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Regulations

Health Care Entrepreneurship: Overcoming the Obstacles

For the past fifteen years, increases in health care spending have outpaced the growth of the Canadian economy. As a result, this spending takes up an increasing share of government budgets. The share of provincial and territorial program spending taken up by health care expenditures reached 37.7% in 2010. Not all sources of increased spending should be viewed as problems, of course. New medical technologies, for instance, even if sometimes quite expensive, can provide valuable services, and perhaps reduce other costs.

Viewpoint on public-sector collective bargaining in the United States

Unionization and collective bargaining in the public sector are relatively recent phenomena, essentially dating back to the second half of the 20th century. In Canada, only 12% of public-sector employees were unionized in 1960, compared to 70% today. In the United States, during the same period, the public-sector unionization rate went from 11% to 36%. In Quebec, the right to collective bargaining was granted to public-sector employees in 1944 (the right to strike came later, in 1964) and to civil servants in 1965. Among U.S. states, it is Wisconsin that was the first to grant collective bargaining rights to certain public-sector employees in 1959. Today, some thirty U.S. states allow collective bargaining with public-sector unions.

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