Week 5 Flashcards
History: 1947
-tommy douglas establishes universal hospital health care program
History: 1961
-law establishing universal health care coverage passed
History: 1962
-doctors strike and saskatoon agreement
What was the saskatoon agreement
-put in place in order to stop doctors strike
-allowed doctors to charge more on top of what government was paying
What was created in 1957
-hospital insurance and diagnostic services act
What was created in 1965
-hall commission 1 report
What was created in 1966
-medical care act
What was created in 1979
-hall commission 2 report
What was created in 1984
-canada health act
How does federalism affect health care
-hugely consequential
-requires cooperation for funding, regulating, and reforming
-source of tension
What does single payer mean
-one group paying for all health care
How are fees for health care services determined
-fees negotiated between provinces and provincial medical associations
2 types of ways that canadians access care
-primary health care
-secondary services
Primary health care
-direct provision of care
-coordinates patients access to health care system for specialized care
Secondary services
-delivered at hospital, long term, care facility, or other clinic
-provinces pay for certain home care services
-federal government provides home care services to first nations on reserve and some inuit communities
5 principles of medicare
-universality of coverage
-portability of coverage
-reasonable accessibility to services
-comprehensiveness of services
-public administration
Universality of coverage
-cover everyone regardless of ability to pay
Portability of coverage
-travel internationally and still receive care
Reasonable accessibility to services
-no barriers to adequate care
Comprehensiveness of services
-include everything medically necessary
Public administration
-programs have to be run by provincial government
What has shifted in federal funding over time
-cost sharing to block funding
-percentage of funding paid by federal government decreased
-whether funds are put together with other social costs
How did health care used to be funded
-all funded seperately
How is health care funded now
-canada health care transfer
-canada social transfer
Current issues in health care
-growing costs
-decreased federal contributions
-tension between federal government and provinces
-wait times for specialist care
-drugs, mental health, dental care not covered
Health care reforms
-not simply providing more money
-deploying existing resources more efficiently
US health outcomes
-has the worst outcomes even though they spend the most money
