Textbook Notes (368,558)
Canada (161,962)
HLTC43H3 (19)
Chapter 6

Chapter 6 HLTC03 Notes.docx

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Health Studies
Joseph Bryant

Chapter 6 HLTC03 Notes IntroductionAbout 47 million Americans lack health care insurance coverageUnder Medicare Canadians share the cost of risk and health is provided on the basis of need not incomeHealth care is the most expensive social program o Conflict exists bn different levels of govt concerning fundingAn important determinant of Medicare is Canadian federalism History of Public Health Care in CanadaPolitical interest in public health care began as early as 1919 under liberal leader William Lyon Mackenzie King as a platform for electionIn 1947 Saskatchewan Premier Tommy Douglas and his Cooperative Commonwealth stFederation CCF established the 1 universal hospital health care plan in Canada o Had support of physicians and hospitals due to assurance of getting paidIn 1950s the federal and provincial governments were cooperating more o Singlepayer system arose from intergovernmental cooperation1966 Medical Care Act passed where federal and provincial governments share 5050 of health care costsLookBox 61 Federalism Catalyst for InnovationFederalism is a critical element in the development of health care in Canada o It has constrained and facilitated policy changeFederalism divides political authority bn federal and regionalsubnational governments and is considered to be the property of constitutions o This means that federalism is based on state power o In other words political authority is decentralized Section 91 and 92 of the Constitution ActThe Canadian Constitution contributed to and intensified the rivalry bn the federal and provincial governments by investing responsibility for health care provision in the provincial governmentsNeither the federal nor provincial governments have exclusive constitutional responsibility for health careSections 91 and 92 present the exclusive and shared responsibilities of each government in health care th Health and social services in the 19 century were responsibility of charitable or religious organizations
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