Event

Health Care Federalism and Nation-to-Nation Interaction: An Introduction

Tuesday, March 19, 2019 12:30to14:00
Chancellor Day Hall Stephen Scott Seminar Room (OCDH 16), 3644 rue Peel, Montreal, QC, H3A 1W9, CA

We invite you to join the McGill Research Group on Health and Law for a lunchtime seminar delivered by Michael Da Silva, Banting Postdoctoral Fellow in the Faculty of Law and the Institute for Health and Social Policy at McGill University.

His talk will explore whether the Canadian federal government should take an increased role in standardizing health care coverage across Canada. If the federal government increases its role in health, however, this may be inconsistent with the recognition of sub-constitutional nations-within-nations (particularly Quebec and Indigenous nations) in Canada.

Space is limited: kindly reserve your spot by emailing rghl.law [at] mcgill.ca.

Accredited for 1.5 hours of continuing legal education for jurists by a recognized provider.

Abstract

Primary provincial responsibility over health care leads to inconsistent health care coverage across the provinces and sub-optimal coverage in many provinces. The federal government should accordingly use its available powers to standardize health care coverage across Canada. Doing so would improve health care justice and could increase Canada's realization of its health-related international human rights obligations. Yet an increased federal role in health care may be inconsistent with recognition of sub-constitutional nations-within-nations (viz., Quebec and Indigenous nations) in Canada and the increased decision-making for such nations that recognition could entail. Canada recognizes nations within the nation of Canada (at least sub-constitutionally). Should these sub-constitutional nations constrain the federal government’s ability to take an increased role in health care regulation in Canada? This talk introduces the general problem raised by the conjunction of the need for an increased federal role and sub-constitutional nations. It then offers some tentative thoughts on how to resolve the attendant issues: while there is at least a prima facie case that ‘national’ status should have some normative weight and recognized nations-within-a-nation should have an increased role in decision-making about social goods like health care, this prima facie case need not completely undermine increased federal action in the field.

The speaker

Michael Da Silva is a Canadian Institutes of Health Research (CIHR) Banting Postdoctoral Fellow in the Faculty of Law and Institute for Health and Social Policy at McGill University. He completed his doctorate at the University of Toronto Faculty of Law, where he was a CIHR Vanier Canada Graduate Scholar. His numerous publications include works in health law, ethics, and philosophy of law.

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