Module 6 Flashcards
What is the Romanow Report
- recommended sweeping changes
- modernize and strengthen CHA include home care and prescription drugs
- 3 recommendations to electronic health records
-4 recommendations for rural and remote health services - 2 recommendations for Aboriginal health
Roman’s messages to Canadians
- medicare has served Canadians well
- system is as systainable as we want it to be
- Canadians want and need truly national system
- Canadians want and need more comprehensive system
- accountability must be improved
- equity, fairness and solidarity at heart of system
Kirby report
recommends
- establishing max wait time guarantees
- paying for out of system treatment if timelines not met
- warned current system is not fiscally sustainable
- endorsed single funder model for core health services
- supported 24/7 primary care group clinics
- emphasized need for system efficiency and public confidence
similarities with Kirby and Romano
- increase federal dollars to support health care
differences with Kirby and romanow
- romanow = single payer approach, choking out private insurance
- Kirby = greater gov investment in short term but greater reliance on private insurance in long term
post CHA
health care costs grew alongside challenges with wait times and other challenges
- percentage of healthcare budgets governed by federal contributions declined
Federal Health Funding Agreements 2023
$2 billion CHT top up
- focus areas
- agreements tailored to each province and territory
Canadian dental care plan
- aim to provide dental coverage for uninsured Canadians
- adjusted net family income under 90,000
- managed by Health Canada, administered by sun life
key points about pharmacare and dental care
- not being brought within publicly funded health system
- targeted rather than universal
- partnership with private, for profit corporation
Royal commission on Aboriginal peoples
- need for restructuring between relationship between Indigenous and non Indigenous
- health and healing
Lavoie summary
- fragmented existing policy framework with gaps at federal and prov/terr levels
federal level - indian act
- First Nations and Inuit Health Branch
prov/terr level
- where provisions exist, focus mainly on jurisdiction
- gaps and jurisdictional ambiguities - policy patchwork create challenges
- barriers to addressing healthcare needs
- perpetuates health inequities
What does gaps and jurisdictional ambiguities do
- policy patchwork create challenges
- barriers to addressing healthcare needs
- perpetuates health inequities
two categories of TRC
- legacy - readdressing harms resulting from Indian residential schools
- reconciliation - bring the fed and provide docs and Indigenous to reconciliation
health related calls to action
- how past health policies impacted Indigenous, how to fix
- different needs of different groups
- need for Aboriginal professionals
- cultural competence training
First Nations health authority
planning, management, service delivery, funding of health programs for Indigenous people in BC
What is Jordan’s principle
- aims to make sure that federal and or provincial funding disputes do not interfere with FN children accessing gov services that are available to other Canadian children
- gov of first contact pays and resolves disputes later
who is and is not covered in Jordan’s principle
- registered or eligible to be registered under Indian act
- one parent or guardian registered or eligible to be registered
- recognized by nation
- ordinarily resident on reserve
