Week 5 - The Canadian Health Care System

Question 1

History Saskatchewan - 1947

Answer 1

• Tommy Douglas establishes a universal hospital care program

Question 2

History Saskatchewan - 1961

Answer 2

• Law establishing universal health care coverage passed

Question 3

History Saskatchewan - 1962

Answer 3

• Doctors strike and Saskatoon agreement

Question 4

What was the Saskatoon agreement

Answer 4

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

Question 5

History Canada - 1957

Answer 5

• Hospital insurance and diagnostic services act created

Question 6

History Canada - 1965

Answer 6

• Hall commission 1 report created

Question 7

History Canada - 1966

Answer 7

• Medical care act created

Question 8

History Canada - 1979

Answer 8

• Hall commission 2 report created

Question 9

History Canada - 1984

Answer 9

• Canada Health act

Question 10

How does federalism affect health care

Answer 10

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

Question 11

What does single payer mean

Answer 11

• One group paying for all health care

Question 12

How are fees for health care services determined

Answer 12

• Fees negotiated between provinces and provincial medical associations

Question 13

2 types of ways that Canadians access care

Answer 13

• Primary health care
• Secondary services

Question 14

Primary health care

Answer 14

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

Question 15

Secondary services

Answer 15

• 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

Question 16

5 principles of medicare

Answer 16

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

Question 17

Universality of coverage

Answer 17

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

Question 18

Portability of coverage

Answer 18

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

Question 19

Reasonable accessibility to services

Answer 19

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

Question 20

Comprehensiveness of services

Answer 20

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

Question 21

Public administration

Answer 21

• Payments have to be controlled and run by the provinces

Question 22

What has shifted in federal funding over time

Answer 22

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

Question 23

How did health care used to be funded

Answer 23

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

Question 24

How is health care funded now

Answer 24

• Canada Health Transfer (CHT)
• Canada Social Transfer (CST)

Question 25

Current issues in health care

Answer 25

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

Question 26

Health care reforms

Answer 26

• Not simply providing more money
• Deploying existing resources more efficiently

Question 27

US health outcomes

Answer 27

• Spends the most per capita