COVID-19, Federalism, and Health Care Financing in Canada, the United States, and Mexico. Issue 2 (4th March 2021)

• Record Type: Journal Article
• Authors: Béland, Daniel; Marchildon, Gregory P.; Medrano, Anahely; Rocco, Philip
• Is Part Of: Journal of comparative policy analysis. Volume 23:Issue 2(2021)
• Page Start: 143
• Page End: 156
• Publication Date: 2021-03-04
• Subjects: COVID-19 -- federalism -- health care -- Canada -- Mexico -- United States -- fiscal federalism -- health financing -- comparative public policy -- pandemic; Social policy -- Comparative method -- Periodicals; 320.6
• DOI: 10.1080/13876988.2020.1848353
• Languages: English
• ISSNs: 1387-6988

Abstract

Abstract: National responses to COVID-19 depend in part on national health care financing arrangements. Yet the pandemic itself has not only strained system capacity, it has – through subsequent economic shocks – strained revenue sources that prop up these arrangements. In federal countries, fiscal pressures are particularly pronounced. As this paper argues, however, federal health financing regimes differ in ways that are shaping the agenda for post-pandemic reforms. The analysis, which focuses on health care financing in three federal countries (Canada, the United States, and Mexico), explores the current and potential future impact of COVID-19 on existing policy legacies.