Policies are created to serve a perceived need. However, policy development
takes place in the real world, with stakeholder groups and other influences at
play. Policy makers and bureaucrats therefore face many challenges as they seek
policy solutions to genuine problems. This, in turn, usually affects different
groups and institutions in various ways. Policy is made within a number of
The social environment
and expectations thereof – cultural, ethnic and religious.
environment – climate and natural resources.
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environment – economic stability, industry and business, wealth or poverty, and
environment – political parties, government structures, ideologies, interests
and lobbying, and issues of the day.
Discuss the development
of the Canadian health care system, and identify the settings that you believe
influenced it the most. Describe how they influenced the development of the
system we have today.
In 2001 and 2002, the federal government and a number of provincial governments
established committees or task forces to review health care and make
recommendations for reform. This move clearly indicated that there were issues
across the country in health care policy and delivery. Reviews were conducted
in Saskatchewan and Alberta, and by two committees/commissions at the federal
level. What were the common issues identified by these review bodies? Which
issues differed amongst the review bodies? What action, if any, has been taken
based on the recommendations? Can you think of any fundamental difference
between the federal and provincial reports? Do you consider the creation of
review bodies—which has occurred in Canada numerous times—to be a worthy endeavour?