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Canada Health Act Canada Health Act
CANADA HEALTH ACT CANADA HEALTH CANADA HEALTH ACT Public Administration Public Administration Accessibility Accessibility Universality Universality ANNUAL REPORT Comprehensiveness Comprehensiveness 2014–2015 Portability Portability ANNUAL 2014 REPORT 2015 Health Canada is the federal department responsible for helping the people of Canada maintain and improve their health. Health Canada is committed to improving the lives of all of Canada’s people and to making this country’s population among the healthiest in the world as measured by longevity, lifestyle and effective use of the public health care system. Published by authority of the Minister of Health. Canada Health Act – Annual Report 2014–2015 is available on Internet at the following address: http://www.hc-sc.gc.ca/hcs-sss/pubs/cha-lcs/index-eng.php Également disponible en français sous le titre: Loi canadienne sur la santé – Rapport Annuel 2014-2015 This publication can be made available on request on diskette, large print, audio-cassette and braille. For further information or to obtain additional copies, please contact: Health Canada Address Locator 0900C2 Ottawa, Ontario K1A 0K9 Telephone: (613) 957-2991 Toll free: 1-866-225-0709 Fax: (613) 941-5366 © Her Majesty the Queen in Right of Canada, represented by the Minister of Health of Canada, 2015 All rights reserved. No part of this information (publication or product) may be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, or stored in a retrieval system, without prior written permission of the Minister of Public Works and Government Services Canada, Ottawa, Ontario K1A 0S5 or [email protected] HC Pub: 150140 Cat.: H1-4E-PDF ISBN:1497-9144 ACKNOWLEDGEMENTS Health Canada would like to acknowledge the work and effort that went into producing this Annual Report. -
Paying for Canada
Paying for Canada by Sherri Torjman January 2014 Paying for Canada by Sherri Torjman January 2014 Copyright © 2014 by The Caledon Institute of Social Policy ISBN 1-55382-614-0 Published by: Caledon Institute of Social Policy 1354 Wellington Street West, 3rd Floor Ottawa, ON K1Y 3C3 CANADA Tel./Fax: (613) 729-3340 E-mail: [email protected] Website: www.caledoninst.org Twitter: @CaledonINST Table of Contents The expenditure side of the equation 1 Transfers to Canadians and to governments 1 Table 1 2 Three major fiscal transfers 4 a. Canada Health Transfer 5 b. Canada Social Transfer 7 c. Equalization 8 Conclusion 10 References 11 The expenditure side of the equation Discussions about financing in Canada often focus on the revenue side of the equation. Federal revenues derive primarily from various sources of taxation including income tax, sales tax, payroll taxes (also known as payroll contributions) and corporate tax. The levels and mix of these taxes always seem to spark spirited conversations within and outside government. Both the volume and rhetoric heat up as elections draw near. This report does not deal with the revenue side of the ledger. It is not about how money comes into the government and how Ottawa uses the personal income tax system to deliver income benefits – the latter a crucial subject about which Caledon has written in previous reports. We have argued for a progressive income tax system, the removal or refundability of ‘boutique’ tax credits that favour the well-off and restoration of the two-percentage point cut in the Goods and Services Tax (GST) [Battle and Torjman 2011; Battle, Torjman and Mendelson 2011]. -
Federalism and Health Care in Canada: a Troubled Romance?
Schulich School of Law, Dalhousie University Schulich Law Scholars Research Papers, Working Papers, Conference Papers Faculty Scholarship 6-1-2017 Federalism and Health Care in Canada: A Troubled Romance? University of Ottawa Law RPS Submitter University of Ottawa - Common Law Section, [email protected] Colleen M. M. Flood University of Ottawa - Common Law Section, [email protected] Bryan P. Thomas University of Toronto - Faculty of Law, [email protected] William Lahey Dalhousie University, [email protected] Follow this and additional works at: https://digitalcommons.schulichlaw.dal.ca/working_papers Recommended Citation RPS Submitter, University of Ottawa Law; Flood, Colleen M. M.; Thomas, Bryan P.; and Lahey, William, "Federalism and Health Care in Canada: A Troubled Romance?" (2017). Research Papers, Working Papers, Conference Papers. 17. https://digitalcommons.schulichlaw.dal.ca/working_papers/17 This Working Paper is brought to you for free and open access by the Faculty Scholarship at Schulich Law Scholars. It has been accepted for inclusion in Research Papers, Working Papers, Conference Papers by an authorized administrator of Schulich Law Scholars. For more information, please contact [email protected]. Federalism and Health Care in Canada: A Troubled Romance? Colleen Flood, William Lahey & Bryan Thomas∗ Forthcoming in The Oxford Handbook of the Canadian Constitution, 2017 DRAFT VERSION – NOT FOR CITATION 1. Introduction Canada’s efforts to offer a modern health care system to its people are shaped, complicated, and in many ways hindered, by interpretations of federal/provincial divisions of power laid out in the Constitution Act, 1867 (the 1867 Act). Given its vintage, the 1867 Act has relatively little to say directly with respect to the health sector, which has since Confederation evolved into an enormously important area of the economy and of government activity. -
Women and the Canada Social Transfer
Women and the Canada Social Transfer: Securing the Social Union Shelagh Day and Gwen Brodsky The research and publication of this study were funded by Status of Women Canada’s Policy Research Fund. This document expresses the views of the authors and does not necessarily represent the official policy of Status of Women Canada or the Government of Canada. March 2007 Status of Women Canada is committed to ensuring that all research produced through the Policy Research Fund adheres to high methodological, ethical and professional standards. Specialists in the field anonymously review each paper and provide comments on: • The accuracy, completeness and timeliness of the information presented; • The extent to which the methodology used and the data collected support the analysis and recommendations; • The original contribution the report would make to existing work on this subject, and its usefulness to equality-seeking organizations, advocacy communities, government policy makers, researchers and other target audiences. Status of Women Canada thanks those who contribute to this peer-review process. Project Manager: Pam Roper and Jo Anne de Lepper, Status of Women Canada Publishing and Translation Co-ordinator: Cathy Hallessey, Status of Women Canada Editing and Layout: PMF Editorial Services Inc. / PMF Services de rédaction inc. For more information, contact: Research Directorate Status of Women Canada 123 Slater Street, 10th floor Ottawa, Ontario K1P 1H9 Telephone: (613) 995-7835 Facsimile: (613) 957-3359 TDD: (613) 996-1322 TABLE OF CONTENTS -
Reforming Equalization: Balancing Efficiency, Entitlement and Ownership†
Volume 7 • Issue 22 • September 2014 REFORMING EQUALIZATION: BALANCING EFFICIENCY, ENTITLEMENT AND OWNERSHIP† Bev Dahlby Distinguished Fellow, The School of Public Policy and Professor, Department of Economics, University of Calgary SUMMARY In this paper, we provide an overview of the equalization grant system in Canada and the issues that have been raised concerning the reform of the fiscal transfer system. Any reforms to the equalization grant system have to balance three concerns — “efficiency” effects that arise through federal financing of transfers, and the incentive effects on provincial fiscal policies, “entitlement” to reasonably comparable public services at reasonably comparable levels of taxation, and “ownership” of resources and independence of fiscal policies by provincial governments. Five proposals for reform of the equalization system are discussed. With regard to the inclusion rate for resource revenues in equalization formula, we argue that the rate should be reduced from 50 per cent to 25 per cent and that ceiling on total equalization payments should be eliminated. We argue against the proposal to exempt from the calculation of equalization entitlements that are deposited in provincial sovereign wealth funds because this would not reduce total equalization entitlements in present value terms, it would be complex to implement if it extended to all forms of savings by provinces (such as debt reduction), and it would not alter the resource rich provinces’ incentives to save more of their resource revenues. We argue against a proposal to reduce CHT and CST to provinces with above average fiscal capacities because this would reduce their incentive to develop and tax their resources, and it would be counter to the purpose of these block grants, which is to reduce the vertical fiscal imbalance between the federal and the provincial governments. -
Questioning the Legality of Equalization (Fraser Institute Digital
THE FRASER Fraser Institute Digital Publication INSTITUTE December 2006 Questioning the Legality of Equalization Burton H. Kellock, Q.C. and Sylvia LeRoy Executive summary / 1 Introduction / 3 1 Equalization in the Constitution / 4 2 Constitutional division of powers / 9 Conclusion / 19 References / 20 About the authors / 24 Acknowledgments & About this publication / 25 Publishing information / 26 About The Fraser Institute / 27 Questioning the Legality of Equalization Executive summary Questioning the legality of equalization The inclusion of a commitment to equalization in the Constitution Act, 1982 has led politicians, lawyers, economists, and citizens alike to argue that a federal program transferring money from all Canadian citizens to the governments of some “have not” provinces is a constitutional imperative. This argument is based on faulty assumptions about (1) the legal significance of the Constitution’s equalization provisions, and (2) the federal government’s power to fund spending in areas of exclusive jurisdiction. 1 Equalization in the Constitution Scholars considering the legality of equalization have concluded that the commit- ment to “the principle of making equalization payments” included in section 36(2) of the Constitution Act, 1982 lacks the clear legal language needed for judicial review or enforcement. Any court asked to consider the matter would have to be mindful of its duty to interpret the law and leave political matters to Parliament and the legislatures who have the technical expertise, institutional capacity, and democratic mandate to debate them properly. Framers’ intent The non-justiciability of the Constitution’s equalization provisions is supported by the documented intentions of the federal and provincial governments that debated and ultimately agreed to include equalization in the Constitution Act, 1982. -
An Update on Fiscal Transfer Arrangements an Update on Fiscal Transfer Arrangements
Budget Paper D AN UpdaTE ON FISCAL TRANSFER ARRANGEMENTS AN UpdaTE ON FISCAL TRANSFER ARRANGEMENTS CONTENTS THE IMPORTANCE OF TRANSFERS ........................................................................................................................................................... 1 RECENT CHANGES TO MAJOR TRANSFER PROGRAMS ..................................................................................................................... 5 LOOKING FORWARD ..................................................................................................................................................................................... 7 Appendix 1: OTHER TRANSFERS ............................................................................................................................................................... 8 BUDGET 2011 An Update on Fiscal Transfer Arrangements / D1 The legislation governing Canada’s major federal transfer programs will expire on March 31, 2014. Manitoba has begun work with the federal government and the other provinces and territories to renew Canada’s fiscal transfer arrangements. The key objectives of the renewal process must be to develop an approach that provides an adequate and appropriate level of transfers overall and allocates these funds to jurisdictions in a fair and principled manner. n THE IMPORTANCE OF TRANSFERS In 2011/12, the federal government will transfer close to $58 billion, approximately 23% of total federal program expenses, to the provinces and Total Major Federal Transfers, -
Report of Auditor General of Canada—December 2008
2008 Report of the Auditor General of Canada to the House of Commons DECEMBER Chapter 1 A Study of Federal Transfers to Provinces and Territories Office of the Auditor General of Canada The December 2008 Report of the Auditor General of Canada comprises Matters of Special Importance—2008, Main Points—Chapters 1 to 8, Appendices, and eight chapters. The main table of contents for the Report is found at the end of this publication. The Report is available on our website at www.oag-bvg.gc.ca. For copies of the Report or other Office of the Auditor General publications, contact Office of the Auditor General of Canada 240 Sparks Street, Stop 10-1 Ottawa, Ontario K1A 0G6 Telephone: 613-952-0213, ext. 5000, or 1-888-761-5953 Fax: 613-943-5485 Hearing impaired only TTY: 613-954-8042 Email: [email protected] Ce document est également publié en français. © Minister of Public Works and Government Services Canada 2008 Cat. No. FA1-2008/2-1E ISBN 978-1-100-10968-8 Chapter A Study of Federal Transfers to Provinces and Territories Table of Contents Main Points 1 Introduction 3 Focus of the study 3 Observations 5 Four major federal transfers to provinces and territories 5 Evolution of federal support for health and social programs 6 Program-specific transfers to provinces and territories 8 Types of conditions 8 Revisions to the transfer payment policy 11 Federal use of trusts 11 Significance of conditions 16 Imposing conditions is a policy decision 16 Conclusion 17 About the Study 19 Report of the Auditor General of Canada—December 2008 Chapter 1 iii A Study of Federal Transfers to Provinces and Territories Main Points What we examined The federal government uses a number of mechanisms to transfer funds to the provinces and territories for general areas of spending such as health or for specific purposes such as improving infrastructure. -
Equalization: Financing Canadians’ Commitment to Sharing and Social Solidarity
Equalization: Financing Canadians’ Commitment to Sharing and Social Solidarity by Errol Black and Jim Silver ISBN: 0-88627-382-X March 2004 CAW 567 OTTAWA Equalization: Financing Canadians’ Commitment to Sharing and Social Solidarity by Errol Black and Jim Silver March 2004 ISBN: 0-88627-382-X Acknowledgements We are grateful to Elizabeth Beale, Larry Haiven, John Loxley, Todd Scarth and Alisdair Sinclair for their useful comments on earlier drafts of this paper; to Ron Neumann and Rob Balacka of Federal- Provincial Relations and Research, Manitoba Finance, for making data available to us and for helping us to clarify certain technical aspects of the equalization program; to Anne Webb for copy editing and Doug Smith for layout and design of the paper; and to John Jacobs, Director of the Nova Scotia office of the Canadian Centre for Policy Alternatives, and Wayne Antony, Acting Director of the Manitoba office of the CanadianCentre for Policy Alternatives. About the Authors Errol Black is a retired Brandon University Professor of Economics, and a City Councillor in Brandon, Manitoba. Jim Silver is a Professor of Politics at the University of Winnipeg, and Chair of the Canadian Centre for Policy Alternatives-Manitoba. CANADIAN CENTRE FOR POLICY ALTERNATIVES-MB 309-323 Portage Ave. Winnipeg, MB • Canada R3B 2C1 ph: (204) 927-3200 fax: (204) 927-3201 [email protected] www.policyalternatives.ca/mb Table of contents 1. Executive Summary..............................................................................................................1 -
Intergovernmental Fiscal Arrangements in Canada
Institut C.D. HOWE Institute commentary NO. 431 Adaptability, Accountability and Sustainability: Intergovernmental Fiscal Arrangements in Canada Ever-rising federal transfers to provinces weaken accountability and fiscal discipline. Greater provincial reliance on their own revenue sources would strengthen the federation over the long term. William B.P. Robson and Alexandre Laurin The Institute’s Commitment to Quality About The C.D. Howe Institute publications undergo rigorous external review Authors by academics and independent experts drawn from the public and private sectors. William B.P. Robson is President and CEO The Institute’s peer review process ensures the quality, integrity and of the C.D. Howe Institute. objectivity of its policy research. The Institute will not publish any study that, in its view, fails to meet the standards of the review process. Alexandre Laurin The Institute requires that its authors publicly disclose any actual or is Director of Research at potential conflicts of interest of which they are aware. the C.D. Howe Institute. In its mission to educate and foster debate on essential public policy issues, the C.D. Howe Institute provides nonpartisan policy advice to interested parties on a non-exclusive basis. The Institute will not endorse any political party, elected official, candidate for elected office, or interest group. As a registered Canadian charity, the C.D. Howe Institute as a matter of course accepts donations from individuals, private and public organizations, charitable foundations and others, by way of general and project support. The Institute will not accept any donation that stipulates a predetermined result or policy stance or otherwise inhibits its independence, or that of its staff and authors, in pursuing scholarly activities or disseminating research results. -
The Constitution and the Sharing of Wealth in Canada
THE CONSTITUTION AND THE SHARING OF WEALTH IN CANADA PAUL DAVENPORT* I INTRODUCTION The sharing of wealth among the provinces in Canada is one of the central parts of the country's federal system. Canada's provinces differ enormously in size, population, resource wealth, and income per capita, and some form of inter- provincial redistribution of revenues or income is essential to national unity. Moreover, the sharing of wealth has always been in part a constitutional issue in Canada. Sections 118 and 119 of the British North America (BNA) Act of 18671 included a specific statement of subsidies to be paid by the federal government to the provinces, with higher per capita subsidies to the Maritime provinces than to Central Canada.2 In the forty years that followed, the subsidies were continually changed until a 1907 amendment to the BNA Act set down a new scale. 3 The BNA Act also gave the provinces jurisdiction over spending on health, education, and welfare.4 As the importance of these areas of government spending expanded in the twentieth century, so too did the importance of revenue sharing, since the poorer provinces could fairly claim that their own revenue bases were insufficient to permit them to fulfill their constitutional responsibilities in social programs. Thus it is largely for constitutional reasons that the current system of wealth sharing through equalization payments is often called "the glue that holds Confed- '5 eration together." There are two sections of the Constitution Act, 1982, which are of direct impor- tance to the sharing of wealth: Part III, on equalization, and Part VI, on natural resources revenues. -
Fiscal Transfers in Canada
Final, Unalterable (and Up for Negotiation): Federal-Provincial Transfers in Canada Trevor Tombe∗ University of Calgary August 2018 Abstract Federal transfers are a central but ever-changing feature of Canada’s federation. Despite early hopes that transfer arrangements were “a final and unalterable settlement” of provincial demands, complex economic and political pressures forced successive governments to negoti- ate. To explore this history and Canada’s various transfer programs, I compile uniquely detailed data from Confederation to today. Explicit transfers to provincial governments are large, but more equally distributed today than throughout most of Canada’s history. I also propose a uni- form methodology to quantify and analyze both explicit and implicit fiscal transfers. Overall, federal tax and spending activities redistribute just under 2 per cent of Canada’s GDP across provinces; but this too is less than any point in the past six decades. This data, analysis and brief historical review reveal why today’s transfer programs are designed as they are, what pressures they must withstand, and what future reforms might consider. 1 Introduction Federal transfers are essential to Canada’s fiscal landscape, and have been since Confederation. But achieving stable, equitable, and efficient arrangements is difficult. Canada’s original provincial subsidies were “in full settlement of all future demands on Canada,” according to Section 118 of the British North America Act. But as new provinces joined and special arrangements proliferated, the Constitution was amended in 1907 to enlarge the subsidies and to achieve (they thought) “a final and unalterable settlement of the amounts to be paid yearly to the several provinces”.