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The True North Strong and Free Healthcare? Nationalism and Attitudes Towards Private Healthcare Options in Canada

Published online by Cambridge University Press:  03 November 2014

Yannick Dufresne ,
Sanjay Jeram  and
Alexandre Pelletier
Yannick Dufresne
Affiliation:
University of Toronto
Sanjay Jeram
Affiliation:
Brock University
Alexandre Pelletier
Affiliation:
University of Toronto
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Abstract

This article endeavours to explain why English Canadians and Quebeckers differ in their opinions about private healthcare options. Data indicates that respondents in the nine predominantly English-speaking provinces are more likely to oppose private hospitals than Quebeckers. No one province or region in “English Canada” drives these results: aversion to private hospitals is consistent across the nine provinces. Research on welfare states slots Canada into the “liberal” category, which is indicative of a preference for market solutions to welfare problems, which makes this finding perplexing. The argument presented here is that universal healthcare has become bound up with the national identity of English Canada, resulting in a general aversion to private healthcare initiatives outside of Quebec.

Résumé

Cet article s'intéresse aux divergences d'opinions entre les Québécois et les autres Canadiens par rapport à la privatisation des soins de santé au Canada. Les sondages d'opinion indiquent de manière claire que les citoyens des neuf provinces à majorité anglophone du Canada s'opposent dans une plus large proportion que les Québécois à la présence d'hôpitaux privés. Ces résultats ne sont pas biaisés par aucune province particulière du « Canada anglais » : une majorité de citoyens s'oppose aux hôpitaux privés dans chacune des neuf provinces. Ces résultats surprennent, puisque la recherche sur l'État providence classifie le Canada comme un État « libéral » privilégiant les solutions de marché comme moyen de gestion des programmes sociaux. L'argument présenté au sein du présent article soutient que le système de santé universel est devenu un symbole de l'identité nationale du Canada anglais, entraînant une aversion générale pour les initiatives de privatisation des soins de santé à l'extérieur du Québec.

Type
Research Article
Information
Canadian Journal of Political Science/Revue canadienne de science politique , Volume 47 , Issue 3 , September 2014 , pp. 569 - 595
Copyright
Copyright © Canadian Political Science Association (l'Association canadienne de science politique) and/et la Société québécoise de science politique 2014 

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References

Adams, Michael. 2003. Fire and Ice: The United States, Canada and the Myth of Converging Values. Toronto: Penguin Press.Google Scholar
Alvarez, R. Michael and Brehm, John. 2002. Hard Choices, Easy Answers: Values, Information, and American Public Opinion. Princeton NJ: Princeton University Press.Google Scholar
Ansolabehere, Stephen, Rodden, Jonathan and Snyder, James M. Jr. 2008. “The Strength of Issues: Using Multiple Measures to Gauge Preference Stability, Ideological Constraint, and Issue Voting.” American Political Science Review 102 (2): 215–32.CrossRefGoogle Scholar
Banting, Keith. 1987. The Welfare State and Canadian Federalism. Montreal: McGill-Queen's University Press.Google Scholar
Banting, Keith. 1995. “The Welfare State as Statecraft: Territorial Politics and Canadian Social Policy.” In European Social Policy: Between Fragmentation and Integration, ed. Leibfried, Stephan and Pierson, Paul. Washington DC: Brookings Institutions.Google Scholar
Banting, Keith. 2005. “Canada: Nation-Building in a Federal Welfare State.” In Federalism and the Welfare State: New World and European Experiences, ed. Obinger, Herbert, Castles, Stephen and Castles, Francis G.. New York: Cambridge University Press.Google Scholar
Bartels, Larry M. 2003. “Democracy with Attitudes.” In Electoral Democracy, ed. MacKuen, Michael B. and Rabinowitz, George. Ann Arbor MI: University of Michigan Press.Google Scholar
Bashevkin, Sylvia. 1991. True Patriot Love: The Politics of Canadian Nationalism. Toronto: Oxford University Press.Google Scholar
Béland, Daniel and Lecours, André. 2006. “Sub-state Nationalism and the Welfare State: Quebec and Canadian Federalism.” Nations and Nationalism 12 (1): 77–96.Google Scholar
Béland, Daniel and Lecours, André. 2008. Nationalism and Social Policy: The Politics of Territorial Solidarity. New York: Oxford University Press.CrossRefGoogle Scholar
Béland, Daniel and Hansen, Randall. 2000. “Reforming the French Welfare State: Solidarity, Social Exclusion and the Three Crises of Citizenship.” West European Politics 23 (1): 47–64.Google Scholar
Berry, William D., De Meritt, Jacqueline H. R. and Esarey, Justin. 2010. “Testing for Interaction in Binary Logit and Probit Models: Is a Product Term Essential?” American Journal of Political Science 54 (1): 248–66.Google Scholar
Bickerton, James. 2011. “Janus Faces, Rocks, and Hard Places: Majority Nationalism in Canada.” In Contemporary Majority Nationalism, ed. Gagnon, Alain-G., Lecours, André and Nootens, Geneviève. Montreal: McGill-Queen's University Press.Google Scholar
Boychuk, Gerard. 2008. National Health Insurance in the United States and Canada: Race, Territory, and the Roots of Difference. Washington DC: Georgetown University Press.Google Scholar
Brodie, Janine. 2002. “Citizenship and Solidarity: Reflections on the Canadian Way.” Citizenship Studies 6 (4): 377–94.Google Scholar
Campbell, Angus, Converse, Philip E., Miller, Warren and Stokes, Donald. 1960. The American Voter. New York: Wiley.Google Scholar
Canadian Institute for Health Information. 2011a. Les temps d'attente au Canada–une comparaison par province, 2011. https://secure.cihi.ca/free_products/Wait_times_tables_2011_fr.pdf Google Scholar
Canadian Institute for Health Information. 2011b. Tendances des dépenses nationales de santé, 1975–2011. https://secure.cihi.ca/free_products/nhex_trends_report_2011_fr.pdf Google Scholar
Converse, Philip E. 1964. “The Nature of Belief Systems in Mass Publics.” In Ideology and Discontent, ed. Apter, David. New York: Free Press.Google Scholar
Dion, Michelle L. and Birchfield, Vicki. 2010. “Economic Development, Income Inequality, and Preferences for Redistribution.” International Studies Quarterly 54 (2): 315–34.CrossRefGoogle Scholar
Eisen, Ben. 2011. Canada Health Consumer Index, 2011. http://www.fcpp.org/files/1/PS124_CHCI2011_DC15_F3.pdf Google Scholar
Erk, Jan. 2003. “'Wat We Zelf, Doen We Beter': Belgian Substate Nationalisms, Congruence and Public Policy.” Journal of Public Policy 23 (2): 201–24.Google Scholar
Haddow, Rodney. 2008. “How Can Comparative Political Economy Explain Variable Change? Lessons for, and from, Canada.” In The Comparative Turn in Canadian Political Science, ed. White, Linda, Simeon, Richard, Vipond, Robert and Wallner, Jennifer. Vancouver: UBC Press.Google Scholar
Imai, Kosuke, King, Gary and Lau, Oliva. 2009. Logit: Logistic Regression for Dichotomous Dependent Variables. http://gking.harvard.edu/zelig Google Scholar
Jaccard, James. 2001. Interaction Effects in Logistic Regression: Quantitative Applications in the Social Sciences. London: Sage Publications.Google Scholar
Johnston, Richard, Banting, Keith, Kymlicka, Will and Soroka, Stuart. 2010. “National Identity and Support for the Welfare State.” Canadian Journal of Political Science 43 (2): 349–77.Google Scholar
Keating, Michael. 2001. Nations against the State: The New Politics of Nationalism in Quebec, Catalonia and Scotland. New York: Palgrave Macmillan.Google Scholar
Lazarsfeld, Paul N., Berelson, Bernard R. and Gaudet, Helen. 1948. The People's Choice: How the Voter Makes Up Their Mind in a Presidential Campaign. New York: Columbia University Press.Google Scholar
Lecours, André and Nootens, Geneviève. 2011. “Understanding Majority Nationalism.” In Contemporary Majority Nationalism, ed. Gagnon, Alain-G., Lecours, André and Nootens, Geneviève. Montreal: McGill-Queen's University Press.Google Scholar
Lipset, Seymour Martin. 1990. Continental Divide: The Values and Institutions of the United States and Canada. New York: Routledge.Google Scholar
Maioni, Antonia. 1998. Parting at the Crossroads: The Emergence of Health Insurance in the United States and Canada. Princeton NJ: Princeton University Press.Google Scholar
Martinez-Herrera, Enric. 2004. “Liberal-Nationalist Theory, Political Confidence, and Support for the Welfare State. Evidence from Britain.” EUI Working Paper SPS No 2004/8. http://cadmus.eui.eu/bitstream/handle/1814/2625/sps2004-08.pdf?sequence=1 Google Scholar
McEwen, Nicola. 2002. “State Welfare Nationalism: The Territorial Impact of Welfare State Development in Scotland.” Regional and Federal Studies 12 (1): 66–90.Google Scholar
McEwen, Nicola. 2006. Nationalism and the State: Welfare and Identity in Scotland and Quebec. Oxford: Peter Lang.Google Scholar
McIver, John P. and Carmines, Edward G.. 1981. Uni-dimensional Scaling. Thousand Oaks CA: Sage Publications.Google Scholar
McRoberts, Kenneth. 1995. Misconceiving Canada: The Struggle for National Unity. New York: Oxford University Press.Google Scholar
Mendelsohn, Matthew. 2001. Canadians' Thoughts on their Healthcare System: Preserving the Canadian Model through Innovation. Ottawa: Royal Commission of the Future of Healthcare in Canada.Google Scholar
Myles, John. 1998. “How to Design a ‘Liberal’ Welfare State: A Comparison of Canada and the United States.” Social Policy and Administration 32 (4): 341–64.Google Scholar
Nadeau, Richard, Bélanger, Éric and Pétry, François. 2010. “Issue-Based Strategies in Election Campaigns: The Case of Healthcare in the 2000 Canadian Federal Election.” Political Communication 27 (4): 367–88.Google Scholar
Research, Nanos. 2011. Canadians' View on Public Healthcare Solutions. http://healthcoalition.ca/wp-content/uploads/2011/11/NANOS-EN.pdf Google Scholar
Poirier, Johanne and Vansteenkiste, Steven. 2000. “Le débat sur la fédéralisation de la sécurité sociale en Belgique.” Revue belge de sécurité sociale 42 (2): 331–79.Google Scholar
Rocher, François. 2002. “The Evolving Parameters of Quebec Nationalism.” International Journal on Multicultural Societies 4 (1): 74–96 Google Scholar
Soroka, Stuart. 2011. Public Perceptions and Media Coverage of the Canadian Healthcare System: A Synthesis. http://www.cfhi-fcass.ca/SearchResultsNews/11-10-06/dab81c69-c4ca-4686-aa4f-02b961401c71.aspx Google Scholar
Smith, Anthony. 2009. Ethno-symbolism and Nationalism: A Cultural Approach. London: Routledge.Google Scholar
Stanbury, W.T. 1996. “Cancon rules should be canned.” Policy Options 17 (9): 25–28.Google Scholar
Walberg, Rebecca and Björnberg, Arne. 2008. 2008 Canada Health Consumer Index. The Frontier Centre for Public Policy & Health Consumer Powerhouse. http://www.fcpp.org/files/9/47.%202008Sept%20CHCI%20Final.pdf Google Scholar
Zaller, John. 1992. The Nature and Origins of Mass Opinion. New York: Cambridge University Press.CrossRefGoogle Scholar
Zelner, Bennet A. 2009. “Using Simulation to Interpret Results from Logit, Probit, and other Nonlinear Models.” Strategic Management Journal 30 (12): 1335–48.Google Scholar