Canadian Health Care System Essay
The beginning of coverage
It was not until 1946 that the first Canadian province introduced near universal health coverage. Saskatchewan had long suffered a shortage of doctors, leading to the creation of municipal doctor programs in the early twentieth century in which a town would subsidize a doctor to practice there. Soon after, groups of communities joined to open union hospitals under a similar model. There had thus been a long history of government involvement in Saskatchewan health care, and a significant section of it was already controlled and paid for by the government. In 1946, Tommy Douglas' Co-operative Commonwealth Federation government in Saskatchewan passed the Saskatchewan Hospitalization Act, which guaranteed …show more content…
In each province each doctor handles the insurance claim against the state insurer.
Private insurance is only a minimal part of the overall health care system
In general, costs are paid through funding from income taxes though three provinces also impose a fixed monthly premium (e.g.,$54/month in British Columbia) which may be waived or reduced for those on low incomes. There are no deductibles on basic health care and co-pays are extremely low or non-existent
The Canadian system is for the most part publicly funded, yet most of the services are provided by private enterprises.
Health Care Without Hindrance
The Canadian Health Act of 1984, which was drafted in response to these protests, denies federal support to provinces that allow extra-billing within their insurance schemes and effectively forbids private or opted-out practitioners from billing beyond provincially man-dated fee schedules. The 1984 Act also defines and solidifies the principles of medicare, including: comprehensiveness (provinces must provide medically necessary hospital and physician services), universality (100 per cent of provincial residents are entitled to the plan), accessibility (there should be reasonable access to services, not impeded by user charges or extra billing), portability (protection for Canadians travelling outside of