Week 5 Health Care Reform

Front 1

Canada Health Act Principles

Back 1

Public Administration
Universality
Accessibility
Portability
Comprehensiveness

Front 2

Public Administration

Back 2

All medically necessary services are insured by a
single payer

Front 3

Universality

Back 3

Everyone who is covered by the health care system is covered in the same manner and under the same terms.

Front 4

Accessibility

Back 4

There are no financial barriers(e.g., userfees, extra billing) to accessing health care services.

Front 5

Portability

Back 5

This principle guarantees mobility rights. Under the existing act, those insured by the health care system are covered (at their home province rate)for health care wherever they may be inside or outside of Canada

Front 6

Comprehensiveness

Back 6

The act covers all “medically necessary services.” If services are medically necessary, Canadian nationals are entitled
to them but cannot purchase them; if they are not medically necessary, Canadian nationals are not entitled to them but can purchase them

Front 7

Accountability

Back 7

a 6th principle recommended in Romanow report 2002

Canadians will be provided with a transparent accountof how the system is administered, financed, and delivered and of who has responsibility for what

Front 8

Romanow recomendations 2002

Back 8

1. Write Canadian Health Covenant
2. Modernize Canada health act (specifically portability, comprehensiveness, add accountability)
3. Fed gov commit funding (25% of cost of insured services under CHA, escalator for stable funding)
4. Create Health Council of Canada

Front 9

Canadian National Forum on Health 1997 recommendations

Back 9

-move towards universal coverage, publically funded drug plan

- support for reference-based pricing

- requiring pharma companies to turn over a portion of research funds to national research granting agencies

Front 10

Canadian Health Covenant

Back 10

collective vision for health care; outline responsibilities and entitlemens of citiznes, health providers and governements

Front 11

recommended changes to portability

Back 11

eliminate out of country coverage

remove inconvenience of paying out of pocket, then reimburse

Front 12

Recommended changes to comprehensiveness

Back 12

redefine "medically necessary" to include diagnostic services, homecare and prescription drugs

Front 13

Accountability

Back 13

provide an account of how system is administered, financed, who is responsible for what