Week 11

Question 1

1980-1984 federalism

Answer 1

-maintaining government roles

Question 2

1984-1988 federalism

Answer 2

-restraining social program costs

Question 3

1988-1997 federalism

Answer 3

-restructuring the role of government

Question 4

1997-present federalism

Answer 4

-repairing the social union

Question 5

What act was created in 1957

Answer 5

-hospital insurance and diagnostic services act

Question 6

What act was created in 1966

Answer 6

-medical care act

Question 7

Medical care act

Answer 7

-funded through canada assistance plan
-50/50 cost sharing

Question 8

What act was created in 1977

Answer 8

-established programs financing

Question 9

Established programs financing

Answer 9

-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)

Question 10

What was the goal in 1980-1984

Answer 10

-maintaining government roles

Question 11

What was the goal in 1984-1988

Answer 11

-restraining social program costs

Question 12

What was the goal in 1988-1997

Answer 12

-restructuring the role of government

Question 13

What happened during restraining social program costs

Answer 13

-weakening of government commitments to health and social programs
-reductions of $41.2 billion in health transfers

Question 14

What happened during restructuring the role of government

Answer 14

-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

Question 15

What happened during repairing the social union

Answer 15

-recognition that social union was deteriorating
-1999 budget
-health accords

Question 16

1999 budget

Answer 16

-increase in health and social transfers of $11.5 billion

Question 17

Health accord

Answer 17

-2000
-2003
-2004

Question 18

2000 health accord

Answer 18

-increase of $21.2 billion over 5 years

Question 19

2003 health accord

Answer 19

-established health council of canada, separated CCHST into CHT and CST

Question 20

2004 health accord

Answer 20

-increase of $41 billion over 10 years

Question 21

What happened in 2011

Answer 21

-federal conservative government unilaterally announced scaling back of increases starting in 2014

Question 22

What happened in 2015

Answer 22

-liberals win federal election promising new health accord

Question 23

What happened in 2016-2017

Answer 23

-failed health accord negotiations

Question 24

Failed health accord negotiations

Answer 24

-federal government tabled “take it or leave it” proposal
-rejected by provinces and territories

Question 25

Bilateral agreements with each province and territory

Answer 25

-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

Question 26

When did calls for a new health accord happen

Answer 26

-premiers call for new canada health transfer escalator of 5.2% and increase in federal contributions from 22% to 35%