Health Sciences 3400A/B Lecture Notes - Lecture 5: Canada Health Transfer, Canada Health Act, Territorial Formula Financing

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Outline: history of health expenditure, health expenditure today, sources of payment. Where does the money come from to fund our healthcare system: statutory financing system. What does the legislation say in terms of federal and provincial governments: canada health transfer. History of health expenditure: 1966: medical care act - cost-sharing medical services for doctors. Cost-sharing arrangements between federal and provincial governments. The federal government offers to reimburse the cost-share of the provincials 50/50 of the costs: for medical services provided by doctors in the hospitals, 1977: the federal- provincial fiscal arrangements and established programs financing. This piece of legislation replaced the cost-sharing arrangement with a block fund: block fund = a chunk of money. Under the block fund, it gave the provinces a little more flexibility in terms of what to do with the money they"ve been given. It makes it easier for them to budget rather than relying on being reimbursed by the government.

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