首页|National standards or territorial autonomy? Public opinion and the politics of fiscal federalism for healthcare in Canada

National standards or territorial autonomy? Public opinion and the politics of fiscal federalism for healthcare in Canada

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Focusing on public opinion, this paper studies the politics of fiscal federalism by analysing support for the level and conditionality of intergovernmental transfers for healthcare. Leveraging a representative survey of the Canadian population conducted in 2022, we show that preferences for fiscal federalism reflect territorial identity and ideology. Left-wing respondents are more likely than right-wing ones to prefer higher, conditional transfers. However, Canadians with a predominant provincial identity prefer more decentralisation and therefore unconditional transfers, regardless of their ideology. Hence, the politics of fiscal federalism cannot be strictly understood as a reflection of a left-right cleavage; identity also matters.

fiscal federalismhealthcarepublic opinionideologyidentityCanada

Sophie Borwein、Olivier Jacques、Daniel Beland、Andre Lecours

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School of Public Policy, Simon Fraser University, Vancouver, BC, Canada

School of Public Health, Universite de Montreal, Montreal, QC, Canada

Department of Political Science, McGill University, Montreal, QC, Canada

School of Political Studies, Universite d'Ottawa, Ottawa, ON, Canada

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2025

10.1080/21622671.2023.2196303

Territory, politics, governance

Territory, politics, governance

ISSN：2162-2671
年,卷(期)：2025.13(4)
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