Purchase for Profit: Public-Private Partnerships and Canada's Public Health Care System

By Heather Whiteside

© 2015

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.

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Product Details

  • World Rights
  • Page Count: 224 pages
  • Dimensions: 6.0in x 0.5in x 9.0in
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  • PUBLISHED JUL 2015

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Quick Overview

Purchase for Profit will be important for those studying public policy in any of the areas in which public-private partnerships are now being adopted.

Purchase for Profit: Public-Private Partnerships and Canada's Public Health Care System

By Heather Whiteside

© 2015

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.

Continue Reading Read Less

Product Details

  • World Rights
  • Page Count: 224 pages
  • Dimensions: 6.0in x 0.5in x 9.0in
  • Reviews

    Purchase for Profit makes a major contribution to our understanding of how public-private partnerships (P3s) have proliferated in Canada despite serious shortcomings. Whiteside situates her trenchant critique of these projects within the broader context of neoliberal privatization. Those teaching, researching, or implementing P3s will find it especially useful and provocative.”


    John Loxley, Department of Economics, University of Manitoba

    Purchase for Profit offers a useful analysis of public-private partnerships and the ways in which they have been promoted in spite of their clear problems. Whiteside’s four case studies provide important illustrations of these, brought together in ways not available elsewhere.”


    Pat Armstrong, Department of Sociology, York University

    “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 Labonté, Institute of Population Health and Faculty of Medicine, University of Ottawa
    Ronald Labonte, Institute of Population Health and Faculty of Medicine, University of Ottawa
  • Author Information

    Heather Whiteside is an assistant professor in the Department of Political Science at the University of Waterloo and Fellow at the Balsillie School of International Affairs.
  • Table of contents

    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

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