Unit 4: Status of Health Care in Canada

Question 1

What are the origins of our health care system?

Answer 1

• Roman Catholic Church, Protestant Churches, Philanthropists
• Then some municipalities provided some funding

Question 2

There was no provincial or national health care program in Canada until?

Answer 2

1946/1947

Question 3

What brought government into Canada’s health care (or create a health system)?

Answer 3

1) Need to ensure a healthy work force
2) Lobby by medical community to increase their role in health care (biomedical approach)
3) To financially assist those who were already providing health care in Canada (churches,
philanthropists, and municipalities)

Question 4

what did all of this change mean to women and their Health Care?

Answer 4

1) On the positive side – a creation of a safety net of sorts to help in unfortunate times
2) On the negative side—a loss of their role both in health care providing and control over birthing

Question 5

1947 (July 1, 1946) – The Saskatchewan Government, led by leader Tommy Douglas, introduces the first ___________________________ in Canada.

Answer 5

provincial hospital insurance program

Question 6

1957 – Paul Martin Sr. introduces a national hospital insurance program. Who fought against it?

Answer 6

Doctors, insurance companies and big business

Question 7

1960 – The Canadian Medical Association opposes all ________ health care.

Answer 7

publicly funded

Question 8

1962 – Saskatchewan’s ___ government introduces the first public health care program. Doctors walk out but the strike collapses after_____.

Answer 8

NDP, 3 weeks.

Question 9

1965 – A Royal Commission headed by Emmett Hall calls for a ______________________________________ program.

Answer 9

universal and comprehensive national health insurance

Question 10

1966 – Parliament creates a national Medicare program with Ottawa paying ____ of provincial health costs.

Answer 10

50%

Question 11

1977 – Trudeau Liberals retreat from 50:50 cost-sharing and replace it with __________.

Answer 11

block funding

Question 12

1978 – Doctors begin “________” to raise their incomes.

Answer 12

extra-billing

Question 13

1979 – Canadian Labour Congress convenes the SOS Medicare conference to fight extra-billing and joins
with community groups to form what group?

Answer 13

Canadian Health Coalition.

Question 14

1984 – Canada Health Act is passed unanimously by parliament. What is banned after this passes?

Answer 14

Extra-billing

Question 15

1993 – Mulroney government grants _______ patient protection to brand name drugs.

Answer 15

20-year

Question 16

1995 – Paul Martin Jr. introduces ___________, causing massive cuts in transfer payments to health and social programs.

Answer 16

Canada Health and Social Transfer (CHST)

Question 17

1997 – National Forum on Health calls for Medicare to be expanded to includes what?

Answer 17

home care, Pharmacare and a phasing out of fee-for-service for doctors.

Question 18

1998 – Premiers demand say in interpreting the ______________. Chrétien caves in.

Answer 18

Canada Health Act

Question 19

2000 – Ralph Klein introduces legislation to allow private hospitals. Federal Budget offers _____ for health care for every dollar of tax cuts, ignoring pleas of Canadians to save Medicare.

Answer 19

2 cents

Question 20

2002 – The Romanow Royal Commission on the Future of Health Care in Canada conducted ______ public hearings. Final report was tabled in Ottawa on November 28, 2002.

Answer 20

cross-country

Question 21

2003 – First Ministers’ meeting results in a new ‘_________’ Targeted funding in keys areas (as prescribed by the Romanow report) shows promise. However, there are no accountability mechanisms and no restrictions on __________ being spent on for-profit health care.

Answer 21

Health Accord, public funding

Question 22

2004 – Federal CHST split into what two transfers?
Creation of the Public Health Agency of Canada established, September.
First Ministers’ A ______ Plan to Strengthen Health Care, September 16.

Answer 22

the Canada Health Transfer (CHT) and the Canada 
Social Transfer (CST), April 1. 

-10-Year

Question 23

2005 – Wait times inquiry and consultation (Postl report) begins in ______, reports in _______, (Final Report of the Federal Advisor on Wait Times).

Answer 23

July 2005, reports June 2006

Question 24

2006 –Standing Senate Committee on Social Affairs, Science and Technology (Kirby) report, Out
of the Shadows at last: Transforming ____________________________ in Canada released, May. In BC, Conversation on Health, British Columbia, launched September 28, summary of submissions report released November 2007

Answer 24

mental health, mental illness and addiction services

Question 25

2007 –Mental Health Commission of Canada established, March.
Canadian Partnership Against _____ Corporation established, April 1.
The federal and provincial/territorial governments’ Patient Wait Times Guarantees initiative introduced, April 4.

Answer 25

Cancer.

Question 26

2008–Parliamentary Review of _________ to Strengthen Health Care (2004 Accord) by the House of Commons Standing Committee on Health, June.

Answer 26

A 10-Year Plan

Question 27

When did the move to regionalized care models by governments had consequences to the health care system and women specifically?

Answer 27

1980’s-1990’s

Question 28

What are the five principles of the Canada Health Act?

Answer 28

universality, accessibility, portability,

comprehensiveness, and public administration

Question 29

What is the Canada Health Act intended to do?

Answer 29

intended to ensure that all Canadians have access to medically necessary services regardless of their
ability to pay. The provinces and territories are required to comply with the five principles.

Question 30

Canada (through the Provinces) has now targeted key areas where change is needed and also, ways in
which health delivery mechanisms could evolve. These include:

Answer 30

1) Reforms to Primary care delivery (including more community care and new emphasis on preventative
care)
2) E-health (plans to increase the use of technology)
3) Wait times reduction
4) Improve Patient safety