 pre-electoral environment put the issue on the agenda. In 2003, the newly elected Liberal government passed Bill 25 – An Act Respecting Local Health and Social Services Network Development Agencies, which represented a political compromise: originally slated for eradication, the regional tier survived but in a new form. The element that sparked reform was the change in government following the elections. Different inquiry reports spread the reform's ideas, while interest groups articulated contrasting visions on the transformation. Above all, regional institutions showed great resilience in the face of change. From a historical perspective, this regionalization policy is a step backward: the regional tier is now stronger from a managerial and technocratic point of view, but it is politically and democratically weakened. This suggests a government intention, at that time, to maintain the regional level as a means of retaining centralized control over Quebec's health-care system.     

The red air force in Italy, 1944: A case study in the formation of British Policy to the Soviet Union in world war II

In March 1944, the Soviets requested permission to base some aircraft in southern Italy. As the area was under Anglo-American control, this raised some significant issues concerning wartime cooperation with the Soviets. Once it was set up, the base (at Bari) was used to send an unannounced mission to the Communist part of the Greek resistance movement. This paper considers the development of British attitudes towards these Soviet activities and demonstrates how the issue throws light on the making of British policy towards the USSR at this time: the conflicting views in different departments concerning the best method of handling the Soviets and the strategic significance of Soviet activities in the Balkans and the Mediterranean.