An Introduction to Canadas Public Social Services: Understanding Income and Health Programs

Paperback | January 1, 1998

byFrank McGilly

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In the mid-1990s, every established social program in Canada was fundamentally reassessed; most were radically changed. Faced with continuing deficits and mounting debts, all the provinces changed the basic structure of their public assistance programs and/or reduced their benefits, and lookedfor ways to cut spending on hospital and medical services. For its part, the federal government revamped unemployment insurance, replaced long-standing universal benefits--Family Allowances and Old Age Security--with programs based on tax expenditures that exclude many above-average-incomeCanadians, and altered the basis (and reduced the scale) of its sharing of the costs of provincial programs. In this revised edition of what has become a standard text, Dr Frank McGilly fits these recent developments into context. He explains how governmental income and health care programs have evolved in response to changes in Canadian society, how they function, and how they are financed andadministered. The author not only analyses how the programs work, but also explores their underlying policy orientations. Topics covered include income programs for seniors and for the unemployed, workers' compensation, public assistance, child and family benefits, hospitalization insurance,medicare, and occupational and community health. Special attention is given to the dynamics of the federal-provincial relationship in social policy. This volume lays the groundwork for an informed critique of social policy in Canada; to provoke such a critique, the strengths and weaknesses of programs, as perceived from various points of view, are assessed. The book concludes with an overview of the challenges facing the Canadian welfarestate on the threshold of the twenty-first century.

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In the mid-1990s, every established social program in Canada was fundamentally reassessed; most were radically changed. Faced with continuing deficits and mounting debts, all the provinces changed the basic structure of their public assistance programs and/or reduced their benefits, and lookedfor ways to cut spending on hospital and me...

Frank McGilly, Formerly in the Faculty of Social Work, McGill University.
Format:PaperbackDimensions:327 pages, 9 × 6 × 0.98 inPublished:January 1, 1998Publisher:Oxford University Press

The following ISBNs are associated with this title:

ISBN - 10:019541232X

ISBN - 13:9780195412321

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Table of Contents

1. General IntroductionOverview and ObjectivesSeven Major ChallengesSocial Welfare and the Canadian System of GovernmentThe Institutions of SocietyThe Underlying Point of ViewBibliographyPart I: Income Programs2. Income: Basic Concepts and IssuesThe Concept of IncomeObjectives of Income ProgramsThe Money Must Come From Somewhere: Taxes, ContributionsBenefits and Eligibility for BenefitsStudy Questions3. Employment InsuranceWhat is Employment Insurance?Background to the Unemployment Insurance Act, 1940 and AfterLegislationCriticismsOther Aspects of the IssueProblems for DiscussionStudy QuestionsBibliography4. Workers' CompensationWhat Is Workers' Compensation?Background to Workers' CompensationLegislationCriticismsOccupational Health and SafetyProblems for DiscussionStudy QuestionsBibliography5. Incomes for Older PeopleThe Nature and Dimensions of the ProblemPublic Transfer Programs for Older PeoplePublic Contributory Pensions: The Canada and Quebec Pension PlansThe Canada/Quebec Pension Plans and Other ProgramsPrivate PensionsThe Jurisdictional Question: Federal or Provincial?Troublesome Issues and Next StepsStudy QuestionsBibliography6. Public Assistance and the Working Poor: Child and Family BenefitsPublic Assistance as Concept and ProgramsPublic Assistance: A Selective Transfer ProgramThe Issue of Incentive to Work: 'Workfare'The Federal-Provincial Relationship in Public AssistancePrograms for the Working Poor: Child and Family BenefitsCriticisms and QuestionsStudy QuestionsBibliographyPart II: Health Care Services7. Hospitalization Insurance in CanadaIntroduction: Sickness, Health and Social PolicyThe Hospital, Health and SocietyA Thematic History of Hospitalization Insurance in CanadaHospitalization Insurance Programs in the ProvincesHospital Services: A Big Budget ItemCriticisms and QuestionsStudy QuestionsBibliography8. Medicine and MedicareThe Background of Medicare in CanadaAn Outline of the History of Medicare in CanadaThe Canadian Medical Care Insurance Act, 1966Medicare in Quebec and ElsewhereThe Limited Potential Benefits of Medical Care: Is It a 'Social Good'?Criticisms and QuestionsStudy QuestionsHospitalization and Medicare LegislationBibliography9. Beyond Hospitals and DoctorsCritiques of What We Have NowThe Green Paper of 1974 and Other CritiquesAlternative Policy #1: Community HealthAlternative Policy #2: Occupational HealthOther Alternatives for Health PolicyLegislationBibliographyPart III: Conclusion10. The New Millennium: Sunset or New Dawn of the Welfare State?OverviewThe Limited Attainment of GoalsChanges in Policy and AdministrationSocial Programs: The Welfare StateAt the Gate of the Twenty-First CenturyBibliographyAppendix A Poverty LinesAppendix B The Redistribution of IncomeAppendix C Federal Sharing in the Costs of Health CareUseful Web SitesIndex