Abstracts
Abstract
This paper uses a comparative case study approach to assess convergence between three areas of Canadian, US, and Mexican policy that shape (im)migrant access to health and social services. These three areas include key policies and programs in relation to Immigration and Citizenship rights; Temporary and Foreign Labour Visa Programs; and Health and Human Services programs and policies. The paper takes a meso-level approach and compares policy and programming trends among public and private organizational actors and fields in Canada, the US, and Mexico at societal, political and technical levels. Ultimately, the paper finds that despite local level innovation, there is a large degree of agreement in all three policy areas, as well as increasing convergence at social, political, and technical levels. Theoretically, the paper contributes to recent debates about how to assess policy convergence, as well as debates about the impact of globalization on policy convergence. Practically, understanding local dynamics of immigration and health policy convergence serves to develop realistic and informed policy and programs at the international, national, and local levels.
Résumé
À l’aide d’une approche comparative d’étude de cas, le présent article évalue la convergence entre trois secteurs de politique canadiens, états-uniens et mexicains, qui façonnent l’accès des immigrants aux services sociaux et de santé. Ces trois secteurs comprennent des politiques et des programmes clés en rapport avec les droits en matière d’immigration et de citoyenneté, les programmes de visa pour la main d’oeuvre temporaire et étrangère, et les programmes et politiques des services de santé et services sociaux. L’article suit une approche de niveau moyen et compare les tendances en matière de politiques et de programmes parmi les acteurs et les champs d’activité d’organisations publiques et privées au Canada, aux États-Unis et au Mexique, aux niveaux sociétal, politique et technique. Enfin, le document constate qu’en dépit de certaines innovations au niveau local, il existe un degré important d’entente dans les trois secteurs de politique, ainsi qu’une convergence croissante aux niveaux social, politique et technique. Théoriquement, le document contribue aux récents débats sur la manière d’évaluer la convergence politique ainsi qu’aux débats concernant l’impact de la mondialisation sur la convergence politique. En pratique, le fait de comprendre les dynamiques locales de convergence de la politique en matière d’immigration et de santé, sert à élaborer des politiques et des programmes réalistes et éclairés aux niveaux international, national et local.
Appendices
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