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Less Ottawa, More Province, 2021: How Decentralized Federalism Is Key to Health Care Reform

Chretien-era reductions in federal welfare regulations provide a blueprint for health-care reforms


VANCOUVER—Fundamental reform of Canada’s health care system needs to start with replicating changes made in the 1990s when Ottawa removed strings to federal funding for welfare to provide the provinces with more autonomy and flexibility, finds a new study released today by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank. “COVID-19 has exacerbated 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,” said Ben Eisen, senior fellow at the Fraser Institute and co-author of Less Ottawa, More Province, 2021: How Decentralized Federalism Is Key to Health Care Reform.
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