HSCI 305 Chapter Notes - Chapter history: Canada Health Act, Public Administration, Health Promotion

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1957, federal government providing financial incentives for the provincial governments to establish universal hospital insurance. 3 major reforms in health insurance system a. b. c. 1977, the result was an immediate reduction in the federal contribution to health care and greater interprovincial variation in funding. 1984, all provinces ban the practice known as "extra billing" Canada"s constitution puts the authority for taxation largely in the federal sphere but the management of health care system under provincial jurisdiction. Division of powers - squabbling among levels of governments. Federal government has very limited powers to promulgate (cid:871) (cid:872) legislation or regulations that control provincial health services. Lead only by persuading the provinces to accept conditions on funds that it transfers to them. If the provinces fail to comply with the conditions set by the federal government. The only recourse is to impose financial penalties by withholding portions of the transfer payment.

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