I'd like to add a point about how Europe coordinates these things.
I watched very closely as they followed up on the World Summit for Social Development . One of the first things they did was meet the commitment to involve people who are affected and have them participate in the development of policy. But one of the other reasons Europe has this ability to succeed in these areas is that they all have human rights commitments and standards, and they take them seriously and they have accountability mechanisms at many levels. These things actually make a difference.
Now, I say that the provinces and the federal government signed and ratified those agreements. You can start there, as at least a framework of principles that are legally binding to the federal and provincial governments, as it works in Europe. If some of these commitments were taken seriously and followed through on, you would find you would get some similar results.