The bureaucratization of the political process that characterizes twentieth century politics in many countries has not bypassed Canada—as evidenced by skyrocketing rates of government employment and expenditure and, even more dramatically, by the ever-expanding policy-making power of Canadian bureaucracy. One observer sees the civil service as occupying an increasingly strategic role in Canadian politics, a condition thatreflects in part the expanding role of modern government into highly technical areas, which tends to augment the discretion of permanent officials because legislators are obliged to delegate to them the administration of complex affairs, including the responsibility for drafting and adjudicating great amounts of sub-legislation required to “fill in the details” of the necessarily broad, organic statutes passed by Parliament. Some indication of the scale of such discretion is found in the fact that, during the period 1963–8, an annual average of 4,130 Orders-in-Council were passed in Ottawa, a substantial proportion of which provided for delegating authority to prescribe rules and regulations to ministers and their permanent advisers. By contrast, the number of laws passed annually by Canadian federal parliaments is rarely over one hundred.
Multimorbidity Patterns and 6-Year Risk of Institutionalization in Older Persons: The Role of Social Formal and Informal Care