In the context of increased expectations of healthcare services and fiscal pressures, rights claims constitute a force pushing for privatization and thus threaten Canada’s single-tier public system. This article introduces the concept of a ‘post-social right’ to understand the current legal effort to enforce a right to healthcare derivative of section 7 of the Canadian Charter of Rights and Freedoms. Commonly considered as a ‘negative’ right, I suggest that the right also has positive capacity. Rather than simply protecting against unjust state intervention, section 7 claims valorize a particular mode of sustaining life, liberty and security of the person according to neo-liberal principles. A right to markets in healthcare aligns health law with the logic of prudentialism as a technology of governance. As the enforceability of the right expands and strengthens, health law as governance operates to normalize market solutions to health matters. It follows that a form of two-tier citizenship arises, dividing ‘activated’ citizens from the ‘inactive’.

中文翻译：

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通过市场实现人的生命、自由和安全的后社会权利？公民的概念及其对卫生法治理的影响

在医疗保健服务预期增加和财政压力增加的背景下，权利主张构成了推动私有化的力量，从而威胁到加拿大的单层公共系统。本文介绍了“后社会权利”的概念，以了解当前为强制执行《加拿大权利和自由宪章》第 7 节的医疗保健衍生权利的法律努力。通常被认为是一种“消极”的权利，我认为这种权利也具有积极的能力。第 7 条主张不是简单地防止不公正的国家干预，而是根据新自由主义原则对维持人的生命、自由和安全的特定模式进行了评估。医疗保健市场权使健康法与作为治理技术的审慎主义逻辑保持一致。随着权利的可执行性扩大和加强，卫生法作为治理运作以规范市场对卫生问题的解决方案。随之而来的是一种两级公民的形式，将“活跃”公民与“非活跃”公民区分开来。