Week 5 Understand The Canadian Healthcare System

Question 1

European settlers

Answer 1

Brought infections diseases
Sanitation were poor @ this time
This started Public Health laws

Question 2

British North America act (1867)

Answer 2

Put provincial government in charge of health care

Question 3

Urbanization

Answer 3

Public Health organization started sanitation inspectors & mental health officers
Proper water
Social programs were created for health
1. Children’s aid society
2. Red Cross
3. VON
4. Mental heath Association
People had to pay for their heathcare at this time

Question 4

Municipality Act

Answer 4

Gave communities the power to pay physicians with tax revenue.

Question 5

Tommy Douglas

Answer 5

Premier of Saskatchewan
Give rise to universal health care
Initiated first universal health care plan

Question 6

Medicare

Answer 6

Hospital insurance & diagnostic services act
→ provided federal funds, 50%
Medical care act
→ 50/50 for medical code outside hospital
Federal provincial fiscal arrangements & establishment programs financing act
→ stop covering 50% but use tax credits

Question 7

Canada Health Act - 1984***

Answer 7

Purpose to provide care without paying
Covers costs of services related to heath care
1987 everyone was following this

Question 8

Canadian Heath Act principles

Answer 8

Portability→ allows insurance across all provinces for 3 months
Accessibility → reasonable access to health care communities & providers on need
University → equal access & free of discrimination
Comprehensiveness → includes all medically necessary services
Public administration → ALL Canadians covered under the same plan

Question 9

Canada health transfer

Answer 9

How our health care is funded
Federal government calculated on per capita
Funding consistent & reliable and to increase by 3% each year
Federal government currently funds 22%

Question 10

Governance of healthcare

Answer 10

① federal - administer Canada health act, principles, financing
② provincial/territorial - administer heath insuranceplans, finances & manages heath plans
③ regulatory bodies

Question 11

Canadas heathcare

Answer 11

Universal care
Canada health act which inhibits extra billing

Question 12

Areas of care

Answer 12

① primary - 1st access, coordinates patient care, include Prevention & treatment & health promotion. Doctors pay based on services they provide.
Goal for early detection & education prevention
②secondary - specialized care @ hospital or long term care or community. Funding based on budget
③ territory- for complicated heath issues “Ontario shores” mental health, long term admission

Question 13

Privatization

Answer 13

Staffing
Funding
New regulations
Heath inequities
Pressure off public system?

Ontario passed bill to allow private clinics to offer publicly funded surgeries

Question 14

Ontario health coalition

Answer 14

Created The power of peoples referendum
98% voted against privatization

Question 15

Heath Care challenges

Answer 15

Aging population - Financial demands, more long care, less people working
Chronic illness - heath services getting more expensive, tech evolving
Assess to treat & wait times

Question 16

Heath care reform

Answer 16

Kirby report - assessed problem & solutions for heath care, recommended government paying for services in other provinces & countries
Romanow report - increase funding in remote & rural areas
* know that both came out in 2002 & recommended funding & changes in Heath-care system*
10 year plan to strengthen healthcare
→ plan for sustainability, addressing Indigenous heath, home care, primary care

Question 17

Future of health reform

Answer 17

Your health act (also called Bill 60)
→ to expand OHIP insured surgeries, to help decrease wait times
Pharmacare
→ only covered for elderly & children, funding in pharmacare can help prevent illness in future

Question 18

Treaty 6 “ Medicine chest closure”

Answer 18

First mention of Indigenous health
Allowed them to get health supplies & keep in their community if anyone got sick

Question 19

Approach to implementation of the inherent right & the negotiation of aboriginal self- government

Answer 19

Puts decision making power back in Indigenous peoples, able to make decisions about their health