Week 11- Canadian Federalism,The Canadian Social Union and Health Policy Flashcards
1
Q
1980-1984 federalism
A
- Maintaining government roles
2
Q
1984-1988 federalism
A
- Restraining social program costs
3
Q
1988-1997 federalism
A
- Restructuring the role of government
4
Q
1997-present federalism
A
- Repairing the social union
5
Q
What act was created in 1957
A
- Hospital insurance and diagnostic services act
6
Q
What act was created in 1966
A
- Medical care act
7
Q
What act was created in 1977
A
- Established programs financing
8
Q
Medical care act
A
- Funded through canada assistance plan
- 50/50 cost sharing
9
Q
Established programs financing
A
- 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)
10
Q
What was the goal in 1980-1984
A
- Maintaining government roles
11
Q
What was the goal in 1984-1988
A
- Restraining social program costs
12
Q
What was the goal in 1988-1997
A
- Restructuring the role of government
13
Q
What happened during restraining social program costs
A
- Weakening of government commitments to health and social programs
- Reductions of $41.2 billion in health transfers
14
Q
What happened during restructuring the role of government
A
- 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
15
Q
What happened during repairing the social union
A
- Recognition that social union was deteriorating
- 1999 budget
- Health accords
16
Q
1999 budget
A
- Increase in health and social transfers of $11.5 billion
17
Q
Health Accord
A
- Provides provinces and territories with stable health funding and sets national standards
18
Q
2000 health accord
A
- Increase of $21.2 billion over 5 years and provided further specific funds for diagnostic and emergency equipment, primary care reforms and adoption of moder IT systems and provincial health care systems
19
Q
2003 health accord
A
- Established health council of Canada, separated CHST into CHT and CST. provided more homecare and catastrophic drug coverage and established the health council of canada to monitor and report on health care and population health issues
20
Q
2004 health accord
A
- Increase of $41 billion over 10 years. Known as the ten year plan to strengthen health care. Prime minister Paul Martin described it at the time as the fix for a generation. It provided for an increase of 6% in base funding per year, along with additional targeted funding for wait time reduction, primary care, home care and drug coverage, which altogether represented an increase in federal funding of $41 billion over 10 years
21
Q
What happened in 2011
A
- Federal conservative government unilaterally announced scaling back of increases starting in 2014. The federal government unilaterally announced that when the 2004 health accord expired in 2014, they would keep the 6% increase in health transfers until 2016/2017, after which they would tie increases to economic growth, including inflation, which they estimated would be about 3.5 to 4% per year. But they promised that increases would never be less than 3%
22
Q
What happened in 2015
A
- Liberals win federal election promising new health accord with the provinces and territories. Justin Trudeau became prime minister
23
Q
What happened in 2016-2017
A
- Failed health accord negotiations
24
Q
Failed health accord negotiations
A
- Federal government tabled “take it or leave it” proposal - it adopted the Harper government’s increase of only 3.5% per year, with no additional increase tied to economic growth , along with $11.5 billion in additional funding in total for the entire ten year period for mental health, home care and prescription drug innovation
- Rejected by provinces and territories
25
Q
Bilateral agreements with each province and territory
A
- Estimated $31 billion shortfall - ontario’s share is 13.6 billion
- Gives provinces/territories incentives to cut costs (privatization & user fees)
- Decreases federal authority to play role to protect and improve medicare
- National pharmacare program unlikely
26
Q
When did calls for a new health accord happen
A
- July 2019
