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Purchase for Profit
Public-Private Partnerships and Canada's Public Health Care System
Heather Whiteside (Author)
9781442628755
Paperback / softback, published 31 July 2015
224 pages, 7 b&w tables
22.8 x 15.3 x 1.3 cm, 0.34 kg
“Whiteside’s book should be read by anyone involved in Canadian health systems policy or research and by those involved in P3 research and debates in other Anglo-American countries.” - Ronald Labonte, Institute of Population Health and Faculty of Medicine, University of Ottawa
Since the start of the twenty-first century, Canadian provinces have increasingly begun turning to the private sector to finance and construct large-scale infrastructure projects. From a critical public policy perspective, the danger of these public-private partnerships (P3s) is that they are more than just new ways to deliver public infrastructure. They are neoliberal projects that privatize and corporatize the basis of public services. Analyzing four Canadian P3 hospital projects, Heather Whiteside argues that P3s not only fail to fulfill the promises made by their proponents but also compromise public control of health policy, outcomes, and future plans. Yet, despite these disadvantages, the use of P3s is being normalized and expanded in BC and Ontario through capital planning frameworks and special government agencies that support and encourage P3 projects. Based on extensive interviews with academic experts, union representatives, provincial government decision-makers, and private sector partners, Purchase for Profit will be important for those studying public policy in any of the areas in which P3s are now being adopted.
Introduction – Purchase for Profit
Chapter 1 – The Political Economy of Privatization and Public-Private Partnerships
Chapter 2 – Partnering for Profit
Chapter 3 – Normalizing P3 Procurement
Chapter 4 – P3 Procurement and the Marketization of the Public Sector
Chapter 5 – British Columbia’s Pioneering P3 Hospitals
Chapter 6 – Ontario’s Pioneering P3 Hospitals
Conclusion
Appendix – Development Timeline for Canada’s Pioneering P3 Hospitals