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.
The purposes of the CommonGround public deliberations in the U.S. state of New Mexico were to demonstrate a new mode of policy communication between New Mexico's citizens and civic leaders, and to create policy guidelines that could inform changes to early childhood development and education policy in New Mexico, changes intended to foster improved social outcomes for New Mexico's children.
Obesity is still a prevailing problem in the United States. It is also the second leading cause of preventable death. Statistics show that about 33.8% of American adults are obese. The percentage of children who are considered overweight is also an alarming approximate 17%. The issue has provoked large reactions from various foundations, government and private organizations to support organized interventions.
This case study features a citizens' deliberation using the Dialogue Cirlces method to address inequities in the educational system derived from racism and poverty. This deliberation produced action ideas for various community groups, the successfully-enacted Early Childhood Care and Education Act, and efforts to pass amendment to the New Mexico constitution that would increase state funding for early childhood education.