HEALTH PROMOTION INTERNATIONAL # Oxford University Press 1998 Vol. 13, No. 4 Printed in Great Britain Canada's Active Living policy: a critical analysis KIM L. BERCOVITZ Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada SUMMA RY The shift from a rigorous prescriptive exercise model to Canada's moderate `Active Living' is examined. In its articulation as a `new' and `unique' approach, Active Living is reaching a critical turning point in the evolution of fitness policy in Canada. Active Living claims to represent the emergence of a new way of thinking and practice, as well as a new domain of discourse and ideology. In particular, it represents an example of a `top-down' versus `bottom-up' strategy for influencing the health of populations. Like the health promotion field, the literature on Active Living is replete with jargon and rhetoric. To the extent that Active Living represents a government-driven concept, a political agenda is implicit in its mandate. This article begins with an overview of the social, political and economic context underlying the evolution of Active Living. This overview sets the stage for understanding how and why Active Living was created. Following is a critical analysis of the discourse of Active Living (for example, lifestyle, empowerment, community and collaboration). An attempt is made to unpack meaning and hidden political agendas. What is revealed are the ways in which discourse has: (i) functioned to conceal power imbalances between government officials, practitioners and the community; and (ii) been appropriated by government to justify the rapid retreat of the welfare state from social responsibility for fitness and health. A discussion of the future of Active Living is provided. Here I argue that, in so far as it represents a powerful ideological mechanism for a de-centralized federal role in fitness, the thrust toward Active Living will continue. Key words: discourse; physical activity; policy INT ROD U CT I ON Over the past decade, there has been a revolution in fitness policy and practice. Driven in part by efforts to curtail rising health care costs and to increase exercise involvement levels, the federal Ministry of Fitness and Amateur Sport (FAS) has attempted to shift public attention away from a rigorous, prescriptive exercise model to its own approach to `Active Living'. Traditionally, emphasis has been placed on exercising aerobically three to five times per week at 60±90% of one's maximal heart rate for a duration of 15±60+ min (see American College of Sports Medicine, 1980). The purpose was to increase overall health and performance-related physical fitness (i.e. cardiovascular fitness, body composition, flexibility, and muscular strength and endurance). The guidelines, however, were adhered to by a small segment of the Canadian population (Stephens and Craig, 1990). Active Living takes a `moderate' approach toward involving Canadians, particularly the sedentary and `hard-to-reach', in physical activity. Daily activities such as gardening, housework, walking or cycling to work, and taking the stairs are said to provide significant health benefits for the population-at-large, with low risk and good adherence. By expanding the definition of what constitutes physical activity, Active Living claims to be more accessible and appealing to the public than the previous prescriptive exercise model. In its articulation as a `new' and `unique' approach, Active Living is reaching a critical 319 320 K. L. Bercovitz turning point in the evolution of fitness in Canada. It claims to represent the emergence of a new way of thinking and practice, as well as a new domain of discourse and ideology. [Discourse is defined as all that is written and spoken about (Rosenau, 1992). Foucault's notion of discourse also includes practice (i.e. what people do). Ideology is broadly defined as images, language, symbols, ideas, thoughts and beliefs through which people `represent, interpret, understand, and ``make sense'' of some aspect of social existence' (Hall, 1981, p. 31). The underlying premise is that all ideas and beliefs are socially determined and are subject to being contested.] For example, Active Living is intended to represent a marriage between individual and social determinants of health (i.e. agency and structure) and underscores the need for collaboration at all levels (for example, governments, organizations, practitioners) in order to improve opportunity for and access to physical activity. Other prominent features include it: (i) being anchored in physical activity; (ii) being focused on holistic health (i.e. physical, mental, emotional, spiritual and social well-being); (iii) being inclusive of all types/intensities of activity and all people; (iv) addressing the unique needs, skills, and interests of each individual; (v) embracing the notion of individual and community empowerment; (vi) representing a Canadian cultural trademark. While commended for moving beyond a rigid elitist fitness model, the evolution of Active Living has led to the production of a construct of uncertain meaning and scope. Like the health promotion field, the literature on Active Living is replete with jargon and rhetoric such as `lifestyle', `empowerment', `community', and `collaboration'. In many respects, the discourse of Active Living bears striking similarities to health promotion discourse. For example, the new definition of fitness as `a state of total well-being of the individualÐphysical, mental, emotional, spiritual, and social' (Canadian Summit on Fitness, 1986) echoes the 1946 World Health Organization (WHO) health definition. To the extent that Active Living represents a governmentdriven concept, a political agenda is implicit in its mandate. This paper begins with an overview of the social, political, economic and historical context underlying the evolution Active Living. This overview sets the stage for understanding how and why Active Living was created. There follows a critical analysis of the discourse of Active Living; attempts are made to reveal meaning and hidden political agendas that have arisen in response to the shift in fitness policy in Canada. SE TTI N G T H E STA GE : C O NT EXT O F A CTI V E LI VI N G According to Barbara O'Brien Jewett (1993), then Acting Assistant Director of Fitness Canada, The Canadian Summit on Fitness (June 1986) represents a major turning point for government involvement in fitness. [The Summit was attended by 188 delegates from the federal and provincial/territorial governments, national voluntary organizations, education, health care, recreation, fitness, industry and business. It is the Summit from which the concept of Active Living evolved.] It marked (publicly) the beginning of Fitness Canada's shift away from program and service provision toward a strategic leadership, facilitating, and collaborative role. Responsibility for direct program delivery was to fall within the jurisdiction of the provinces, municipalities, associations and the private sector. To fulfil this pivotal role, Fitness Canada focused its efforts on: the reconciliation of federal±provincial and territorial relations; interdepartmental collaboration at the federal level; partnerships with other policy development and delivery agencies, including the public and corporate sectors; maintenance of a national identity and priority in the fitness field through continued financial and moral support, and a centralized policy role; support for high-priority target groups, research and leadership development; and the establishment of Active Living. Following the coining and official trademarking of the term `Active Living' (11 January 1989 by Mr Lyle Makosky, then Assistant Deputy Minister, Fitness and Amateur Sport), Fitness Canada adopted a `cooperative' and `consultative' approach to develop national `Blueprints for Action'. These Blueprints provided a direction and a basis for collaborative action in the areas of target groups (the disabled, children and youth, the elderly and workers), research, and leadership development. Active Living Alliances and Secretariats were established to guide the implementation of these blueprints at the national level. In Canada's Active Living policy addition, a number of projects, including several joint federal, provincial and territorial initiatives were created (see Table 1). The Administration Bureau for Active Living was established as a central administration office for the alliances and organizations. Marcel Danis, Minister of Fitness and Amateur Sport (1989±1990), stated that the establishment of the Bureau reflects a `maturing of the fitness delivery system and the recognition that the various partners can accomplish much more by working together and pooling our resources' (Fitness and Amateur Sport, 1990, p. 5). Active Living was officially launched in 1992, in conjunction with Canada's 125th Birthday celebrations, the 2nd International Exercise, Fitness and Health Conference (Toronto), and the National Workshop on Active Living. In April 1992, a Ministerial Steering Committee on Active Living was established by the then Table 1: Overview of National Active Living Infrastructure 1. Alliances, centres, secretariats . Active Living Alliance for Children and Youth . Active Living Alliance for Canadians with a Disability . Active Living Alliance for Older Canadians . Canadian Centre for Active Living in the Workplace (CCALW) . Secretariat for Fitness in the Third Age . Skills Program for Management Volunteers . Centre for Leadership on Active Living (CLAC) . Focus on Active Living '92 Secretariat/Focus on Active Living '92 . Canada's Fitweek Secretariat 2. Projects . Canada's Fitweek . National Walking Campaign . Vitality (joint Fitness Canada±Health Canada initiative) . Green Plan/Go for Green! (joint Environment Canada±Health Canada initiative) . Canadian Active Living Challenge . Quality Daily Physical Education (QDPE) . Active Living Environment Program (ALEP) 3. Position papers/blueprints . Because They're Young. Active Living for Canadian Children and Youth: Blueprint for Action . Active Living for Canadians with a Disability: A Blueprint for Action . Working Actively Together. Canada's Blueprint: Toward Active Living in the Workplace . Move Through the Years: A Blueprint for Action . Making the Move . . . Leadership in Active Living: A Blueprint for Action . Framework for Research on Active Living: A Blueprint for Action 4. Organizations . Canadian Association for Health, Physical Education and Recreation (CAHPER) . Canadian Intramural Recreation Association (CIRA) 321 Minister of Fitness and Amateur Sport, Pierre Cadieux, to review the Active Living national infrastructure and delivery system, and to make recommendations for improved efficiency and effectiveness (Minister's Steering Committee on Active Living, 1993). The Steering Committee was also responsible for preparing the Fall Forum on Active Living in Ottawa (30 November±2 December 1992), uniting delegates for the first time since the 1986 Summit. The Forum provided an opportunity for partners to come together to develop a master plan for Active Living and to explore the building of a `collective'. The outcome included a shared vision and a consensus on strategic directions. In addition, the functions and characteristics of a national `collective voice' were identified, and a Task Force for an Active Living Collective was elected (Fall Forum on Active Living, 1992). This task force included nine members from government, national and provincial organizations, and academia, whose function was to `consult with and guide the active living community'. The Steering Committee was strongly inspired by the Fall Forum to develop a series of recommendations for its final report in February 1993. In light of the fiscal constraints, Minister Pierre Cadieux agreed to support the Steering Committee recommendation to consolidate the Active Living infrastructure, including the Administrative Bureau for Active Living. By 1 June 1993, funding to the Secretariats, Alliances and Centres ceased, over 30 jobs were terminated, and the Bureau and all its affiliated offices became amalgamated into one organizationÐActive Living Canada Inc. In addition, recommendations were made to consolidate four leadership programs, three national projects and five organizations. The purpose of these amalgamations was to enhance the levels of coordination, collaboration and cooperation, and to increase national planning by reducing duplications and `inefficiencies' within the Active Living infrastructure (Minister Cadieux's Address, 1993). Active Living Canada was established as a national not-for-profit organization headed by a Board of Directors comprised of representatives from the Active Living `community'. Its purpose was to increase strategic development and coordination among the Active Living milieu. The key partners included Fitness Canada, national organizations, ParticipACTION, and municipal, provincial and territorial governments. Minister Cadieux addressed a need to 322 K. L. Bercovitz set national directions for Active Living Canada and to take a `bottom-up' approach through the representation of provincial/territorial collectives. Emphasis was placed on a `communitybased' approach where the focus of national and provincial initiatives was on supporting Active Living at the community level. During the summer of 1993, the federal government (under the leadership of Progressive Conservative Prime Minister Kim Campbell) announced a major reorganization and restructuring of governmentÐ`the most significant downsizing and restructuring of government ever undertaken in Canada' (Office of the Prime Minister, 1993). All Minister of State positions were eliminated and Fitness and Amateur Sport was subsequently abolished. Amateur Sport moved to Canadian Heritage and Fitness moved to Health Canada. Fitness Canada was placed within the Health Programs and Services Branch, which included other areas such as Health Promotion, Seniors Initiatives, and the Children's Bureau. Following the election of Liberal Prime Minister Jean Chretien, a Fall Assembly on Active Living was held (28±30 October 1993). The Assembly highlighted a need for a strong collective voice to influence governments and other decision-makers on the importance of Active Living (Active Living Assembly, 1993). Also highlighted was the need for improved communications among Active Living agencies and organizations. Discussion centred around forming a `collective', in order to build a stronger future for the Active Living community. The collective was to be `lean, mean, simple and nonbureaucratic', as well as community-driven and owned. The Board of Directors was eliminated and replaced by the Active Living collective, consisting of five `stewards' and three governmental representatives who were responsible for establishing an `enabling model' for communication and `consensus-building'; working collaboratively with provinces/territories and municipalities to ensure linkages from the local to the national level; and integrating the `community-based' approach into the `collective-building' process. DI SC O UR SE O F AC TI VE L IV I NG : WH Y ACT IV E LI V IN G ? W H Y N O W? Active Living was packaged by Fitness and Amateur Sport as a `softer' and more attractive alternative to the prescriptive exercise model. As evidenced by the (public and non-public or `grey') literature, the discourse of Active Living is punctuated by words such as: `well-being', `quality of life', `lifestyle', `empowerment', `collaboration', `partnerships', `strategic alliances', `community development', `mobilization' and `participation'. But what do these words mean and what underlying purpose do they serve? As Robertson and Minkler (1994, p. 297) note, `to invoke these words is to invoke powerful symbolic concepts'. In this section, I argue that the user-friendly discourse of Active Living serves to conceal political agendas and ideologies. Lifestyle Careful deconstruction of the rhetoric of Active Living, suggests that, like the lifestyle construct, Active Living was created as an ideological resolution to structural problems and to the fiscal crisis of the welfare state. To a large extent, Active Living is essentially the `old' lifestyle rhetoric in a new guise. Driven by a political climate of rationalization and economic restraint, independence and self-discipline emerge as dominant themes (Crawford, 1977; Howell, 1991). Instead of falling `victim' to systemic malfunctions (for example, fiscal crises), the discourse of individualism and self-betterment promotes a `do-it-yourself' form of self-help wherein the individual becomes the `expert' (Howell, 1991). Active Living functions to divert attention from structural barriers to fitness by framing physical activity in terms of personal responsibility and choiceÐa `pull yourself up by the bootstraps' alternative to state intervention (Ingham, 1985, p. 50). The assumption is that the shift toward a more inclusive and holistic notion of physical activity will automatically capture the interests and hearts of all Canadians. The outcome is increased participation among the community-at-large, resulting in improved population health. [Population health is an approach that focuses on developing and implementing policies and actions to improve the health and well-being of the overall population (Federal, Provincial and Territorial Advisory Committee on Population Health, 1994).] It is implied, for instance, that all people should incorporate some form of physical activity, such as walking to work, into everyday living; however, a large number of people do not work, and in some geographic locations, walking provides an unsafe alternative to public transportation. Moreover, Canada's Active Living policy the new gospel of Active Living diverts attention away from other pressing social (for example, gender inequalities; substance abuse, personal safety) and structural (for example, pollution, poverty, unemployment) issues (Labonte and Penfold, 1981; Labonte, 1982, 1983; Stein, 1982; Sparkes, 1989). Active Living is mistakenly regarded as a panacea for the `ills' of modern culture (Stein, 1982; Gillick, 1984; Glassner, 1989). As Ingham (1985, p. 54) so aptly states: What shall we say to the victims of the fiscal crisis of the Welfare State? What do we have to offer the currently ill and the about-to-be-ill segments of the population; those whose illnesses have more to do with workplace rather than lifestyle, with the ravages of unemployment rather than defects of character, with the cumulative effects of impoverishmentÐimpoverishment which is becoming increasingly feminized? Shall we say that they should aerobicize, jazzercise, and jog their problems away? Shall we counsel them to internalize the locus of control? To the extent that broader societal issues and concerns are cast as problems that are resolved through personal active lifestyles, Active Living is clearly at risk for being de-contextualized and depoliticized (Crawford, 1980; Labonte and Penfold, 1981; Labonte, 1983). Moreover, the ideology of `personal responsibility and choice' can potentially fall into the trap of `blaming the victim' for pathogens (i.e. impediments to physical activity) which are essentially structural in nature (Ryan, 1971; Crawford, 1980; Labonte and Penfold, 1981). As Vertinsky (1985, p. 75) points out, The fitness craze does not involve the poor and the unemployed cheerfully recreating out of doors on a shoestring, and checking that they have balanced their intake of the four food groups at the end of each day. Empowerment Empowerment has traditionally been defined in the public health field as the amount of power or powerlessness one feels (Wallerstein, 1992). Used more broadly, empowerment is a multi-level construct that involves individuals, organizations and communities gaining control and mastery over their lives. This definition is analogous to the WHO (1986) definition of health promotion: `a process of enabling individuals and communities to increase control over the determinants of health'. The idea of empowerment is rooted in the civil rights and women's movements, as well as `social action ideology' of the 1960s, `self-help' 323 ideology of the 1970s, and community psychology theory of the 1980s. In the 1990s, empowerment has become part of a growing movement towards citizens regaining control over many areas of life, including medicine, health, the physical environment and the body (see Rappaport, 1985; Rissel, 1994). The notion of empowerment is particularly relevant to the construct of Active Living. First, Active Living underscores subjectivity over type and meaning of physical activity. Individuals are encouraged to define what living actively means to them and to choose activities which are best suited to personal interests and tastes. The process of Active Living essentially empowers people by increasing self-discovery and self-actualization through physical activity. Second, Active Living promotes personal responsibility for health by discharging individuals from dependency on professional `experts' and specialized programs and services. Emphasis is placed on `letting the power go to the people' by having people take charge of their lives. At the community level, Active Living empowers individuals and community groups to take control over the outdoors through participation in environmental citizenship activities (for example, park clean-ups, tree planting) and the use of alternative non-motorized transportation. The term `empowerment' is becoming an ambiguous and ubiquitous `buzzword' in health and fitness fields (Wallerstein and Bernstein, 1994). Too frequently, this term is being misused and misappropriated. Empowerment is especially being appropriated by politicians, bureaucrats, organizations and practitioners to justify privatization and people (for example, individuals or communities) `doing for themselves'. The word empowerment, however, is misleading. At its core is the concept of power, the root of which is the Latin `potere', meaning the ability to choose. Ironically, as Labonte (1989, p. 24) notes, `[w]e cannot empower anybody, because to presume to do so strips people of their ability to choose. Groups and individuals can only empower and motivate themselves.' Labonte (see Focus on Active Living, 1992a) further argues that it is arrogant for professionals to assume that they can `empower' individuals and communities to take control over their health, since the approach keeps the power in the professional's hands. Although the discourse attempts to position the individual or community as the `initiator' or as being `in control', `there is still an external agent in a background role that has controlling 324 K. L. Bercovitz implications' (Grace, 1991, p. 331). The `them/us' or `client/expert' dichotomy, however, is replaced by terms such as `participant', `collaborator', `facilitator', `enabler' and `consultant' (Labonte, 1990; Bernstein et al., 1994). This creates the illusion of the community and the professional being equal partners in setting the health and fitness agenda (Robertson and Minkler, 1994). In reference to Active Living, the role of the fitness practitioner is recast from that of `expert' who provides specialized programs and services, to that of `community animator'Ðsomeone who promotes the concept of Active Living, and facilitates collaboration and community mobilization through consultations and the provision of informational support. Although intuitively appealing, the rhetoric of empowerment serves to disguise power imbalances, as well as the a priori (hidden) agenda of ownership and control. For example, the shift toward partnerships and other egalitarian or non-hierarchical relationships masks the structural and power differentials that exist between professionals and individuals or communities. Professionals possess specialized bodies of knowledge and skills, and use a different language to discuss and frame health issues (Robertson and Minkler, 1994). Further, professionals use their hegemonic positions to reproduce social relations of power (for example, gender, class and racial inequities) (Messner and Sabo, 1994; Kidd, 1995) and privilege in society (Freidson, 1970a, b; Johnson, 1972; Larson, 1977, 1979; Turner, 1987). The very location of the professional in an organization or bureaucracyÐi.e. `institutional embeddedness' (Gruber and Trickett, 1987)Ð also implies a degree of power (Robertson and Minkler, 1994). The fact that the term `Active Living' was both created and trademarked by government (i.e. Fitness and Amateur Sport), not the community, is illustrative of this point. This begs the following questions: Who is the `empowerer' and the `empoweree'? Who has the power to set the agenda of Active Living? Whose interests and needs are being served? As Gruber and Trickett (1987, p. 370) note, there is a `fundamental paradox in the idea of people empowering others because the very institutional structure that puts one group in a position to empower also works to undermine the act of empowerment'. The extent to which power is held over `clients' may also reflect feelings of powerlessness among professionals or within organizations (Labonte, 1990). For example, academics and exercise practitioners have struggled to define and delineate the boundaries of exercise, in order to achieve status and scientific legitimacy (Macintosh and Whitson, 1990). Here, the `FITT' principle, which stipulates `frequency, intensity, time and type' of activity, has traditionally been used in exercise prescription and program planning. There has been a recent proliferation of exercise science research endorsing the health benefits of moderate physical activity (see Blair et al., 1992; US Department of Health and Human Services, 1996). However, I argue that this research has been appropriated by the federal government (i.e. Fitness Canada) to secure a unique place for fitness within the broader health (i.e. Health Canada) and population health mandate (Bercovitz, 1996). Community and collaboration Empowerment as both a construct and a strategy has helped us move beyond the `victim-blaming' ideology of the lifestyle approach (Labonte, 1990). However, in the case of Active Living, I would argue that it is disempowering in the sense that it was created not as a community-driven construct but as a government-based movement, couched in its own bureaucratic language. The ideology of Active Living is contradictory. On the one hand, Active Living was created as a government-driven concept. On the other hand, national and provincial government initiatives were directed at supporting Active Living at the community level. It is questionable whether Active Living is or has the potential to become community-based or community-driven and owned. First, a `top-down' approach was used to infiltrate the Active Living message from federal to provincial/territorial governments down to national/provincial organizations, public health units, practitioners, and the community-at-large. Labonte (1990) rejects the umbrella term `community development' (i.e. community involvement and ownership); instead, he supports the notion of communitybased programmingÐ`taking the agenda of government to local community groups' (p. 70). Second, there was no evidence to suggest that the community (i.e. lay persons) and `frontline' or `grass-roots' practitioners were involved in the conceptualization of Active Living, or included as part of its national infrastructure. Third, there was uncertainty over whether the public was aware of Active Living and whether they under- Canada's Active Living policy stood its underlying meaning (Mummery and Sefton, 1994). The discourse of Active Living also reveals a strong emphasis on collaboration and consensusbuilding, as evidenced by words such as `shared vision', `working together', `the Active Living collective or milieu', `participatory decisionmaking', `resource sharing', `partnerships', `strategic alliances', `coalition building', `cooperation' and `coordination'. Like empowerment, this seemingly neutral rhetoric serves to mask conflict at the community level, as well as the hidden political agenda underlying Active Living. The literature on Active Living suggests that the shift toward empowerment and collaboration coincided with trends toward decentralization and rationalization of government in the 1990s. Advocates (for example, senior bureaucrats) argued that Active Living was created in response to the federal government's task at re-thinking its own role in society. In particular, Fitness and Amateur Sport was looking to become less `hands-on' in the area of leadership, program development and delivery. At the same time, to ensure its political and organizational survival, Fitness and Amateur Sport needed to shift its focus away from physical fitness and toward the health arena (i.e. health promotion and population health). In spite of its renewed focus, the bureaucratic and political discourse of Active Living has the potential to be misused by neo-conservative governments in an era of fiscal conservatism. Conceivably, the concept of `empowerment', combined with the political ideology of individualism and the return to `the community', is used implicitly to justify the retreat of the welfare state from social responsibility for fitness and health (Binney and Estes, 1988; Robertson and Minkler, 1994). The success of this ideological retreat is manifested by the powerful bureaucratic rhetoric of Active Living, as well as by the widespread multi-media coverage of ParticipACTION and Active Living messages (for example, `Just walking the dog'). Active Living is typically packaged and sold as an adaptable, `low or no cost' population approach to physical activity. The message conveyed in the 1990s is that `in times of fiscal constraint, walking offers a simple, inexpensive route to an active lifestyle'. As declared by Fitness and Amateur Sport, `Active Living can provide the means of doing more with less' (Focus on Active Living, 1992b, p. 4). Following the arguments made by Binney and 325 Estes (1988) concerning the retreat of the state from intergenerational responsibility, I argue that, in spite of its dual and contradictory role (see Offe, 1984), the state must legitimate its policies of fiscal restraint with ideological tools that obscure the underlying `politics' of Active Living. Although disguised by the semantics of inclusivity and emancipation from dependency on professionals and societal institutions, this ideology has clearly been used by Fitness and Amateur Sport to justify budget cuts to fitness (i.e. research and program development) and withdrawal of `expert authority', as well as formal exercise programs and services (on the politics of fiscal austerity, see, for example, Estes, 1980; Minkler, 1984; Binney and Estes, 1988; Northcott, 1993; Labonte, cited in Bernstein et al., 1994; Robertson and Minkler, 1994; Robertson, 1998). Table 2 illustrates the disproportionate funds allocated to elite sport over population approaches to fitness. Bakker (1990) would argue that Active Living is an example of one outcome of `economic renewal' by the Tory government. Active Living is thus constructed and used as a political and ideological mechanism which facilitates the restructuring and rationalization of government, and Table 2: Sport Canada and Fitness Canada contribution allocations Years 1971/1972 1972/1973 1973/1974 1974/1975 1975/1976 1976/1977 1977/1978 1978/1979 1979/1980 1980/1981 1981/1982 1982/1983 1983/1984 1984/1985 1985/1986 1986/1987 1987/1988 1988/1989 1989/1990 1990/1991 1991/1992 1992/1993 Sport Canada 5 823 6 891 8 679 8 554 12 832 20 854 19 650 22 991 21 668 26 462 31 124 40 429 43 363 47 870 50 534 50 558 51 145 57 200 55 580 68 776 68 255 72 162 472 233 929 155 938 872 478 328 601 076 975 128 448 000 428 340 460 576 000 000 000 084 Fitness Canada 433 2 097 3 129 3 436 3 848 3 912 4 776 5 181 3 908 6 480 6 202 6 382 7 144 7 787 7 568 7 606 7 409 7 565 8 458 7 830 8 950 9 823 905 897 913 201 434 277 402 218 303 134 000 441 813 000 065 027 117 527 000 000 000 289 Ratio 3:1 3:1 3:1 3:1 3:1 5:1 4:1 4:1 6:1 4:1 5:1 6:1 6:1 6:1 7:1 7:1 7:1 8:1 7:1 9:1 8:1 7:1 Source: Fitness and Amateur Sport Annual Reports (1971/ 1972±1992/93). 326 K. L. Bercovitz essentially permits the abdication of responsibility for fitness to the individual and to other less costly `mediating structures' such as the community (Robertson and Minkler, 1994). SU MMA RY AN D C O NC LU SI O N : W H ERE TO FRO M H ERE ? The literature on Active Living is replete with references to the individual, the community, and collaboration. An attempt was made to unpack and situate the discourse of Active Living within a social, political and economic context. This paper has illustrated the extent to which Active Living is packaged as a powerful discourse for the rapid retreat of the welfare state (Robertson, 1998). In an era of fiscal restraint, governments and institutions are forced to redefine their role in society. The rhetoric of Active Living supports the notion that social problems are constructed in a cyclical manner. In the presence of fiscal austerity, social problems become redefined to necessitate less costly and efficient `solutions' (Minkler, 1984; Grace, 1991; Minkler and Robertson, 1991). One solution to the sagging economy of the 1980s was to shift responsibility for social problems from the federal to provincial/municipal governments and `arms-length' organizations, and ultimately to discharge them from government onto the individual and the community. In spite of this decentralization, emphasis has shifted to collaboration, rationalization, and resource sharing across and within all levels of government, national and provincial organizations, researchers, and practitioners. What is the fate of Active Living? To the extent that its evolution has been shaped by social, political and economic forces, it is questionable whether Active Living is more than `just a passing fad' (Bercovitz and Skinner, 1996). Fitness Canada's mandate has the potential to fluctuate along with changing ministers and political mandates. Traditionally, Fitness and Amateur Sport has oscillated between a sport and a fitness focus, depending on the extent to which either could be used as a springboard for fulfilling broader sociopolitical and economic agendas. For example, sport became a focus of Prime Minister Pierre Trudeau's Liberal era (1968±1979, 1980±1983) because it coincided with Trudeau's vision of nationalism and internationalism. Sport was used strategically as a political symbol through which national unity and cultural identity were fostered (Harvey and Proulx, 1988; Macintosh and Hawes, 1994). During Prime Minister Brian Mulroney's Conservative era (1984±1992), Active Living was created and subsequently evolved as a neo-conservative post-welfare-state measure. It is no surprise that the pinnacle of Active Living promotion campaigns, the focus of which was on the notions of `empowerment' and `strategic alliances', coincided with the recession of the early 1990s. Active Living evolved because it was ripe for the changing socio-political and economic climate in Canada. Its birth coincided with: (i) socio-demographic changes (i.e. the aging or `greying' of the population, rise in multiculturalism); (ii) the resurgence of interest in the social determinants of health and equity issues; (iii) concerns about rising health care costs; and (iv) the focus on health promotion and population health. Politicians and policy-makers became attracted to Active Living because of its wide appeal and its ability to provide a better political future for the field. Active Living enabled Fitness and Amateur Sport to broaden its mandate and scope beyond high-performance sport and physical fitness, in order to engage a larger segment of the Canadian population in physical activity and to collaborate with other federal ministries, including Health Canada and Environment Canada. Active Living was thus instrumental in ensuring the political and organizational survival of Fitness Canada within the context of Fitness and Amateur Sport and later Health Canada (Bercovitz, 1996). How will physical activity unfold in the year 2000? During an era of cost containment and fiscal restraint, it is my contention that the thrust toward Active Living will continue. This is evidenced by the re-naming of Fitness Canada to The Fitness and Active Living Unit (under Health Canada). Clearly, Active Living represents a powerful ideological mechanism for a de-centralized federal role in fitness. This article does not attempt to develop strategies to facilitate the shift from government discourse to professional and community practice. Communities themselves can be just as powerful and repressive as governments (Lyon, 1989). As Poland (1993) points out, community interventions are just as likely to be co-opted by professional and `special interest group' agendas as are provincial and federal interventions. Moreover, in light of the contested nature of Active Living, any strategies for change are likely to be challenged and contested in their own right. While acknowledging Canada's Active Living policy many of its underlying limitations, I do maintain that for Active Living to be a viable construct, enhanced government support (for example, financial, technical) is ideally needed. Thus far, governments have provided `lip-service' rather than direct service for Active Living, particularly at the grass-roots levels. If Active Living is to become a sustaining construct, then both federal and provincial ministries need to shift their power base and move beyond the rhetoric to facilitate the implementation of Active Living at municipal and `bottom-based' levels (for example, fitness/ health organizations, public health units, and communities). ACK N O WLED G EMEN TS This manuscript draws on a grant from the Canadian Fitness and Lifestyle Research Institute. Preparation of this manuscript was supported by a National Cancer Institute of Canada postdoctoral fellowship with funds from the Canadian Cancer Society. Insightful comments provided by Drs Roy Cameron, Peter Donnelly and Irving Rootman, and two anonymous reviewers on earlier drafts are gratefully appreciated. Address for correspondence: Dr Kim Bercovitz Health Behaviour Research Group Department of Health Studies and Gerontology University of Waterloo 200 University Avenue West, Room MC 6082 Waterloo Ontario N2L 3G1 Canada REF EREN C ES Active Living Assembly (29±31 October 1993) Unpublished summary report, Fern Resort, Orillia, Canada. American College of Sports Medicine (1980) Guidelines for Graded Exercise Testing and Exercise Prescription, 2nd edn. Lea & Febiger, Philadelphia, PA. Bakker, I. (1990) The size and scope of government: Robin Hood sent packing? In Whittington, M. S. and Williams, G. (eds) Canadian Politics in the 1990s. Nelson Canada, Ontario, pp. 423±447. Bercovitz, K. L. (1996) A critical analysis of Canada's `Active Living': science or politics? Unpublished doctoral dissertation, University of Toronto. Bercovitz, K. L. and Skinner, H. A. (1996) Active Living: just a passing fad? Canadian Journal of Public Health, 87, 275± 279. Bernstein, E., Wallerstein, N., Braithwaite, R., Gutierrez, L., 327 Labonte, R. and Zimmerman, M. (1994) Empowerment Forum: a dialogue between Guest Editorial Board members. Health Education Quarterly, 21, 281±294. Binney, E. A. and Estes, C. L. (1988) The retreat of the state and its transfer of responsibility: the intergenerational war. International Journal of Health Services, 18, 83±96. Blair, S. N., Kohl, H. W., Gordon, N. F. and Paffenbarger, R. S. (1992). How much physical activity is good for health? Annual Review of Public Health, 13, 99±126. Canadian Summit on Fitness (1986) Fitness . . . the Future. Fitness and Amateur Sport, Ottawa. Crawford, R. (1977) You are dangerous to your health: the ideology and politics of victim blaming. International Journal of Health Services, 7, 663±680. Crawford, R. (1980) Healthism and the medicalization of everyday life. International Journal of Health Services, 10, 365±388. Estes, C. L. (1980) Constructions of reality. Journal of Social Issues, 36, 117±132. Fall Forum on Active Living (30 November±2 December 1992) Unpublished summary paper, Ottawa. Federal, Provincial and Territorial Advisory Committee on Population Health (1994) Strategies for Population Health. Minister of Supply and Services, Ottawa. Fitness and Amateur Sport (1990) Fitness and Amateur Sport Annual Report 1989±1990. Minister of Supply and Services, Ottawa. Focus on Active Living (1992a) Reducing inequities through Active Living. Focus on Active Living. A Resource Letter, 1, 1±3. Focus on Active Living (1992b) An asset in changing times. Focus on Active Living. A Resource Letter, 1, 4. Freidson, E. (1970a) Profession of Medicine. Harper & Row, New York. Freidson, E. (1970b) Professional Dominance. Aldine, Chicago, IL. Gillick, M. R. (1984) Health promotion, jogging, and the pursuit of the moral life. Journal of Health Politics, Policy and Law, 9, 369±387. Glassner, B. (1989) Fitness and the postmodern self. Journal of Health and Social Behavior, 30, 180±191. Grace, V. M. (1991) The marketing of empowerment and the construction of the health consumer: a critique of health promotion. International Journal of Health Services, 21, 329±343. Gruber, J. and Trickett, E. J. (1987) Can we empower others: the paradox of empowerment in the governing of an alternative public school. American Journal of Community Psychology, 15, 353±371. Hall, S. (1981) The whites of their eyes. Racist ideologies and the media. In Bridges, G. and Brunt, R. (eds) Silver Linings. Some Strategies for the Eighties. Lawrence & Wishart, London, pp. 28±52. Harvey, J. and Proulx, R. (1988) Sport and the state in Canada. In Harvey, J. and Cantelon, H. (eds) Not Just a Game. University of Ottawa Press, Ottawa, pp. 93±119. Howell, J. (1991) `A revolution in motion': advertising and the politics of nostalgia. Sociology of Sport Journal, 8, 258± 271. Ingham, A. G. (1985) From public issue to personal trouble: well-being and the fiscal crisis of the state. Sociology of Sport Journal, 2, 43±55. Johnson, T. (1972) Professions and Power. The Anchor Press, Tiptree, Essex. Kidd, B. (1995) Inequality in sport, the corporation, and the 328 K. L. Bercovitz state: an agenda for social scientists. Journal of Sport and Social Issues, 19, 232±248. Labonte, R. (1982) Half-truths about health. Policy Options, 3, 54±55. Labonte, R. (1983) Keeping fit in a sick society: the ideology of health promotion. Our Generation, 16, 35±51. Labonte, R. (1989) Community and professional empowerment. The Canadian Nurse, March, 23±28. Labonte, R. (1990) Empowerment: notes on professional and community dimensions. Canadian Review of Social Policy, 26, 64±75. Labonte, R. and Penfold, S. (1981) Canadian perspectives in health promotion: a critique. Health Education, 20, 4±9. Larson, M. S. (1977) The Rise of Professionalism: A Sociological Analysis. University of California Press, Berkeley, CA. Larson, M. S. (1979) Professionalism: rise and fall. International Journal of Health Services, 9, 607±627. Lyon, L. (1989) The Community in Urban Society. Lexington Books, Toronto. Macintosh, D. and Whitson, D. (1990) The Game Planners. McGill±Queen's University Press, Montreal and Kingston, Canada. Macintosh, D. and Hawes, M. (1994) Sport and Canadian Diplomacy. McGill±Queen's University Press, Montreal and Kingston, Canada. Messner, M. A. and Sabo, D. F. (1994) Sex, Violence & Power in Sports: Rethinking Masculinity. The Crossing Press, Freedom, CA. Minister Cadieux's Address (1993) Changes to the Active Living national infrastructure. Unpublished speech, Ottawa, 9 March. Minister of State, Fitness and Amateur Sport (1993) Minister's Steering Committee on Active Living. Final report. Unpublished report, Ottawa, February. Minkler, M. (1984) Blaming the aged victim: the politics of retrenchment in times of fiscal conservatism. In Minkler, M. and Estes, C. L. (eds) Readings in the Political Economy of Aging. Baywood, New York, pp. 254±269. Minkler, M. and Robertson, A. (1991) The ideology of `age/ race wars': deconstructing a social problem. Ageing and Society, 11, 1±22. Mummery, W. K. and Sefton, J. M. (1994) Active LivingÐ what does it mean to Albertans. Paper presented at the 10th Commonwealth and International Scientific Congress, Victoria, British Columbia, 10±14 August, Victoria, Canada. Northcott, H. C. (1993) The politics of fiscal austerity and threats to Medicare. Health in Canadian Society, 1, 347±366. O'Brien Jewett, B. (1993) Milestones in the evolution of Fitness Canada. Unpublished working paper, Ottawa. Offe, C. (1984) Contradictions of the Welfare State. Hutchinson, London. Office of the Prime Minister (1993) Unpublished news release, Ottawa, 25 June. Poland, B. D. (1993) Concept and practice in community mobilization for health: a qualitative evaluation of the Brantford COMMIT Smoking Cessation Intervention Trial. Unpublished doctoral dissertation, McMaster University, Hamilton, Canada. Rappaport, J. (1985) The power of empowerment language. Social Policy, 16, 15±21. Rissel, C. (1994) Empowerment: the holy grail of health promotion? Health Promotion International, 9, 39±47. Robertson, A. (1998) Shifting discourses on health in Canada: from health promotion to population health. Health Promotion International, 13, 155±166. Robertson, A. and Minkler, M. (1994) The new health promotion movement: a critical examination. Health Education Quarterly, 21, 295±312. Rosenau, P. M. (1992) Postmodernism and the Social Sciences. Princeton University Press, Princeton, NJ. Ryan, W. (1971) Blaming the Victim. Vintage Books, New York. Sparkes, A. (1989) Health related fitness: an example of innovation without change. The British Journal of Physical Education, Summer, 60±63. Stein, H. F. (1982) Neo-Darwinism and survival through fitness in Reagan's America. The Journal of Psychohistory, 10, 163±187. Stephens, T. and Craig, C. L. (1990) The Well-Being of Canadians: Highlights of the 1988 Campbell's Survey. The Canadian Fitness and Lifestyle Research Institute, Ottawa. Turner, B. S. (1987) Medical Power and Social Knowledge. SAGE, Beverly Hills, CA. US Department of Health and Human Services (1996) Physical Activity and Health: A Report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA. Vertinksy, P. (1985) Risk benefit analysis of health promotion: opportunities and threats for physical education. Quest, 37, 71±83. Wallerstein, N. (1992) Powerlessness, empowerment, and health: implications for health promotion programs. American Journal of Health Promotion, 6, 197±205. Wallerstein, N. and Bernstein, E. (1994) Introduction to community empowerment, participatory education and health. Health Education Quarterly, 21, 141±148. World Health Organization (1946) Constitution. World Health Organization, New York. World Health Organization (1986) Ottawa Charter for Health Promotion. Canadian Public Health Association, Ottawa.
© Copyright 2026 Paperzz