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