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HIST261 (46)

March 17th 2014.docx

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University of Alberta
Eric Strikwerda

March 17 2014 Aspects of Post-war CND Dief the Chief (John G. Diefenbaker) His victory of the 1957 was a surprise to most as the conservatives had not often been popular with the CND people, in addition to which he had the largest majority government in CND history. In 1961 he called a Royal Commission on Health Services (hereafter HS or HC for Health Care), this was prompted in some measure because of Tommy Douglas in SASK who was advocating a provincial HC system. The Report called for a universal HC system that would deal with dental, hospital, physician and prescription costs. SASK Example SASK introduced Medicare in 1962 much to the unhappiness of doctors in the region. Please see old notes as to why doctors did not like this. The doctors in SASK went on strike when the act came into effect and Tommy D. was required to fly in physicians until he was able to come to a compromise with the doctors. The compromise was that instead of being salaried the doctors would be paid for their services and based on the number of patients they saw in addition to being able to continue practice in their own offices. CND Medicare The federal government implemented a Medicare system in 1968 to which all of the provinces agreed to (necessary as HC is a provincial affair) the system was set up so that Ottawa would share the cost with the provinces providing that the provinces adhere to four principle: 1. Universality of Coverage 1.1. A person could not be refused coverage or treatment based on the personal feelings of a doctor. 2. Coverage of most medical treatments 2.1. This is very vague and open to interpretation. The idea was that doctors would set the bar for what did and did not fall under ‘most medical treatments’. 3. Portability of benefits 3.1. This meant that if some one moved from one province to another they would continue to be covered under their old provinces HC until the new province took up the costs. 4. Provincial administration 4.1. This is pretty straight forward, the federal government would only give the provinces money and require that they maintain the four Principles and the rest would be left up to the province. Other Welfare Reforms The CND Pension Plan or CPP was introduced in 1965 and it was and still is an earning based pension plan designed to complement the Old Age Pension
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