Week 5

Question 1

History: 1947

Answer 1

-tommy douglas establishes universal hospital health care program

Question 2

History: 1961

Answer 2

-law establishing universal health care coverage passed

Question 3

History: 1962

Answer 3

-doctors strike and saskatoon agreement

Question 4

What was the saskatoon agreement

Answer 4

-put in place in order to stop doctors strike
-allowed doctors to charge more on top of what government was paying

Question 5

What was created in 1957

Answer 5

-hospital insurance and diagnostic services act

Question 6

What was created in 1965

Answer 6

-hall commission 1 report

Question 7

What was created in 1966

Answer 7

-medical care act

Question 8

What was created in 1979

Answer 8

-hall commission 2 report

Question 9

What was created in 1984

Answer 9

-canada health act

Question 10

How does federalism affect health care

Answer 10

-hugely consequential
-requires cooperation for funding, regulating, and reforming
-source of tension

Question 11

What does single payer mean

Answer 11

-one group paying for all health care

Question 12

How are fees for health care services determined

Answer 12

-fees negotiated between provinces and provincial medical associations

Question 13

2 types of ways that canadians access care

Answer 13

-primary health care
-secondary services

Question 14

Primary health care

Answer 14

-direct provision of care
-coordinates patients access to health care system for specialized care

Question 15

Secondary services

Answer 15

-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

Question 16

5 principles of medicare

Answer 16

-universality of coverage
-portability of coverage
-reasonable accessibility to services
-comprehensiveness of services
-public administration

Question 17

Universality of coverage

Answer 17

-cover everyone regardless of ability to pay

Question 18

Portability of coverage

Answer 18

-travel internationally and still receive care

Question 19

Reasonable accessibility to services

Answer 19

-no barriers to adequate care

Question 20

Comprehensiveness of services

Answer 20

-include everything medically necessary

Question 21

Public administration

Answer 21

-programs have to be run by provincial government

Question 22

What has shifted in federal funding over time

Answer 22

-cost sharing to block funding
-percentage of funding paid by federal government decreased
-whether funds are put together with other social costs

Question 23

How did health care used to be funded

Answer 23

-all funded seperately

Question 24

How is health care funded now

Answer 24

-canada health care transfer
-canada social transfer

Question 25

Current issues in health care

Answer 25

-growing costs
-decreased federal contributions
-tension between federal government and provinces
-wait times for specialist care
-drugs, mental health, dental care not covered

Question 26

Health care reforms

Answer 26

-not simply providing more money
-deploying existing resources more efficiently

Question 27

US health outcomes

Answer 27

-has the worst outcomes even though they spend the most money