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.
The purpose of the Citizens’ Dialogue on Public Health Goals in Canada was to enable a randomly selected and representative sample of 102 citizen-participants to meet in-person and face-to-face to determine what they believed should be "public health goals for Canada." The participants' determinations respecting these goals were to inform the Canadian federal and provincial governments' development of a "public health strategy" for Canada.
G1000 is a project to revitalize and "advise" Belgium's current representative democratic system by complementing it with deliberative democracy. It is a response to the increasing ineffectiveness of the representative democracy system, as evidenced in part by the 2010-11 parliamentary crisis.
On June 26th, 2010 AmericaSpeaks held a National Town Meeting in 58 cities around the United States called Our Budget, Our Economy, where 3,500 Americans discussed possible solutions to America’s long term fiscal challenges.