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HSC 312 Canadian Health Care System > Selected Milestones in the Development of the Canadian Health Care System Handout > Flashcards

Selected Milestones in the Development of the Canadian Health Care System Handout Flashcards

1
Q

What were the contextual factors during the <1867 time period?

A

Developing Canadian society, communicable diseases, epidemics (esp. Aboriginals)
Philanthropic/church/community support

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2
Q

What were some major milestones that occurred during the <1867 time period?

A

Boards of health, Vaccination, Resistance to imposed care/quarantine
Reliance on philanthropic/church/community support

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3
Q

What were the implications of the <1867 time period regarding health care?

A

Vaccination, statutory imposed care/quarantine

Heavy psychological investment by church/philanthropic support, little attention in British North America Act

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4
Q

What significant things occurred in 1867? (milestones)

A

Confederation

BNA Act Division of powers

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5
Q

What was the effect of the BNA Act division of powers in 1867?

A

Trigger for Federal/Provincial support

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6
Q

What are the contextual features of the health care of the early 1900s?

A

Increasing technology/professionalization; cost of health care, economic stresses/depression, UK social security reforms.

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7
Q

What milestone was reached during the early 1900s?

A

Review of role of government and social security (some programs for economic security, OAP 1927)

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8
Q

What significant contextual factor occurred in 1927?

A

Federal Department of Health was created

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9
Q

Which important milestone was reached in 1927?

A

Old Age Pension Act

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10
Q

What were the implications of the creation of the Federal Department of Health and the Old Age Pension Act in 1927?

A

First shared cost Federal/Provincial program.

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11
Q

What significant contextual factor was influencing the nation in 1935?

A

The Great Depression

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12
Q

What significant milestones were reached in 1935?

A

Feds try Unemployment Insurance; Provinces challenge in the court

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13
Q

What were the implications of the contextual features (the Great Depression) and milestones (Feds trying Unemployment Insurance, and Provinces challenging in court) in 1935?

A

Provinces draw line in the sand, provides more clarity around Federal/Provincial responsibilities.

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14
Q

What occurred during the 1940’s that was a significant contextual factor?

A

Rowell Sirois Commission on Federal Provincial Relations

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15
Q

What milestones were reached in 1940?

A

Recommendations (of the Rowell Sirois Comission) mired in Federal/Provincial debate but unemployment insurance erected.

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16
Q

What significant contextual feature occurred in 1943?

A

Marsh Report on social security

Heagerty Report on health insurance

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17
Q

What were the results of the Marsh Report on social security and the Heagerty Report on health insurance in 1943?

A

Recommendations mired in Federal/Provincial debate.

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18
Q

What were the implications of the 1940 changes (Rowell Sirois Comission, Unemployment Insurance)?

A

More collaborative spirit.

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19
Q

What were the implications of the 1943 Marsh Report, Heagerty Report, and ongoing Federal/Provincial debate?

A

Increased attention and awareness, but not partnership.

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20
Q

What occurred during the mid-1940’s?

A

Tommy Douglas and CCF rise to power in Saskatchewan

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21
Q

What occurred in Saskatchewan in 1947?

A

Saskatchewan introduced hospital insurance.

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22
Q

What was the implication/significance of the introduction of hospital insurance in Saskatchewan in 1947?

A

First government sponsored hospital insurance scheme for a whole province.

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23
Q

What occurred contextually in 1945?

A

End of World War II, Feds interested in “welfare state” and cooperation with provinces.

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24
Q

What milestone was reached in 1945?

A

Dominion - Provincial Conference on Reconstruction

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25
Q

What was the implication of the end of WWII in 1945 and the Dominion-Provincial Conference of Reconstruction?

A

Renewed cooperative spirit.

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26
Q

What was the context in 1947? (what was happening)

A

Continued interest by feds in “welfare state”

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27
Q

What milestone was reached in 1947?

A

1947 Hospital Construction grants

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28
Q

What were the implications of the hospital construction grants on 1947?

A

Proliferation of hospital construction

29
Q

What were the contextual factors of the 1950’s?

A 
Other provinces follow Saskatchewan, and Feds introduce legislation in late 1950's.
Medical care (outside of hospital) still not covered.
30
Q

What milestones were reached during the 1950’s?

A

1957 Hospital Insurance and Diagnostic Services Act (all implemented in 1961)
1961 Saskatchewan introduces medical care insurance

31
Q

What were the implications of the 1957 Hospital Insurance and Diagnostic Services Act?

A

National federal/provincial government sponsored hospital insurance scheme, incentive for hospital care

32
Q

What were the implications of the introduction of medical care insurance in Saskatchewan in 1961?

A

First government sponsored medical insurance scheme, First Doctor’s strike, reliance on foreign MD’s

33
Q

What was the context between 1961-1966?

A

1966 baby boom; anticipated capacity increase

34
Q

What milestone was reached between 1961-1966?

A

Hall commission recommends medical care insurance, increased med school capacity.

35
Q

What were the implications of the Hall commission’s recommendations for medical care insurance and increased med school capacity?

A

“oversupply” based on extrapolations, medical care insurance.

36
Q

What was the context in 1968?

A

National focus on Medical Care Insurance Act in force 1968 (all on board by 1972)

37
Q

What milestone was reached in 1968?

A

1968 National Medical Care Insurance

38
Q

What occurred contextually during the 1970s?

A

1970’s cost pressures (noted from HIDS) under scrutiny

39
Q

What milestone was reached during the 1970’s?

A

Task force on cost of health services reports.

40
Q

What was the implication of the report from the task force on health services (1970’s)?

A

Continued concern, ultimately EPF and community care incentives.

41
Q

What were the contextual factors in 1977?

A

Cost pressures continue, feds seeking means to diminish unfettered commitment to shared costs.

42
Q

What milestone was reached in 1977?

A

Established Programs Financing Act + incentives

43
Q

What were the implications of the 1977 Established Programs Financing Act?

A

Severe financing pressure on provinces, beginning of expansion of non-hospital care.

44
Q

What was the context during 1979?

A

Concern over extra billing following EPF change in funding.

45
Q

What milestone was reached in 1979?

A

Hall II recommends “accessibility” provision.

46
Q

What was the implication of the Hall II recommendation of “Accessibility”? (1979)

A

Accessibility enshrined Canada Health Act 1984

47
Q

What occurred contextually in the 1980s?

A

Economic challenges, continued demand and cost pressures Period of review

48
Q

What milestone was reached in the 1980s?

A

Provinces rethink delivery

49
Q

What was the implication of the 1980s economic challenges and provinces rethinking of healthcare delivery?

A

Reform

50
Q

What was the context in 1991?

A

Federal deficit reduction strategy, more autonomy for provinces.

51
Q

What milestone was reached in 1991?

A

Bill C-69

52
Q

What was the implication of Bill C-69?

A

Shift in transfer payments - shift of cash transfer to transfer of tax points, diminished clout to enforce Canada Health Act

53
Q

What occurred in the 1990s contextually (1994)

A

Continued federal retrenchment

54
Q

What milestone was reached in 1994?

A

National Forum on Health scolds feds for diminished ability to enforce Canada Health Act

55
Q

What was the implication of the National Forum on Health? (1994)

A

“Cash” to “Tax Transfer” shift ceased.

56
Q

What were the contextual features of 2002?

A

Contained cost pressure, concerns for sustainability

57
Q

What milestones were reached in 2002?

A

Romanow Comission; Kirby Enquiry into Federal role in health care

58
Q

What were the implications of the 2002 Romanow Comission and Kirby Enquiry into Federal role in health care?

A

Recommendations for home care, pharmaceutical insurance.

59
Q

What was the context in 2003?

A

Concern over potential that more resources are needed, Romanow report received.

60
Q

What milestone was reached in 2003?

A

2003 First Ministers Accord on Health Care Renewal

61
Q

What were the implications of the 2003 First Ministers Accord on Health Care Renewals?

A

Appearance of working together; additional resources for system, Health Council established.

62
Q

What was the context in 2004?

A

Ongoing concern, goodwill, economic “stability”

63
Q

What milestone was reached in 2004?

A

10 Year Plan to Strengthen Health Care

64
Q

What were the implications of the 2004 10 Year Plan to Strengthen Health Care?

A

Appearance of working together; additional resources for system

65
Q

What was the context of 2012?

A

Economic challenges, expectations

66
Q

What milestone was reached in 2012?

A

Federal Government unilaterally imposes terms on funding post-accord

67
Q

What were the implications of the 2012 Federal Government imposition of funding terms (post-accord)?

A

Increased pressure on provinces for cost containment

68
Q

What is the context of the Health Care system in 2017?

A

Continued cost pressure, concerns for sustainability.

HSC 312 Canadian Health Care System (15 decks)

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