The authors write, "In an ideal world it would be possible to de-politicize the healthcare system and have it protected from the vagaries of electoral politics."

Not in my ideal world. Politics is not something nasty or ugly that we should remove from public sector decision making. Or, to put it differently, politics both partisan and general, is the way in which we manage disagreements over both means but especially over ends.

I do not want to live in a world where there are no politics and evidence reigns. In such a world value conflicts would likely be ignored to the detriment of us all.

Patrick Fafard
Professeur agrégé / Associate Professor
École d'affaires publiques et internationales/
Graduate School of Public and International Affairs
Université d'Ottawa / University of Ottawa
55 Laurier Est / East, pièce / room 11-105
Ottawa, Ontario, Canada K1N 6N5
(bureau / office) (001) 613-562-5800 ext. 4186
pfafard@uottawa.ca