A fairly recent submission to the Kingston Whig Standard is highly critical of the enterprise model of governance (unofficially known as Kingston Inc.) that was introduced when the amalgamated City of Kingston began operations 20 years ago. The writer contends that the model embraced by Kingston included – among other deficiencies – an overly centralized administration, a reliance on outsourcing, and diminished public participation.
This was the paradoxical position advanced by André Picard in a recent column, but his premise is neither new nor nonsensical. The reality is that most so-called health care spending is actual disbursed for sickness care, to pay for doctors, hospitals, and drugs after people have lost their health. Only about 5% of health care spending is for prevention and promotion.
C. Richard Tindal, Ph.D is a retired Professor of Government. He taught for 30 years at St. Lawrence College, Kingston and was an occasional Visiting Professor at Queen's University. He has also written and consulted extensively about government.