Historical Context
To truly understand the LTC policy landscape, one must first understand how the existing governance of LTC has evolved over time in the Canadian health system.
Medicare was conceived of and implemented at a time in Canadian history when the medical model was greatly focused on curative treatment for the very ill or gravely injured, and the hospital was the centre of the system. Medicare’s insured services included services provided in hospital (introduced in the Hospital and Diagnostic
Services Act of 1957) and physician services (introduced in the Medical Care Act of
1966). Extended health care services, which included nursing home intermediate care service, adult residential care service, home care service, and
To truly understand the LTC policy landscape, one must first understand how the existing governance of LTC has evolved over time in the Canadian health system.
Medicare was conceived of and implemented at a time in Canadian history when the medical model was greatly focused on curative treatment for the very ill or gravely injured, and the hospital was the centre of the system. Medicare’s insured services included services provided in hospital (introduced in the Hospital and Diagnostic
Services Act of 1957) and physician services (introduced in the Medical Care Act of
1966). Extended health care services, which included nursing home intermediate care service, adult residential care service, home care service, and