the Canadian health care system Flashcards
History: Saskatchewan
1947: Tommy Douglas establishes universal hospital care program
1961: law establishing universal health care coverage passed
* doctor’s services that you would receive outside of the hospital
1962: doctors strike
* Saskatoon agreement where they agreed to let doctor’s do extra billing
* now isn’t allowed
History: Canada
1966 - medical care act passed, did allow for doctor’s to double bill patients
84 - Canadian health act
* governs the system today
* prohibits double billing
federalism and health care
hugely consequential
requires cooperation for funding, regulation, and reforming
source of tension
structure of Canada’s health care system
13 single payer provincial/territorial health insurance plans
private fee for service
fees negotiated between provinces and provincial medical associations
primary care is gatekeeper to specialized care
structure of Canada’s health care system
13 single payer provincial/territorial health insurance plans
private fee for service
fees negotiated between provinces and provincial medical associations
primary care is gatekeeper to specialized care
how do Canadians access care?
primary health care
* direct provisions of care
secondary services
* delivered at hospital, long term, care facility, and other clinics
* provinces pay for certain home care services
* veterans affairs Canada provides home care services to veterans
* federal government provides home care services to First Nations on reserves and some Inuit communities
5 principles of medicare
universality of coverage: everyone should be eligible
portability of coverage: coverage anywhere
reasonable accessibility to services: shouldn’t be any barriers
comprehensiveness of services: doesn’t cover mental health, all services should be covered
public administration
history of federal funding - what has shifted over time
cost sharing to block funding
percentage of funding paid by federal gov decreased
whether funds are put together with social costs
current issues
growing costs
decreased federal contributions
tension between governments
wait times
calls for privatization and change user fees
lack of focus on prevention and SDoH
drug, mental health, dental care not covered
health care reforms
not simply providing more money
deploying existing resources more efficiently
* centralized intake of patients
* interdisciplinary teams
* doctors working in groups
* make after hours primary care clinics to relieve burden on emergency departments
