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Health care and the ‘Common Pool’ Federalism in Canada
Ivan Jankovic(Ivan Jankovic ) 한국캐나다학회 2013 Asia-Pacific Journal of Canadian Studies (APJCS) Vol.19 No.2
Canadian federal system is often praised as a ‘laboratory of change’ capable of producing gradually a high quality policy innovation. In the same time, the system is described as extremely decentralized. This paper challenges both claims by concentrating on the case study of health care policy which is usually taken as an ultimate success story of Canadian federalism. By using the model of ‘common pool’ federalism, the paper argues that Canadian system is characterized by a systematic mismatch between who makes the taxing and who makes the spending decisions, which leads to a paradoxical situation in which the new programs are relatively easy to ‘federalize’, whereas it is very difficult to scale them back or reform, once they are entrenched. Combination of spending decentralization and taxing centralization blurs the lines of accountability allowing both orders of government to profit from increased spending and protect-ing them from blame if the program fails to deliver. The case study of health care system provides the evidence for this theory.
Case Reports : Application of Sentinel Lymph Node Biopsy in Cutaneous Basosquamous Carcinoma
( Irena Jankovic ),( Predrag Kovacevic ),( Milan Visnjic ),( Dimitrije Jankovic ),( Ivana Binic ),( Aleksandar Jankovic ),( Ivan Ilic ) 대한피부과학회 2011 Annals of Dermatology Vol.23 No.1S
Basosquamous carcinoma of the skin is a relatively rare cutaneous neoplasm that has significant metastatic potential and a metastatic rate greater than that of basal cell and squamous cell carcinoma. We describe the use of lymphatic mapping and sentinel lymph node biopsy in a 63-year-old man after identification of basosquamous carcinoma. Sentinel lymph node biopsy, which is a standard tool to detect regional lymphatic metastasis in cutaneous melanoma, has been rarely employed to detect lymphatic metastasis of basosquamous carcinoma. The approach was successful in detecting a regional lymphatic metastasis of two nodal basins with minor morbidity. Sentinel lymph node biopsy may be useful for certain high-risk lesions of basosquamous carcinoma. (Ann Dermatol 23(S1) S123~S126, 2011)
Application of Sentinel Lymph Node Biopsy in Cutaneous Basosquamous Carcinoma
Irena Jankovic,Predrag Kovacevic,Milan Visnjic,Dimitrije Jankovic,Ivana Binic,Aleksandar Jankovic,Ivan Ilic 대한피부과학회 2011 Annals of Dermatology Vol.23 No.-
Basosquamous carcinoma of the skin is a relatively rare cutaneous neoplasm that has significant metastatic potential and a metastatic rate greater than that of basal cell and squamous cell carcinoma. We describe the use of lymphatic mapping and sentinel lymph node biopsy in a 63-year-old man after identification of basosquamous carcinoma. Sentinel lymph node biopsy, which is a standard tool to detect regional lymphatic metastasis in cutaneous melanoma, has been rarely employed to detect lymphatic metastasis of basosquamous carcinoma. The approach was successful in detecting a regional lymphatic metastasis of two nodal basins with minor morbidity. Sentinel lymph node biopsy may be useful for certain high-risk lesions of basosquamous carcinoma. (Ann Dermatol 23(S1) S123∼S126, 2011)