Government Spending

Less Ottawa, More Province, 2021: How Decentralized Federalism is Key to Health Care Reform is a new study that examines two of the most important ongoing public policy challenges facing Canada: the deterioration of government finances, and the comparative underperformance of our health care system. Fundamental reform of Canada’s health care system can be achieved by replicating changes made by the Chretien government in the 1990s when Ottawa removed strings to federal funding for welfare, providing the provinces with more autonomy and flexibility.