GRT 2100 Lecture Notes - Lecture 17: Publicly Funded Health Care, Canada Social Transfer, Canada Health Transfer
20 Aug 2016
School
Department
Course
Professor
GRT 2100
November 25th 2015
Continued from last lecture
-Canadian Healthcare System
-defining feature of Canada is the publicly funded healthcare system which guarantees
universal coverage for medically necessary hospital and physician services that are
provided on the basis of need
-there is a basket of minimal services that are covered
-different provinces seem different things as medically necessary
-grey areas: drugs purchased outside of hospital system, LTC homes, etc which Ontario
covers but not all provinces do
-services that are covered is services by physicians, nurses, doctors, health
professionals, etc
-federal government, ten provinces, and three territories have key roles to play in the
healthcare systems
-federal government provides funding through cash and tax transfers to the provinces and
territories to help pay for healthcare services, but the delivery of services is a provincial/
territorial responsibility
-use other revenue at a provincial level to fund specific provincial programs
-federal government is directly financially responsible for specific populations (Natives,
RCMP and prisoners)
-we used to have the Canada Health and Social Transfer System, which was a system of
block transfer payments that the federal government would give to provinces in order to pay
for healthcare, education, social welfare
-not too long ago, this was split into two groups: Canada Health Transfer Payments and
Canada Social Transfer Payments
-provinces decide at a grassroots level how to spend the money
-responsible for the delivery of health care systems
-5 principles of medicare: have a human rights focus
-protect, restore and promotes Canadians’ health across the board
-want to facilitate reasonable access to health care services without financial burden or
barrier
-provinces must uphold these principles in order to receive federal support
-comprehensive: healthcare insurance plan of a province must include all services that
are medically necessary
-universality: all residents in the province have access to public healthcare insurance and
insured services on uniform terms and conditions
-portability: requires provinces to cover insured health services provided to their residents
while they re temporarily absent from their province of residence or from Canada;
-or issued health services provided in another province, payments is made at the rate
negotiated by the governments of the two provinces
-accessibility: insured persons must have reasonable and uniform access to insured
healthcare, free of financial or other barriers (no co-payments,, deductibles, or annual
limits)
-no one may be discriminated against on the basis of income, age, health status, sex,
etc
-public administration: each provincial healthcare insurance plan must be administered
on a non-profit basis by a public authority
-additional services can be covered such as the ontario drug benefit plan, assisted devices,
etc
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find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
De ning feature of canada is the publicly funded healthcare system which guarantees universal coverage for medically necessary hospital and physician services that are provided on the basis of need. There is a basket of minimal services that are covered. Different provinces seem different things as medically necessary. Grey areas: drugs purchased outside of hospital system, ltc homes, etc which ontario covers but not all provinces do. Services that are covered is services by physicians, nurses, doctors, health professionals, etc. Federal government, ten provinces, and three territories have key roles to play in the healthcare systems. Federal government provides funding through cash and tax transfers to the provinces and territories to help pay for healthcare services, but the delivery of services is a provincial/ territorial responsibility. Use other revenue at a provincial level to fund speci c provincial programs. Federal government is directly nancially responsible for speci c populations (natives,
