Canada: the Mandarin bureaucracy.
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In the authors' opinion, Canada is a developing country in the field of bioethics. Public interest in ethical dilemmas is sporadic and sparked by media reports of controversies. Professional interest is strategic and directed at issues such as health care funding and the impact of new technologies. Bioethics courses are offered in some undergraduate programs and professional schools. Policy developments reflect government control of health care and the drafting of legislation by civil servants rather than by elected representatives. Special commissions are frequently assigned the task of formulating a rational, apolitical policy on controversial issues, although their recommendations are not always enacted into law. Some bioethics research is done in the private sector by university faculty, medical associations, and ethicists at Canada's three bioethics centers.