HSCI 130 Lecture Notes - Lecture 6: Health Care In Canada, Canada Health Transfer, Medical Services Plan Of British Columbia

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Contemporary design of the canadian healthcare system = system predominantly publicly financed and privately delivered. Defining feature: universal and publicly financed health insurance for medically necessary hospital and physical services, no user fee or extra-billing and 14 interlocking systems. Jurisdictional history = july, 1, 1867 british north american act called for a division of health responsibilities: provinces = financing, management and delivery of health services; federal = health protection, disease prevention and health promotion. Health services delivery to veterans, native canadians living on reserves, military personnel, inmates of federal penitentiaries and the rcmp. Medicare history = 1947: saskatchewan introduces public insurance for hospital care. Diagnostic services act (reimbursed money used back to provinces). 1961: all provinces and territories have public insurance plan for hospital care. 1964: hall commission recommends comprehensive and universal medicare system including physician care and prescription drugs. 1972: all provinces/territories have expanded public insurance plans to include physician services.

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