Week 5 - The Canadian Health Care System Flashcards

1
Q

History Saskatchewan - 1947

A
  • Tommy Douglas establishes a universal hospital care program
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2
Q

History Saskatchewan - 1961

A
  • Law establishing universal health care coverage passed
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3
Q

History Saskatchewan - 1962

A
  • Doctors strike and Saskatoon agreement
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4
Q

What was the Saskatoon agreement

A
  • Put in place in order to stop doctors strike
  • Allowed doctors to charge more on top of what government was paying
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5
Q

History Canada - 1957

A
  • Hospital insurance and diagnostic services act created
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6
Q

History Canada - 1965

A
  • Hall commission 1 report created
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7
Q

History Canada - 1966

A
  • Medical care act created
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8
Q

History Canada - 1979

A
  • Hall commission 2 report created
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9
Q

History Canada - 1984

A
  • Canada Health act
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10
Q

How does federalism affect health care

A
  • Hugely consequential
  • Requires cooperation for funding, regulating, and reforming
  • Source of tension
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11
Q

What does single payer mean

A
  • One group paying for all health care
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12
Q

How are fees for health care services determined

A
  • Fees negotiated between provinces and provincial medical associations
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13
Q

2 types of ways that Canadians access care

A
  • Primary health care
  • Secondary services
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14
Q

Primary health care

A
  • Direct provision of care
  • Coordinates patients access to health care system for specialized care
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15
Q

Secondary services

A
  • 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
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16
Q

5 principles of medicare

A
  • Universality of coverage
  • Portability of coverage
  • Reasonable accessibility to services
  • Comprehensiveness of services
  • Public administration
17
Q

Universality of coverage

A
  • All people have access to quality health services they need, when and where they need them, without financial hardship
18
Q

Portability of coverage

A
  • Allows one to continue coverage under the same group policy by paying premiums directly to the insurance company
19
Q

Reasonable accessibility to services

A
  • The provinces are to ensure that services are “reasonably accessible” and that financial charges or other barriers do not impede access
20
Q

Comprehensiveness of services

A
  • ‘The provision, either directly or indirectly, of a full range of services to meet most patients’ healthcare needs’
21
Q

Public administration

A
  • Payments have to be controlled and run by the provinces
22
Q

What has shifted in federal funding over time

A
  • Cost sharing to block funding
  • The percentage of funding paid by the federal government decreased
  • Whether funds are put together with other social costs
23
Q

How did health care used to be funded

A
  • Established Programs Financing (EPF)
  • Canada Assistance Plan (CAP)
  • Canada Health and Social Transfer (CHST)
24
Q

How is health care funded now

A
  • Canada Health Transfer (CHT)
  • Canada Social Transfer (CST)
25
Q

Current issues in health care

A
  • Growing costs
  • Decreased federal contributions
  • Tension between federal gov and provinces
  • Privatization and user fees
26
Q

Health care reforms

A
  • Not simply providing more money
  • Deploying existing resources more efficiently
27
Q

US health outcomes

A
  • Spends the most per capita