Week 11 Flashcards
1980-1984 federalism
-maintaining government roles
1984-1988 federalism
-restraining social program costs
1988-1997 federalism
-restructuring the role of government
1997-present federalism
-repairing the social union
What act was created in 1957
-hospital insurance and diagnostic services act
What act was created in 1966
-medical care act
Medical care act
-funded through canada assistance plan
-50/50 cost sharing
What act was created in 1977
-established programs financing
Established programs financing
-shift from cost sharing to block funding
-transfer of tax points to provinces and territories
-increases based on economic and population growth (goes down during recessions etc)
What was the goal in 1980-1984
-maintaining government roles
What was the goal in 1984-1988
-restraining social program costs
What was the goal in 1988-1997
-restructuring the role of government
What happened during restraining social program costs
-weakening of government commitments to health and social programs
-reductions of $41.2 billion in health transfers
What happened during restructuring the role of government
-concern with government budget deficits
-significant curtailment of federal health care spending
-one funding envelope for health care, social spending, and post secondary education
-federal spending cuts of $6 billion
What happened during repairing the social union
-recognition that social union was deteriorating
-1999 budget
-health accords
1999 budget
-increase in health and social transfers of $11.5 billion
Health accord
-2000
-2003
-2004
2000 health accord
-increase of $21.2 billion over 5 years
2003 health accord
-established health council of canada, separated CCHST into CHT and CST
2004 health accord
-increase of $41 billion over 10 years
What happened in 2011
-federal conservative government unilaterally announced scaling back of increases starting in 2014
What happened in 2015
-liberals win federal election promising new health accord
What happened in 2016-2017
-failed health accord negotiations
Failed health accord negotiations
-federal government tabled “take it or leave it” proposal
-rejected by provinces and territories
Bilateral agreements with each province and territory
-estimated $31 billion shortfall
-gives provinces/territories incentives to cut costs
-decreases federal authority to play role to protect and improve medicare
-national pharmacare program unlikely
When did calls for a new health accord happen
-premiers call for new canada health transfer escalator of 5.2% and increase in federal contributions from 22% to 35%
