Stakeholder Views on Privatization of the Quebec Health Care System
Marie‐Pascale Pomeya, Raymond Hudonb, Nicolas Van Schendelc, Elisabeth Martind, Pierre‐Gerlier Foreste
- aÉcole de santé publique, Institut de recherche en santé publique, Université de Montréal, Montréal, Québec
- bDépartement de science politique, Université Laval, Québec, Québec
- cInstitut de recherche en santé publique, Université de Montréal, Montréal, Québec
- dFaculté des sciences infirmières, Université Laval, Québec, Québec
- eSchool of Public Policy, University of Calgary
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Abstract
In 2005 the Supreme Court of Canada issued a landmark ruling in the debate on privatization of Quebec's health care system. The Quebec government subsequently made several decisions, such as lifting the ban on private insurance for some health services already offered in the public system. We interviewed 42 stakeholders who were involved in the decision process between 1999 and 2008 and analyzed their views. We identified three types of positions on privatization, based on two key factors raised in these encounters: (a) the ideological and political inertia of both civil society and the state and (b) the concerted action of stakeholders.