Lecture 13 – Physicians and Health Care
***-*** = on the exam
Medicare in order for provinces to get money from the federal government they are not
allowed to charge the population for things that are covered under the universal
Sociological Analysis of Medical Profession
What is Medicare? It is a government funded health insurance plan. It publicly funded
Medicare is funded through pooling public funds and redistributing it when it is required
for an individual to access medical care.
Things that are covered under the are things that are deemed medically necessary.
Medicare has increased physicians salaries but at the same time they lost control of the
services they provide.
o When health care is made accessible our health care cost will increase.
Physicians and Health Care
Debates about the privatization of health care is debates about the welfare state.
Welfare state what kind of things apart of the welfare state: public housing, educational
Support for another way to organize society
Physicians and Health Care 2
Debates about healthcare is about whether it we should treat healthcare like that way we
buy a car or is healthcare a citizenship right.
Two examples of privatization:
General cut through hospital budget when you have these kinds of cut, you will have
less nurses providing care to a sick patient, which could lead to longer wait times,
accidental death, decline quality of care, nurses might get burnt out, o The expectation that the patients family will take on the burden of care of that
o Shorter length of stay transfer of care to the patient’s family.
Through the changes in the services that are deemed medically necessary; delisting.
o The government routinely makes announcement of delisting services deemed
o Campaign life coalition: they wanted the provincial government to delist abortion
as a medical necessary services.
o Circumcision of newborn babies is no longer available. If you want to get
circumcised you have to pay $900.
Physicians and Health care 3
Sociologist are asking how do we have a healthcare system that is dominated by
The main point is the Macro emphasis on how physicians are located on the healthcare
o Physicians control and limit the practice of nurses.
o Physicians are gatekeepers of referrals
o If you want medication you need to get a prescription
o Gate keeping control various aspects of the medical care.
o The profession it self in internally specialized and there is a hierarchy in part of
o The growing femi