In the twenty-seventh edition of How Ottawa Spends, leading Canadian scholars examine the Tory agenda in relation to the changing dynamics of a resurgent Western Canadian power base, Quebec-Canada relations, Canada-U.S. tensions, and key Martin policies. Contributors explore the challenges that have been created by unsustainable promises made by both major parties on expenditures and growth. They also look at the thorny issues of federal procurement policy and ethics, fiscal policy, energy policy, equalization and energy revenues, cancer control, patent policy and access to emergency medicines, the regulation of tobacco, gambling, and alcohol, and efforts to review spending.