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In Canada, public insurance for physician and hospital services, without cost-sharing, is provided to all residents. Outpatient prescription drug coverage, however, is provided through a patchwork system of public and private plans, often with substantial cost-sharing, which leaves many underinsured or uninsured. We conducted a systematic review to examine the association of drug insurance and cost-sharing with drug use, health services use, and health in Canada. We searched 4 electronic databases, 2 grey literature databases, 5 specialty journals, and 2 working paper repositories. At least 2 reviewers independently screened articles for inclusion, extracted characteristics, and assessed risk of bias. The expansion of drug insurance was associated with increases in drug use, individuals who reported drug insurance generally reported higher drug use, and increases in and higher levels of drug cost-sharing were associated with lower drug use. Although a number of studies found statistically significant associations between drug insurance or cost-sharing and health services use, the magnitudes of these associations were generally fairly small. Among 5 studies that examined the association of drug insurance and cost-sharing with health outcomes, 1 found a statistically significant and clinically meaningful association. We did not find that socioeconomic status or sex were effect modifiers; there was some evidence that health modified the association between drug insurance and cost-sharing and drug use. Increased cost-sharing is likely to reduce drug use. Universal pharmacare without cost-sharing may reduce inequities because it would likely increase drug use among lower-income populations relative to higher-income populations. • There is a gap in the literature pertaining to the effects of drug insurance and cost-sharing in a Canadian context. • We conducted a systematic review of Canadian studies and found that there was consistent evidence that the expansion of drug insurance was associated with meaningful increases in drug use, that individuals who reported drug insurance coverage generally reported higher drug use relative to those who reported no coverage, and that increases in and higher levels of drug cost-sharing were associated with lower use. • Universal pharmacare without cost-sharing may reduce inequities in access to essential drugs. [ABSTRACT FROM AUTHOR]

Greenhouse gas (GHG) emissions are currently at the crux of political, environmental, technological, and cultural discussions due to climate change. A drastic reduction of GHG emissions is needed in order to mitigate potentially catastrophic climate change impacts. Thus, thoroughly understanding emission sources is imperative. A disaggregated analysis of Canada’s future GHG emission projections has not yet been conducted. The objectives in this paper are to assess disaggregated GHG emissions in Canada for the years 2014, 2030, and 2050, and analyze the results through Sankey diagrams. Emissions are calculated using a bottom-up multi-regional accounting-based Long-range Energy Alternative Planning systems model. Each major economic sector in Canada is analyzed including the electricity generation, residential, commercial and institutional, industrial, transportation, and agriculture sectors. The emissions released in these sectors are traced to the resources and end-uses responsible. Results are presented for Canada and for provinces individually. GHG emissions contained in exported resources are evaluated. Results show that Canada’s business-as-usual GHG emissions will grow from 732 million tonnes in 2014 to 780 and 798 million tonnes in 2030 and 2050, respectively. Canada exports more emissions contained in resources than it emits. Per capita emissions intensity will fall by 14% between 2014 and 2050. Results are compared to climate targets and key areas of GHG mitigation potential are identified. Alberta’s oil and gas sector and Ontario’s transportation sector are the two single largest sectoral sources of emissions by 2050. This research can help policy makers, innovators, and the public better understand GHG emissions, which can lead to more effective GHG mitigation. [ABSTRACT FROM AUTHOR]

The fossil fuel-driven transport sector has been one of the major contributors to CO 2 emission across the world keeping it on the energy policy agenda for the past three decades. Canada ranks second in gasoline consumption among OECD countries and Canadian gasoline expenditure share has been increasing since the 1990s. Fuel efficiency policies aim to decrease gasoline consumption; however, the effect can be mitigated by changes in consumer behavior such as traveling more distances — a rebound effect. Thus, the effectiveness of fuel efficiency policy is dependent on the magnitude of the rebound effect. In this paper, we estimate the rebound effect for personal transportation in Canada using data from the household spending survey for the period 1997–2009. The model includes a system of expenditure share equations for gasoline, other energy goods, and non-energy goods specified by AIDS and QUAIDS models and estimated by the nonlinear SUR method. Our estimation results show a rather high average rebound effect of 82–88% but with significant heterogeneity across income groups, provinces, and gasoline prices. Specifically, the rebound effect ranges from 63 to 96% across income groups and provinces and increases with gasoline prices. [ABSTRACT FROM AUTHOR]

Aside from attracting tourists, there has been an increased interest in marketing to tourists who behave more sustainably as this can contribute to both a higher yield and overarching Sustainable Development Goals. This study investigates the contribution that intermediaries and the use of social marketing have on the sustainable attitudes and behaviour of Canadian tourists. Given their roles within the travel industry, examining the influence intermediaries might have on sustainable travel behaviour is an important objective. This paper applies both the Knowledge, Attitude, Behaviour (KAB) Theory and Social Marketing Theory (SMT) through a survey of 1003 Canadian holiday travellers. A quantitative study using exploratory factor analysis, correlations and regression are applied to reduce the data to manageable variables and to test their inter-relationship and effects on the travellers' sustainable behaviour. In doing so, a contribution to theory has been made through the identification of a more complex KAB paradigm and the usefulness of combining both theories. It was also found that using intermediaries and their social marketing platforms, such as local tourist destination websites, social media, and travel agencies, was a statistically significant contributor to more sustainable behaviour. The findings of this study address the gap in the literature related to combining SMT with the sustainable knowledge-attitude-behaviour paradigm and the lack of Canadian context in this regard. With sustainability behaviour by Canadian leisure travellers lacking and only one in two travellers having knowledge and attitudes for more-sustainable behaviour, the principal practical implication arising from this research is the need for intermediaries to enhance the promotion of sustainable travel behaviour within their social marketing strategies. [Display omitted] • Addresses theory on sustainable knowledge, attitude and behaviour. • Discusses Social Marketing Theory and its use in promoting sustainable behaviour. • Intermediaries can positively influence sustainable travel behaviour. • Confirms knowledge and attitude as predictors of sustainable travel behaviour. • Local tourism websites and social media have the most significant influence. [ABSTRACT FROM AUTHOR]

The significant e-waste generation in the Americas represents an important opportunity to implement waste recovery systems under the Circular Economy model. This paper conducts an exploratory analysis about the e-waste management at different scales (economic blocs and country levels) in the American continent, emphasizing generation patterns, e-waste fluxes and the regulation frameworks in Brazil and Canada in order to identify how the e-waste management options are driven by specific legal, economic, and environmental criteria. The methodology includes a review of literature covering information and indicators for both quantitative and qualitative analysis and comparison between selected countries regarding positive and negative aspects of e-waste management systems in each jurisdiction. The finds suggest that although Brazil and Canada have differentiated scope of regulation, both ratified the Basel Convention, have an action agenda that seeks to prioritize the management of hazardous substances, as well as lack of harmonized regulation, low control of the e-waste illegal trade and traceability. The identification of e-waste flows and comparison of economic blocs and countries is a still little explored theme and emphasizes the need for adequate legal measures to implement circular economy strategies to avoid impacts and enhance the value recovery of these materials in the production chain. Doing so could support harmonized regulation, new business models and increase sustainability levels for citizens through solutions that integrate policies and practices between and within economic blocs. [Display omitted] • The Americas play an important role for the e-waste management in volume and potential trade routes. • E-waste generation and GDP are directly correlated in MERCOSUR and NAFTA countries. • USA has a different pattern from NAFTA countries and Mexico has a similar pattern to South America. • Brazil and Canada have low e-waste collection and recycling rates, besides illegal e-waste trades, even as Basel Convention parties. • Upstream impacts can be mitigated by e-waste material recovery and efficient circular flows. [ABSTRACT FROM AUTHOR]

Situated within the broader climate justice movement, the fossil fuel divestment movement calls for both public and private divestment of financial holdings from fossil fuel companies. This paper examines the extent of fossil fuel divestment campaigns at higher education institutions across Canada, examining key actions and tactics through which campaigns are initiated and mobilized, as led by students, faculty, alumni, and climate justice organizations. Findings indicate that out of 220 accredited Canadian universities and colleges, there are 38 active divestment campaigns and 6 institutions that have committed to varying degrees of divestment. Tactics used in these campaigns include signing of petitions, sit-ins, rallies, and protests, facilitated through face-to-face and online platforms. Findings revealed significant borrowing of actions and tactics among campaign actors, including the use of branding and messaging from international environmental organizations, such as 350.org. This research contributes to scholarly knowledge on how higher education divestment movements and related campaigns for institutional change can influence how sustainability and climate change are addressed. Actors can build on this knowledge to develop sustained collaborative systems to address current and future challenges across institutions and in society at large. [ABSTRACT FROM AUTHOR]

• A Multi-Dimensional Hypothetical Fuzzy Risk Simulation model is developed. • Decision-makers' preference is reflected to develop the optimized policies. • Multi-dimensional risks in 2030 of various policy options are revealed. • A special case study of the Province of Saskatchewan, Canada, is conducted. • Hypothetical Extraction Method is used to estimate the comprehensive performances. Changing climate is one of the most challenging environment issues worldwide. The objective of this paper is to develop a Multi-Dimensional Hypothetical Fuzzy Risk Simulation Model to facilitate the Greenhouse Gases mitigation policy development and multi-dimensional risk simulation. In detail, the comprehensive performances of various industries are evaluated and analyzed through Hypothetical Extraction Method. The preferences of decision-makers are considered through Analytic Hierarchy Process and Fuzzy Technique for Order Preference by Similarities to Ideal Solution method to develop the optimized Greenhouse Gases mitigation policies. The multi-dimensional risks of optimized Greenhouse Gases mitigation policies are simulated through RAS method. A detailed case study of the Province of Saskatchewan, Canada, is conducted to illustrate the potential benefits of the proposed model and support the Greenhouse Gases mitigation policy development. It is found that Electric power generation, transmission and distribution sector is the key industry in Saskatchewan. The government supports are suggested to be allocated to the Electric power generation, transmission and distribution sector, since it will benefit the province from environmental, economic, and urban metabolic perspectives. [ABSTRACT FROM AUTHOR]