HSCI 305 Lecture Notes - Lecture 3: Canada Health Act, Health Canada, Prescription Drug

111 views4 pages
HSCI 305 Lecture 3  Royal Commissions and Federal Legislation
Definition: Right to Health
-Canada is signatory on international rights declarations, but no specific rights to health care
under the Constitution of the Charter
oNeither the CHA nor the Charter of Rights and Freedoms gives Canadians the “right” to
public health care, we nonetheless view it as an entitlement
oHealth insurance plan of a province must entitle one hundred percent of the insured
persons of the province to insured health services
Why did Canada develop a publicly-funded system?
-Parliamentary system discourages corruption
-Federal system encourages provincial programs to serve as a model for others
-Tradition of social democracy in the provinces and federal opposition
-Royal Commissions = hear and weigh evidence from the people
-Accidental logics: Canada built public infrastructure and provided public insurance = “public of
solidarity”
-US insured “special” populations only & created “politics of resentment”
Hall Commission, 1961-1964
-Context
oHIDSA – 1957
oSaskatchewan physician insurance – voted in 1960, implemented 1962
-Purpose – report on existing facilities and make recommendations for future need for health
services
-Extensive review:
o67 days of public hearings
oSubmissions from 400+ organizations
o26 research studies
Hall undertook an analysis of health insurance (3 approaches)
Insurance Approach Prepayment Approach Health Services Approach
•Commercial insurance (Canada
Health Insurance Association:
CHIA)
•Deductibles, co-pays
•No relationship between
insurance company & service
providers
•Divides population into
‘insurable’ and ‘non-insurable’
•High levels of profits compared
to pay outs – retention rates very
high!
•Physician-sponsored
prepayment plans (Trans-Canada
Medical Plan: TCMP)
•Private sector
•Not concerned with availability
of services; that’s left up to the
market
•Need to remain solvent – age
limitations, waiting periods
•Divides population into those
who can pay, those who can’t
•Subsidize those who can’t pay
•Doesn’t leave health services up
to the market to regulate
•Universal coverage
•Tax-based – consistent,
predictable funding
“we have concluded that Canada requires the establishment of health insurance funds, provincially
administered, contributed to by the Federal Government from general revenue, and by provincial
governments as they may determine, structured along lines similar to the Hospital Insurance
Programme”
-Hall Commission rejected the “health as a public service” model due to pressure. Instead, it
institutionalized the public insurance model and the public payment – private provision divide.
Medical mongers must be dealt with as enemies of our great, democratic, free-
enterprise system”
Unlock document

This preview shows page 1 of the document.
Unlock all 4 pages and 3 million more documents.

Already have an account? Log in

Document Summary

Hsci 305 lecture 3 royal commissions and federal legislation. Federal system encourages provincial programs to serve as a model for others. Tradition of social democracy in the provinces and federal opposition. Royal commissions = hear and weigh evidence from the people. Accidental logics: canada built public infrastructure and provided public insurance = public of. Us insured special populations only & created politics of resentment solidarity . Context: hidsa 1957, saskatchewan physician insurance voted in 1960, implemented 1962. Purpose report on existing facilities and make recommendations for future need for health services. Extensive review: 67 days of public hearings, submissions from 400+ organizations, 26 research studies. Hall undertook an analysis of health insurance (3 approaches) Chia: deductibles, co-pays, no relationship between insurance company & service providers, divides population into. Insurable" and non-insurable": high levels of profits compared to pay outs retention rates very high, physician-sponsored prepayment plans (trans-canada.

Get access

Grade+20% OFF
$8 USD/m$10 USD/m
Billed $96 USD annually
Grade+
Homework Help
Study Guides
Textbook Solutions
Class Notes
Textbook Notes
Booster Class
40 Verified Answers
Class+
$8 USD/m
Billed $96 USD annually
Class+
Homework Help
Study Guides
Textbook Solutions
Class Notes
Textbook Notes
Booster Class
30 Verified Answers