Comparative Health Care Federalism: 1st Edition (Hardback) book cover

Comparative Health Care Federalism

1st Edition

By Katherine Fierlbeck, Howard A. Palley


326 pages

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Hardback: 9781472432315
pub: 2015-06-03
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Examining the changing nature of health care federalism within a competitive global context, Comparative Health Care Federalism provides a rich and nuanced account of the way in which the interplay of federal relationships impact health care within an array of systems. The editors have gathered together some of the leading international health policy scholars to provide detailed accounts of the dynamics of federal health policy-making within their respective jurisdictions. Complementing the theoretical and methodological objectives, this book provides a detailed, empirical description of the challenges faced by different states and the ways in which health policy-making works within the federal, quasi-federal, and functional federal systems presented. In chapters on the United States, Australia, Canada, Germany, Spain, Italy, Austria, the United Kingdom, the EU, India, China, Brazil, and the Russian Federation the authors consider what variables contribute to, and stand in the way of, the formation of robust and sustainable health care systems.


’In a unique and important contribution to the literature of comparative health policy, this ambitious volume draws together leading country experts and comparativists to address questions of multi-level governance in a range of federal, quasi-federal and functionally-federal states spanning both OECD and BRIC nations, gleaning insights beyond those than can be drawn from studying formal federal systems alone.’ Carolyn Hughes Tuohy, University of Toronto, Canada ’Just like stamp collectors, scholars of comparative health policy like to group health systems by country as it is so much tidier. Yet as this book shows, the concept of a national health system is often meaningless, as sub-national entities adopt increasingly diverse health systems. It is essential reading for anyone seeking to understand the messy reality of all types of federal� states.’ Martin McKee CBE, London School of Hygiene and Tropical Medicine, UK

About the Authors

Katherine Fierlbeck is McCulloch Professor of Political Science at Dalhousie University. She has cross-appointments in International Development Studies and European Studies, and is a member of the European Union Centre of Excellence. Howard A. Palley is Professor Emeritus of Social Policy at the School of Social Work and Distinguished Fellow at the Institute for Human Services Policy at the School of Social Work of the University of Maryland.

About the Series

Federalism Studies

Federalism Studies
The end of the Cold War profoundly altered the dynamics between and within the various states in Europe and the rest of the World, resulting in a resurgence of interest in the concept of federalism. This shift in balance has been further fuelled by the increase in the number of conflicts arising from the disaffection of the diverse ethnic or religious minorities residing within these states (e.g. Sudan, Iraq). Globalization is forcing governments not only to work together, but also to reconsider their internal roles as guarantors of economic growth, with regions playing the major part. Federalism Studies offers academics a complete and in-depth understanding of federalism and intergovernmental relations in historical, theoretical and comparative contexts. Intended to be international and interdisciplinary in scope, the books in the series are designed to build a common framework for the constructive analysis of federalism. Contributions are welcome on topics which explore federalism as a theory; as a political system and as a form of conflict management.

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Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Insurance / Health
POLITICAL SCIENCE / Government / Comparative