Health Care Technology and Its Assessment in Eight Countries (Part 5 of 13)

نویسندگان

  • Renaldo N. Battista
  • Robert Jacob
  • Matthew S. Hedge
چکیده

OVERVIEW OF CANADA c anada is a sparsely populated northern landmass of approximately 10 million km. Created in 1867 after French and then British colonization, the Canadian federation currently consists of 10 provinces and two territories. Provincial populations in 1991 (table 3-1) make apparent the rather imbalance distribution of Canadians across the country (119). Compounding this imbalance is the population’s northsouth distribution; 80 percent of Canadians are clustered within 320 km of the border with the United States. Providing services to the remaining 20 percent living in remote areas has been a key issue throughout Canada’s development. Despite the logic of north-south transport links between Canadian regions and adjacent regions of the United States, domestic east-west links have been heavily emphasized. This historical pattern arose from the central location of the four founding provinces—Ontario, Quebec, New Brunswick, and Nova Scotia— combined with a mistrust of their southern neighbor, the United States, in the aftermath of the U.S. Civil War and apparent territorial designs on what was, until 1867, British North America. Eastwest links also clearly benefited English mercantilist trade during the 1800s. Recent free-trade agreements between Canada and the United States as well as among Canada, the United States, and Mexico suggest that Canada now wishes to consolidate and expand its north-south links.

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تاریخ انتشار 1995