Proposition 31 was a ballot measure created by California Forward and voted on by the people of California during the General Election held on November 6, 2012. Proposition 31 called for changes to the state budget, and for any legislation to be published three days before it was voted on, among other things. Proposition 31 was defeated by a vote of over 60% to under 40%, but was a good step in the right direction regarding budget reform in California.
In 2008 the provincial government of New Brunswick, Canada published its Provincial Health Plan 2008-2012. This plan identified several problems or challenges respecting the province's health care system, including "an aging population," high rates of chronic diseases linked to unhealthy lifestyles, a shortage of health care personnel, rising health care costs, and citizens' heightened expectations for health services delivery.
This case study was written by Sandy Heierbacher, Director of the National Coalition for Dialogue & Deliberation (NCDD), in 2001 as part of an independent consultancy for the Center for Disease Control's National Immunization Program.