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Abstract

Résumé Cet article traite de certains aspects du système de santé canadien qui secouent la cohésion sociale. Le plus populaire de tous les programmes sociaux, le système de santé, est régi par cinq principes définis dans la Loi canadienne de la santé . Chacun en soi et comme ensemble, ces principes contribuent à la cohésion sociale. Le système universel est cependant sous attaque de la part de différentes élites qui souhaitent privatiser certains éléments et dont la stratégie principale est appelée ici privatisation à la dérobée. Le texte aborde la rupture de la cohésion sociale par la privatisation de manière générale mais aussi en analysant le cas des centres communautaires ontariens d'accès aux soins qui sous-traitent, à travers la province, des fonds publics à des agences de soins à domicile qu'ils soient à buts lucratifs ou non.

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... Scholars note the increasing commodification of care and privatization of home care in Canada and elsewhere (Armstrong 2001), and these processes are especially pronounced in direct funding arrangements (Ungerson and Yeandle 2007). Direct funding arrangements transfer public funds to individuals who then hire care workers or attendants to assist with daily needs. ...
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