In the late 1990s several policy issues concerning the Canadian public health care system became the subject of public debate in Canada. These included the rising costs of the system, including cost per capita; which level of government should bear rising costs; whether and what forms of privatization should be introduced; delays in receiving treatment; the quality of treatment; differences in access to treatments in different provinces (so-called "uneven coverage"); and the extent to which health care service delivery was disaggregated.
Various federal departments and agencies of Canada funded the ChoiceWork Dialogue to learn more about their citizens’ expectations of governments, the private sector, and their communities. The goals that Canadian societies seek to achieve are detailed in a “social contract.” When leaders planned for post-war policies after World War II, a primary result was the birth of a welfare state. By the 1970s, government revenue was unable to sustain the dependent system. The outcome was major changes to trade and economic policy.
In 2012, the City of Canada Bay Council proposed an innovative method of deliberative democracy to obtain the advice of citizens in making decisions for the range and quality of council services for the period 2014-18. With this in mind, the Canada Bay Council partnered with groups such as Straight Talk and newDemocracy to create a panel of 36 randomly citizens. This group worked in parallel to a randomly selected group of council staff.