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Paradigm Freeze

Author: Harvey Lazar

Publisher: McGill-Queen's Press - MQUP

Published: 2013-10-24

Total Pages: 594

ISBN-13: 1553393384

Why has health care reform proved a stumbling block for provincial governments across Canada? What efforts have been made to improve a struggling system, and how have they succeeded or failed? In Paradigm Freeze, experts in the field answer these fundamental questions by examining and comparing six essential policy issues - regionalization, needs-based funding, alternative payment plans, privatization, waiting lists, and prescription drug coverage - in five provinces. Noting hundreds of recommendations from dozens of reports commissioned by provincial governments over the last quarter century - the great majority to little or no avail - the book focuses on careful diagnosis, rather than unplanned treatment, of the problem. Paradigm Freeze is based on thirty case studies of policy reform in Alberta, Saskatchewan, Ontario, Quebec, and Newfoundland and Labrador. The contributors assess the nature and extent of healthcare reform in Canada since the beginning of the 1990s. They account for the generally limited extent of reform that has occurred, and identify the factors associated with the relatively few cases of large reform. An insightful new perspective on a problem that has plagued Canadian governments for decades, Paradigm Freeze is an important addition to the field of health policy. Contributors include John Church (University of Alberta), Michael Ducie (Alberta Health and Wellness), Pierre-Gerlier Forest (Pierre Elliott Trudeau Foundation), Stephen Tomblin (Memorial University), Jeff Braun Jackson (Ontario Professional Firefighters Association, Burlington, ON), Marie-Pascale Pomey (Université de Montréal), John N. Lavis (McMaster University), Harvey Lazar (Queen's University), Elisabeth Martin (Université Laval),Tom McIntosh (University of Regina), Dianna Pasic (McMaster University), Neale Smith (University of British Columbia), and Michael G. Wilson (McMaster University).

Building and Interpreting Possession Sentences

Author: Neil Myler

Publisher: MIT Press

Published: 2024-02-06

Total Pages: 471

ISBN-13: 0262551098

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A wide-ranging generative analysis of the typology of possession sentences, solving long-standing puzzles in their syntax and semantics. A major question for linguistic theory concerns how the structure of sentences relates to their meaning. There is broad agreement in the field that there is some regularity in the way that lexical semantics and syntax are related, so that thematic roles (the different participant roles in an event: agent, theme, goal, etc.) are predictably associated with particular syntactic positions. In this book, Neil Myler examines the syntax and semantics of possession sentences, which are infamous for appearing to diverge dramatically from this broadly regular pattern. On the one hand, Myler points out, possession sentences have too many meanings; in any given language, the construction used to express archetypal possessive meanings (such as personal ownership) is also often used to express other apparently unrelated notions (body parts, kinship relations, and many others). On the other hand, possession sentences have too many surface structures; languages differ markedly in the argument structures used to convey the same possessive meanings. Myler argues that recent work on the syntax-semantics interface in the generative tradition has developed the tools needed to solve these puzzles. Examining and synthesizing ideas from the literature and drawing on data from many languages (including some understudied Quechua dialects), Myler presents a novel way to understand the apparent irregularity of possession sentences while preserving explanations of general cross-linguistic regularities, offering a unified approach to the syntax and semantics of possession sentences that can also be integrated into a general theory of argument structure.

Bankrupts and Usurers of Imperial Russia

Author: Sergei Antonov

Publisher: Harvard University Press

Published: 2016-10-10

Total Pages: 351

ISBN-13: 0674972619

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As readers of classic Russian literature know, the nineteenth century was a time of pervasive financial anxiety. With incomes erratic and banks inadequate, Russians of all social castes were deeply enmeshed in networks of credit and debt. The necessity of borrowing and lending shaped perceptions of material and moral worth, as well as notions of social respectability and personal responsibility. Credit and debt were defining features of imperial Russia’s culture of property ownership. Sergei Antonov recreates this vanished world of borrowers, bankrupts, lenders, and loan sharks in imperial Russia from the reign of Nicholas I to the period of great social and political reforms of the 1860s. Poring over a trove of previously unexamined records, Antonov gleans insights into the experiences of ordinary Russians, rich and poor, and shows how Russia’s informal but sprawling credit system helped cement connections among property owners across socioeconomic lines. Individuals of varying rank and wealth commonly borrowed from one another. Without a firm legal basis for formalizing debt relationships, obtaining a loan often hinged on subjective perceptions of trustworthiness and reputation. Even after joint-stock banks appeared in Russia in the 1860s, credit continued to operate through vast networks linked by word of mouth, as well as ties of kinship and community. Disputes over debt were common, and Bankrupts and Usurers of Imperial Russia offers close readings of legal cases to argue that Russian courts—usually thought to be underdeveloped in this era—provided an effective forum for defining and protecting private property interests.

Intellectual Disabilities and Dual Diagnosis

Author: Bruce D. McCreary

Publisher: McGill-Queen's Press - MQUP

Published: 2013-12-31

Total Pages: 119

ISBN-13: 1553393376

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Contemporary policy in the care of persons with developmental disabilities is focused on "social inclusion" and equity. Healthcare professionals in the mainstream are tasked to ensure that their services are both available and responsive to caring for individuals. This clinical guide, written by a psychiatrist and a clinical psychologist with clinical and academic expertise, aims to outline relevant knowledge, skills, and attitudes needed to promote better health outcomes for people with developmental disabilities. The guide is organized into three sections and includes learning objectives and self-examination questions on content. The first section on knowledge covers definitions, etiological factors, health problems, mental health problems, and the service needs of individuals and their caregivers as they evolve over the lifespan. Section two focuses on skills including assessment, case formulations, interprofessional collaboration, and the provision of developmental services, psychosocial treatments, and biomedical treatments. The final section reviews attitudes related to the provision of empathetic support, respect for interprofessional collaboration, vigilance about neglect and abuse, and various special challenges in providing care. The authors also address informed consent, sexuality, parenting, and individuals in conflict with the law.

Managing a Canadian Healthcare Strategy

Author: A. Scott Carson

Publisher: McGill-Queen's Press - MQUP

Published: 2017-03-16

Total Pages: 284

ISBN-13: 1553395042

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Canada’s fragmented healthcare system is one of the most expensive among the OECD countries, yet the quality of its performance is mediocre at best. Canada lacks a system-wide healthcare strategy that brings together many individual federal, provincial, and territorial strategies into a comprehensive and coherent whole. Managing a Canadian Healthcare Strategy is a collection of ten policy research essays by leading Canadian and international scholars who address three important questions. First, if Canada had a unifying strategy, how would the country measure its success and monitor its performance? Second, who are the agents of change to bring about a Canadian system-wide strategy? Third, how can the jurisdictional realities of Canada’s political system be managed to bring about strategic reform? The final section in the volume explores ways to overcome the barriers and impediments that preoccupy Canadians’ concerns about healthcare. A companion volume to Toward a Healthcare Strategy for Canadians, the contributors to Managing a Canadian Healthcare Strategy turn to the critical importance of how necessary healthcare changes can be best implemented.

East Anglian English

Author: Peter Trudgill

Publisher: Walter de Gruyter GmbH & Co KG

Published: 2021-10-25

Total Pages: 268

ISBN-13: 1501512013

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This book is the first full-scale scientific study of East Anglian English. The author is a native East Anglian sociolinguist and dialectologist who has devoted decades to the study of the speechways of Norfolk, Suffolk, Cambridgeshire and Essex. He examines their relationships to other varieties of English in Britain, as well as their contributions to the formation of American English and Southern Hemisphere Englishes.

Remaking Policy

Author: Carolyn Hughes Tuohy

Publisher: University of Toronto Press

Published: 2018-01-01

Total Pages: 740

ISBN-13: 1487522533

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In Remaking Policy, Carolyn Hughes Tuohy advances an ambitious new approach to understanding the relationship between political context and policy change.

Toward a Healthcare Strategy for Canadians

Author: A. Scott Carson

Publisher: McGill-Queen's Press - MQUP

Published: 2015-05-01

Total Pages: 276

ISBN-13: 1553394402

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While Canadians are proud of their healthcare system, the reality is that it is fragmented and disorganized. Instead of a pan-Canadian system, it is a "system of systems" - thirteen provincial and territorial systems and a federal system. As a result, Canadian healthcare has not only become one of the costliest in the world, but is falling well behind many developed countries in terms of quality. Canadians increasingly realize that their healthcare system is no longer fiscally sustainable, yet change remains elusive. The standard claim is that Canada's multijurisdictional approach makes system-wide reform nearly impossible. Toward a Healthcare Strategy for Canadians disputes this reasoning, making the case for a comprehensive, system-wide, made-in-Canada healthcare strategy. It looks at the mechanics of change and suggests ways in which the various participants in the system - governments, healthcare professionals, the private sector, and patients - can work collaboratively to transform a second-rate system. Addressing critical issues of health human resources, electronic health records, integrated care, and pharmacare, Toward a Healthcare Strategy for Canadians shows how a system-wide strategic approach to this crucial policy area can make a difference in Canada’s healthcare system in the future.

Health in the Anthropocene

Author: Katharine Zywert

Publisher: University of Toronto Press

Published: 2020

Total Pages: 463

ISBN-13: 1487524145

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How will the ecological and economic crises of the 21st century transform health systems and human wellbeing?