Unit 10

Question 1

Define Canada Assistance Plan (CAP)

Answer 1

shared cost program to assist in provision of basic welfare services, ended in 1996

Question 2

Define Canada Health Act

Answer 2

enacted by Trudeau in 1984, determined conditions attached to federal transfers for medical care - objected to by provinces that say this is their area

Question 3

Define Canada Helath and Social Transfer (CHST)

Answer 3

annual block grant that replaced CAP, split into health and post-secondary education grants in 2004

Question 4

Define Employment INsurance

Answer 4

known until 1996 as Unemployment Insurance, federal program established after 1940 constitutional amendment

Question 5

Define Established Programs Financing (EPF)

Answer 5

federal block transfer payment from 1977 to CHST in 1996

Question 6

Define extended health care

Answer 6

block funding arrangement for medicare hospital insurance

Question 7

Define extra billing

Answer 7

provinces allow physicians to build their patients in excess of medicare fees

Question 8

medicare

Answer 8

Popular term for program covering hospital insurance and physician fees, administered by provinces and partially funded by feds

Question 9

Social Union Framework

Answer 9

1999 effort to framework for provision of social programs, which Quebec refused to sign

Question 10

What is the constitutional basis for federal spending power?

Answer 10

there isn’t one, except the freedom of Parliament to spend money as it sees fit

Question 11

Why does Stevenson contend that the federal government has only grudgingly promoted spending on legitimization?

Answer 11

provinces can’t be trusted to do it on their own, feds only do it when minor or social reform interests have sway in Parliament

Question 12

What implications did the shift from CAP to CHST have?

Answer 12

Implied the feds were getting out of social assistance, accepting much more diversity within the provinces

Question 13

What is the relationship between EI and welfare?

Answer 13

EI is federally funded, welfare provincial. There is movement between the two, sometimes intentionally fostered by the provinces to push people up to the federal system

Question 14

Key moments in the evolution of health care

Answer 14

1936 - BC proposed health insurance program
1946- SK enacted hospital insurance - provinces all followed suit
1962- SK medical insurance
1966 - federal medical cost sharing
1977- new formula
1984- Canada Health Act - consolidated other programs and guaranteed equal access