Week 3 - Canadian Healthcare System Flashcards
(45 cards)
Medicare
Group of Socialized health insurance plans that are publicly funded
How is the healthcare system changing?
Immigration, aging population
Who is and isn’t covered by Medicare
Covered - perm resident, new immigrants, citizens
Not - refugees, temp residents, visitors
Indian act (year, description)
1876
Allowed government to control most aspects of aboriginal life (status, land, resources, wills, education, etc)
Canada health act (year, description)
1984
Replaced federal hospital and medical insurance acts.
Established criteria on portability, accessibility, universality, comprehensiveness, public administration
Added provisions that prohibited extra billing and user fees for insured services
Amended Indian act (year, what happened)
1985
Identified federal government role in providing health care to first nation and Inuit people
Indian act acts
Prevent and control spread of infectious diseases on reserves
Provide medical treatment and health services for Indians
Provide hospitalization and treatment for disease Among Indians
How many calls to action were made in 2015 by the truth and reconciliation commission
94
Example of a call to action
Call upon all governmetns and people to recognize current state of indigenous health as a direct result of previous governments and residential schools etc
Organization and governance of health care: federal role
Deliver health services for First Nations, vets, Canadian forces, refugees, and inmates
Organization and governance of health care: provincial / territorial govt
Deliver healthcare by the regional authorities (Fraser heatlh, vancouver coastal, etc)
Reimburse physicians and hospital expenses
The Canada health act (year, what it is, primary objective, aim)
1984
Canadas federal legislation for publicly funded healthcare insurance
Objective: protect, promote, restore physical and mental wellbeing of residents of Canada
Aim: ensure all eligible residents have reasonable access to insure health services without direct charge at point of service
5 principals of the Canadian health act
Public administration
Comprehensiveness
Universality
Portability
Accessibility
Public administration
Principal of CHA
All administration of provincial health insurance must be done by a public authority on a non profit basis
Comprehensiveness
Principal of CHA
All necessary health services (hospitals, physicians, dentists) must be insured
Universality
Principal of CHA
All insured residents are entitled to the same level of care
Portability
Principal of CHA
Residents are entitled to coverage from their home province in other provinces
Accessibility
Principal of CHA
All insured persons have reasonable access to healthcare facilities
Lalonde report general idea
In 1970s, healthcare spending didn’t proportionately improve health of Canadians.
Lalonde report shifted emphasis from medical approach to a more behavioural/holistic approach
Influential reports in Canada (2)
Romanow’s commission
The Kirby report
Romanows commission (basic points)
Medicare is sustainable and must stay as it represents Canadian values
We should modernize the CHA through funding and changes
The Kirby report (general idea)
Medicare is not sustainable and we need to strengthen private sectors
Opposite of romanows commission
Upsides and downsides to private health care
Up - more healthcare available
Down - expensive, limited use to those who can afford it
Primary health care (PHC) is (3)
Foundation of Canada health care system
It is a philosophy and a model for improving health
Emphasizes the determinants of health
