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Contracting out

The government is contracting out the management of hospitals to private companies. If the company generates additions funds for the hospital, it can claim those funds as profits. So people will be paying for non-insured services while they are receiving an insured service.


Privatization (pg. 179)

One of the biggest threats to our public system of health car is the current movement to privatize care income province, particularly in Alberta and Ontario. Look at text book for trends.


Threats to universal health care

Our public health care system is not entirely secure. An aging population and ever-spiralling cost wil require defenders of universal care to be even more alert to the dangers outlined: privatization, comprehensiveness, contracting out



The health care insurance plan of a province must provide for : (a) insured health services on uniform terms and conditions and reasonable access by insured persons to insured health service unprecluded or unimpeded either directly or indirectly, by charges or other means; (b) reasonable compensation to physicians and dentists for all insured health services rendered; payments to hospitals in respect of the cost of insured health services.



Residents moving to another province must continue to be covered for insured health services by the home province during any minimum waiting period imposed by the new province, not to exceed three months.



it is requires that 100 percent of the insured persons of a procaine be entitled to the insured health services provided for by the plan on uniform terms and condition.



the plan must cover all unsure health services ("medically necessary services") provided by hospitals, medical practitioners, or dentists, and , where permitted, cover services rendered by other health care practitioners.


Public Administration

The health care insurance plan mud the administered and opted on a nn-profit basis by public authority responsible to the provincial government, and be subject to an audit of its accounts and financial transactions.



Canadian health care system that is funded by government insurance, and is publicly delivers to hospitals and privately delivered by physicians (who are self-employed or employ by physician-owned corporations). There are 5 principles of medicare each province must meet in order to get funding from the federal government; public administration, comprehensiveness, Universality, Portability, Accessibility.


Romanow Commission (pg. 174-175)

* Ramanow Commission: in 2002 the final report was released. In his work, he was guided by two things

1. Canadian values of fairness, equity, and solidarity
2. and by the evidence.

* This approach led him recommend

* expanding public, not-for-profit medicare
* to include home care and pharmacare
* and to introduce a genuine system of primary health care.

* the Romanow report has been the backdrop for the major debated and disagreements between the federal and provincial governments over health care in recent years.


Canada Health Act (1984)

changed the funding structure, introducing conditions that provincial health systems must meet.


Hall Report

In 1964, the Hall Report disclosed the 7.5 million Canadians did not have medical coverage and recommended that a comprehensive, publicly administered universal health service plan be implemented.


Pre-payment health plans

Health plans sponsored by local governments, industries, and counter agencies from 1880 to the 1950s. These voluntary insurance plans did not cover all medical expenses and were available only to those who could afford to pay premiums.


Universal public health care

Publicly funded health care that is available to all who meet requirements of eligibly.


Health Gap

despite the availability of public health car across the country, there is a serious gap between the rich and the poor in Canaa. The rich are healthier than the middle class, who are in turn healthier the poor


Explain the harm-reduction approach to addictions treatment

Those using a harm-reduction approach believe that people can overcome an addiction in incremental steps. The focus may be on sager use patterns for addicts rather than on immediate suspension of use.


Describe the social worker's role in palliative care?

Social workers play a role in : (1) pain management (2) symptom management (3) Social, psychological, emotional, and spiritual support (4) caregiver support


What are some signs that universal public health care is being eroded in Canada?

The beginnings of privatization, comprehensiveness, and contracting out.


What are the five fundamental principles of medicare in Canada?

(1) public administration (2) Comprehensiveness (3)Universality (4) Portability (5) Accessibility


Briefly outline the history of Canada's health care system.

look in textbook


Canada's health care system is publicly financed but largely privately delivered. Explain.

It is funded by the government but delivered by private physicians (doctors, dentists).


What is the health gap in Canada,and why should it concern us?

There is a serious health gap between the rich and the poor in Canada--the rich are healthier than the middle class, who are in turn healthier than the poor. The well educated are healthier than the less educated, the employed are healthier than the unemployed and so on. In other worlds, the health gap is serious in Canada, and it is getting larger. Moreover, there is evidence that new immigrants and visible minorities are at an even greater disadvantage when it comes to health care. And, located as they are in the lowest quintile of the Canadian socio-economic hierarchy, Aboriginal peoples have the poorest levels of overall health.


Holistic approaches to health and healing

while improvements in health care services have eased this situation somewhat (aboriginal health being much worse than the average Canadian), they have also contributed to the gradual erosion of tradition aboriginal approaches


Harm-reduction approach

the belief that people can over come an addiction incremnetal steps. The focus may be on safer use patterns for addicts rather than on immediate suspension of use.



A compulsive need for , or persistent use of, a substance know to be harmful. Nearly one in ten adult CAnadians have problems with alcohol consumption, others experience with drugs.Addictions is a growing concern and , increasingly, social workers and social service workers are being called upon to address problems of this kind.


Mental illness

is the term used to refer to a variety of diagnosable mental disorders. Mental disorders are health conditions that are characterized by alterations in thinking, mood, or behaviour associated with distress or impaired functioning. Social workers are playing increasingly important role in promoting ht mental health of Canadians with respect to prevention, treatment and rehabilitation.



a sexually transmitted and blood-born retrovirus that undermines a person's immune system. Acquired immune deficiency (AIDS) syndrome is the stage in which the immune system is destroyed


Hospice or palliative care

concentrates on reducing the severity of disease symptoms, rather than providing a cure, to those at the end of life. It can all include bereavement support or relieving the distress of family members and other caregivers.


Medical social work practice

one of the chief settings for this is the hospital. The type of work performed by social workers in hospital is wider ranging an includes direct casework, group work, discharge planning, family consultation, advocating for patients, counselling terminally ill patients, training other professionals, and policy and administration.


Interdisciplinary Teams

When working in a hospital setting, the social worker is often a member of this team. The team approach is increasingly used to ensure that each patients needs are met. Social workers roles are becoming more central in this holistic approach to health care, which involves taking into account not only the physical aspects of health, which have commonly been addressed by physicians, but also social, cultural, mental, and spiritual aspects.