Module 5 Flashcards
(23 cards)
who were main service providers from colonization through to the 20th century
churches and charitable organizations
- gov still had roles supervising and supporting aid work of charities
social policies affecting health of Indigenous peoples
- residential school
- bagot commission - separate Indigenous children, government support for churches
- gradual civilization act - enfranchised
the Indian act 1876
federal law imposing rules governing
- indian status
- bands
- reserves
assimilationist
invasive and paternalistic
homogenizing
Infectious disease in decades following Indian act
smallpox, TB, communicable disease
- residential schools TB could’ve been reduced but too “costly”
constitution act 1867
established authority of federal gov over First Nations people and lands
Division of powers
- outlines specific authorities/responsibilities assigned to federal vs proc gov
- established in British North America act 1867
- dictates provinces responsible for establishing, maintaining, and managing…. hospitals, asylums, charities
WW1
- Canadians enlisted, realized health status of population bad
- led to increased focus on preventative medicine
- emphasized need for more organized/accessible healthcare
changing role of hospitals
- advances in medicine
- 1920s those who could afford it seek care in hospital
- rural urban divide in use of hospital care
Great Depression
economic hardship = underscored need for more affordable and accessible care
Efforts to implement public insurance are new true or false? why did efforts not work?
FALSE
- change in gov
- not in financial position to do so
- opposition from physician groups*
Mackenzie Green book proposal
- feds would fund for national health insurance plans, provinces would give up some power over taxation….
which province first implemented universal hospital insurance
Saskatchewan
1957 - hospital insurance and diagnostic services act
- comprehensiveness
- universality
- portability
- public administration
50% cost sharing for hospital services
Saskatoon agreement
- contractual autonomy of physicians
- fee for service dominant method of payment
Indian Act amendments
- removed prohibitions on cultural ceremonies
- expanded role of provinces including child welfare = 60s scoop
hall commission
single payer, universal insurance vs targeted subsidies for the purchase of private insurance (favoured by drs, insurance companies, and implemented in Alberta)
- results in favour of universal medical insurance
key ideas from hall commission
- almost complete agreement that medical insurance should be available to all
- almost unanimous agreement that there should be some gov action to bring this about
outcomes of hall commission
- recommended more services than ultimately offered by medicare
medical care act
- federal cost sharing for med services outside hospital 50%
- 4 conditions
Lalonde report
summarized effects of social determinants of health
Canada health act 1984
- despite medical care act, user fees persisted
- include accessibility - free of financial or other barriers
hall commission led to
medical care act
order these chronologically
- British North America act
- SK introduces universal hospital insurance
- hospital insurance and diagnostic services act
- Saskatchewan introduces universal physician services insurance
- medical care act
- hall commission report
- Canada health act
- British North America act 1867
- SK introduces universal hospital insurance 1947
- hospital insurance and diagnostic services act 1957
- SK introduces universal physician services insurance 1962
- hall commission 1964-1980
- medical care act 1966
- CHA - 1984
