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Graduate Theses & Dissertations

: Pursuing Different Policy Paths in Long-Term Care; Because federal funding for long-term care was not included as part of Canada's publicly-funded universal health care system, provincial governments have been free to determine how much, or how little, they will rely on the for-profit sector to meet the long-term care needs of their senior populations. The proportion of beds in the for-profit sector differs in each province, demonstrating that policy approaches to this type of care have developed according to distinct provincial political contexts. In this dissertation I explain why governments in two provinces, Manitoba and Ontario, have come to rely on the proprietary sector to markedly different degrees. While in the federation Manitoba stands out for its restrained reliance on this form of care, Ontario stands out for its exceptional dependence on commercial provision. In the chapters that follow I employ an historical institutionalist framework of analysis to explain why these neighbouring provinces initially pursued different policy paths in long-term care and how these paths have been sustained over time. Following an introductory chapter in which I explain the reasons for the marginalization of long-term care within national health policy making, I provide in-depth analysis of these case studies in policy divergence. I argue that contemporary policy differences between these neighbouring provinces cannot be understood in isolation from long-term historical processes. Focusing largely on the period from the 1960s to the 1990s, I emphasize that present differences in ownership are a reflection of the different constellation of actors, events, ideas and institutions that came together at critical junctures in time, and the lasting legacies that these early windows of opportunity for reform have had on subsequent rounds of long-term care policy-making. In each province, diverging ideas about the appropriate role of the for-profit sector in meeting the long-term care needs of an aging population rose to prominence on the political agenda. Over time, rigidities developed in each system, making it difficult for actors advocating for new directions in ownership to realize their ambitions. In both provinces policies put in place at earlier times greatly influenced future political dynamics, altered the guiding principles of government departments and policy makers, provided incentives for different interest group formations, and led to contrasting public expectations about the proper balance of the for-profit and non-profit sectors in long-term care provision. I conclude this dissertation by arguing that its findings can contribute in important ways to present discussions about long-term care reform in Canada generally and about the future role of for-profit providers specifically. Author Keywords: Comparative Politics, Health Policy, Historical Institutionalism, Long-Term Care, Path Dependency, Provincial Politics

: Canadian Refugee Policy; This dissertation is an inquiry into the politics of the frame in Canadian refugee policy. It is focused on "framing," thereby taking up the stance of critical policy studies while pressing the contribution of Donald Schön and Martin Rein in a critical and politically inflected direction. The dissertation unfolds as a political history of Canadian refugee policy that provides a "contextual mapping," relevant to both inquiry and action in regard to the framing of refugees. The main argument is that twentieth- and twenty-first- century refugee policy in Canada is a story of three shifting meta-frames: beginning with humanitarianism (in the inter-War years and the post-World War II period); shifting to neo-humanitarianism (beginning in the late 1970s, in connection with the rise of neoliberalism); then shifting again (beginning in the 1990s) to securitization. The concept of a meta-frame here is analogous to that of a "metacultural frame" in Schön and Rein, but accents political rather than cultural dimensions. This concept is developed in a manner suitable to a political history by illustrating how meta-frames both become stable and change. With humanitarianism, the refugee was typically portrayed in ambivalent terms - both deserving of and entitled to protection, while also posing a burden for the national interest. In the context of neo-humanitarianism, this ambivalence began to wane, and the refugee was more typically portrayed as a potential criminal. With securitization, especially as it has become entrenched and intensified, the refugee has been more typically portrayed as a potential terrorist. The analysis includes a focus on the particular importance of ambivalence and contingency in the politics of the frame. Securitization has become so deeply entrenched since September 11, 2001 that it appears virtually fixed in place. However, it may still become possible in moments of contingency for refugee advocates to destabilize the securitization meta-frame and help shift the framing of refugees into a more hospitable register. Author Keywords: ambivalence, contingency, humanitarianism, neo-humanitarianism, refugees, securitization

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