| Literature DB >> 36039151 |
Abdul Basit Adeel1, Michael Catalano1, Olivia Catalano2, Grant Gibson3, Ezgi Muftuoglu1, Tara Riggs1, Mehmet Halit Sezgin1, Olga Shvetsova1, Naveed Tahir4, Julie VanDusky-Allen5, Tianyi Zhao1, Andrei Zhirnov6.
Abstract
We examine the roles of sub-national and national governments in Canada and the United States vis-à-vis the protective public health response in the onset phase of the global coronavirus disease 2019 (COVID-19) pandemic. This period was characterized in both countries by incomplete information as well as by uncertainty regarding which level of government should be responsible for which policies. The crisis represents an opportunity to study how national and sub-national governments respond to such policy challenges. In this article, we present a unique dataset that catalogues the policy responses of US states and Canadian provinces as well as those of the respective federal governments: the Protective Policy Index (PPI). We then compare the United States and Canada along several dimensions, including the absolute values of sub-national levels of the index relative to the total protections enjoyed by citizens, the relationship between early threat (as measured by the mortality rate near the start of the public health crisis) and the evolution of the PPI, and finally the institutional and legislative origins of the protective health policies. We find that the sub-national contribution to policy is more important for both the United States and Canada than are their national-level policies, and it is unrelated in scope to our early threat measure. We also show that the institutional origin of the policies as evidenced by the COVID-19 response differs greatly between the two countries and has implications for the evolution of federalism in each. © Canadian Public Policy / Analyse de politiques.Entities:
Keywords: COVID-19; Canada; USA; federalism; policy response; provinces; public health; states
Year: 2020 PMID: 36039151 PMCID: PMC9400820 DOI: 10.3138/cpp.2020-101
Source DB: PubMed Journal: Can Public Policy ISSN: 0317-0861
Figure 1:
Comparison of Protection from State-Only and Federal-Only Protective Policy Index, United States
Figure 2:
Comparison of Protection from Province-Only and Federal-Only Protective Policy Index, Canada
Figure 3:
Cumulative PPI Rankings: (a) US States and (b) Canadian Provinces
Figure 4:
COVID-19 Mortality Rates by (a) State and Province as of 22 March 2020, (b) Comparison of State PPI, and (c) Provincial PPI over Time
Figure 5:
Cumulative PPI and Initial Threat Levels: (a) US States and (b) Canadian Provinces
Figure 6:
Public Health COVID-19 Policies by Initiating Actor: (a) US States and (b) Canadian Provinces
US States
| State | Sub-National PPI/Combined PPI | Federal PPI/Combined PPI | Unique Sub-National Policies | Unique Federal Policies | Sub-National PPI | Federal PPI | Combined PPI | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AK | 1.00 | 0.17 | 0.83 | 0.00 | 35 | 6 | 35 | ||||||||
| AL | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| AR | 0.83 | 0.33 | 0.67 | 0.17 | 15 | 6 | 18 | ||||||||
| AZ | 0.85 | 0.30 | 0.70 | 0.15 | 17 | 6 | 20 | ||||||||
| CA | 0.85 | 0.30 | 0.70 | 0.15 | 17 | 6 | 20 | CO | 0.97 | 0.18 | 0.82 | 0.03 | 33 | 6 | 34 |
| CT | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| DE | 0.94 | 0.19 | 0.81 | 0.06 | 30 | 6 | 32 | ||||||||
| FL | 0.97 | 0.21 | 0.79 | 0.03 | 28 | 6 | 29 | ||||||||
| GA | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| HI | 0.97 | 0.19 | 0.81 | 0.03 | 31 | 6 | 32 | ||||||||
| IA | 0.84 | 0.32 | 0.68 | 0.16 | 16 | 6 | 19 | ||||||||
| ID | 0.85 | 0.30 | 0.70 | 0.15 | 17 | 6 | 20 | ||||||||
| IL | 1.00 | 0.20 | 0.80 | 0.00 | 30 | 6 | 30 | ||||||||
| IN | 1.00 | 0.18 | 0.82 | 0.00 | 33 | 6 | 33 | ||||||||
| KS | 0.87 | 0.26 | 0.74 | 0.13 | 20 | 6 | 23 | ||||||||
| KY | 0.96 | 0.22 | 0.78 | 0.04 | 26 | 6 | 27 | ||||||||
| LA | 1.00 | 0.21 | 0.79 | 0.00 | 28 | 6 | 28 | ||||||||
| MA | 0.87 | 0.26 | 0.74 | 0.13 | 20 | 6 | 23 | ||||||||
| MD | 0.92 | 0.24 | 0.76 | 0.08 | 23 | 6 | 25 | ||||||||
| ME | 0.89 | 0.22 | 0.78 | 0.11 | 24 | 6 | 27 | ||||||||
| MI | 1.00 | 0.19 | 0.81 | 0.00 | 32 | 6 | 32 | ||||||||
| MN | 1.00 | 0.20 | 0.80 | 0.00 | 30 | 6 | 30 | ||||||||
| MO | 0.85 | 0.30 | 0.70 | 0.15 | 17 | 6 | 20 | ||||||||
| MS | 0.88 | 0.25 | 0.75 | 0.13 | 21 | 6 | 24 | ||||||||
| MT | 0.97 | 0.20 | 0.80 | 0.03 | 29 | 6 | 30 | ||||||||
| NC | 0.83 | 0.33 | 0.67 | 0.17 | 15 | 6 | 18 | ||||||||
| ND | 0.86 | 0.29 | 0.71 | 0.14 | 18 | 6 | 21 | ||||||||
| NE | 0.94 | 0.35 | 0.65 | 0.06 | 16 | 6 | 17 | ||||||||
| NH | 0.92 | 0.24 | 0.76 | 0.08 | 23 | 6 | 25 | ||||||||
| NJ | 0.88 | 0.23 | 0.77 | 0.12 | 23 | 6 | 26 | ||||||||
| NM | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| NV | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| NY | 0.88 | 0.23 | 0.77 | 0.12 | 23 | 6 | 26 | ||||||||
| OH | 0.86 | 0.27 | 0.73 | 0.14 | 19 | 6 | 22 | ||||||||
| OK | 0.96 | 0.21 | 0.79 | 0.04 | 27 | 6 | 28 | ||||||||
| OR | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| PA | 0.86 | 0.27 | 0.73 | 0.14 | 19 | 6 | 22 | ||||||||
| RI | 0.89 | 0.22 | 0.78 | 0.11 | 24 | 6 | 27 | ||||||||
| SC | 1.00 | 0.18 | 0.82 | 0.00 | 33 | 6 | 33 | ||||||||
| SD | 0.83 | 0.33 | 0.67 | 0.17 | 15 | 6 | 18 | ||||||||
| TN | 0.87 | 0.26 | 0.74 | 0.13 | 20 | 6 | 23 | ||||||||
| TX | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| UT | 0.97 | 0.21 | 0.79 | 0.03 | 28 | 6 | 29 | ||||||||
| VA | 0.88 | 0.24 | 0.76 | 0.12 | 22 | 6 | 25 | ||||||||
| VT | 0.97 | 0.19 | 0.81 | 0.03 | 30 | 6 | 31 | ||||||||
| WA | 0.86 | 0.27 | 0.73 | 0.14 | 19 | 6 | 22 | ||||||||
| WI | 1.00 | 0.18 | 0.82 | 0.00 | 33 | 6 | 33 | ||||||||
| WV | 0.96 | 0.22 | 0.78 | 0.04 | 26 | 6 | 27 | ||||||||
| WY | 0.86 | 0.29 | 0.71 | 0.14 | 18 | 6 | 21 |
Notes: Federal PPI = overlapping policies + unique federal; federal share = (federal PPI)/(federal PPI + unique sub-national policies); sub-national PPI = overlapping policies + unique sub-national; PPI = Protective Policy Index; sub-national share = (sub-national PPI)/(sub-national PPI + unique federal policies).
Source: Authors’ calculations.
Canadian Provinces
| Province | Sub-National PPI/Combined PPI | Federal PPI/Combined PPI | Unique Sub-National Policies | Unique Federal Policies | Sub-National PPI | Federal PPI | Combined PPI |
|---|---|---|---|---|---|---|---|
| AB | 0.78 | 0.41 | 0.59 | 0.22 | 21 | 11 | 27 |
| QC | 0.76 | 0.32 | 0.68 | 0.24 | 26 | 11 | 34 |
| BC | 0.69 | 0.42 | 0.58 | 0.31 | 18 | 11 | 26 |
| SK | 0.88 | 0.33 | 0.67 | 0.12 | 29 | 11 | 33 |
| ON | 0.81 | 0.34 | 0.66 | 0.19 | 26 | 11 | 32 |
| NL | 0.93 | 0.39 | 0.61 | 0.07 | 26 | 11 | 28 |
| NS | 1.00 | 0.31 | 0.69 | 0.00 | 35 | 11 | 35 |
| PE | 0.93 | 0.37 | 0.63 | 0.07 | 28 | 11 | 30 |
| MB | 0.86 | 0.38 | 0.62 | 0.14 | 25 | 11 | 29 |
| NB | 1.00 | 0.35 | 0.65 | 0.00 | 31 | 11 | 31 |
Notes: Federal PPI = overlapping policies + unique federal; federal share = (federal PPI)/(federal PPI + unique sub-national policies); sub-national PPI = overlapping policies + unique sub-national; PPI = Protective Policy Index; sub-national share = (sub-national PPI)/(sub-national PPI + unique federal policies).
Source: Authors’ calculations.