Readings for Week 11
Chapter 11 – The provision of care
-Medical profession emerged as the dominant health occupation in Canada in the late 19th century and
early 20th century.
oProfessional organizations were established, placed limits on who is allowed to practice
medicine. Exerted control over medical knowledge.
-Women excluded from med schools and medicinal practice, they were harassed.
-Women’s involvement in health care was thru support occupations: nursing/dental hygiene/dental and
-Midwifery (female job) excluded from Canadian health care.
-Homeopaths and herbalists also excluded
-Then medical dominance began to decline, female health professions started to increase
-All professions were rationalized - - -> efficiently using health care resources
oWanted professions to be flexible and keep costs low
-Health care division had to decide what type of workers should exist, what will each type do, and what
education is required for it.
oIn Ontario, govt appointed a Health Professions Legislation Review to regulate health
-Some say reasoning behind notion that non physician providers are cheaper than physicians is related to
societal notion of skills
oWomen associated with lower skill set, and because nurses are a female profession, they should
be cheaper in cost.
oNursing care seen as providing care to families ---> no training needed
-Female health care providers operate within a social system of healthcare that devalues their skills and
oNurses are usually cut off first during hospital fiscal restraint
-After health care became responsibility of govt in Canada, govt started to put limits on health care
spending cuz costs were too high
oSo reforms included getting people out of health institutions faster, delay their entry, or prevent
them from coming