Canada's Universal System Of Public Health Insurance

This paper will discuss the Canadian healthcare system compared to the United States healthcare system. Although they’re close in proximity, these two nations have very different health care systems. Each healthcare system has its own difficulties, and is currently trying to find ways to improve. Canada currently uses the Universal Health Care system; which provides healthcare coverage to all Canadian citizens (Canadian Health Care, 2007). The services are executed on both a territorial and provincial basis, by staying within the guidelines that have been enforced by the federal government (Canadian Health Care, 2007).

When asked to describe what makes Canada unique compared to other countries, many outsiders might yell out “Hockey!” “Cold Weather!” or “Free Health Care!.” Health care is definitely one of Canada’s most noticeable trademarks when compared to the United States, but the reality is that our health care services are not what they are made out to be. Canadians tend to take pride in the fact that they have a Government funded health care system, but the system is failing at a rapid pace. One can gage the quality of health care in our country while at the emergency ward in any hospital, where most Canadians realize its downsides. The Government spends most of its budget towards health care but Canadians are not feeling an improvement. Waiting

In 1967, Tommy Douglas had a great impact in establishing Canada’s universal health care system which guarantees health care to its residents regardless of factors such as race or ethnicity, religion, income, and age (Tommy Douglas: The Father of Medicare, n.d., para.1). In the 1974 Lalonde Report it emphasizes that health services were only one of the many factors that affect health (A New Perspective On the Health of Canadians, 1974). Others factors which include income, food security, the level of education, shelter, status of health, social status, employment and working conditions, and living conditions also contribute to the status of ones’ health. These factors are known as the social determinants of health or one’s socio-economic status that provide an insight to the health of Canadians.

Canada 's healthcare system is praised globally for its universal and free healthcare. It started to take shape after World War II in 1945. Health insurance was introduced and was attempted, but was not successful even though there was an increase in the spending of health related services and goods. Fast forward a few years to 1961 where Tommy Douglas, the premier of Saskatchewan, developed the idea for an all-inclusive insurance plan. He later inspired the Medical Care Act in Canada in 1967, when he pointed out health care is a right for all Canadians. From this one thought, Canada has become of the many countries with a universal health care system. Ever since Tommy Douglas sparked the idea for health care coverage, Canada is praised for the way it carries out its system because of several key features. This system is publically funded, is universal and is accessible to everyone across the nation. Because this is a public system, funding comes from the tax payers and some federal funding, so there is no extra cost for the patients. Also, being a universal system it has offered care to all Canadians, immigrants and visitors. Unlike the U.S who does not provide healthcare to its entire population because it is a private system; access depends on how much someone could afford, and how

This campaign was the fight for government assisted health care for all. The government of Canada officially passed the Medical Care Act in 1966, which created a universal health care system for all Canadians. This was a significant step in Canadian history as many countries at that time, and still today, lack laws of equality like this one. For this reason, Canadians find great pride in the fact that all people in Canada have equal access to medical care. However, this law did not easily come about, it took much time and persuasion to even be considered. Tommy Douglas began the fight for universal health care for all Canadians in 1961 when he left the Cooperative Commonwealth Federation in Saskatchewan to be a part of the federal government (Colyer, et al, 2010, p.326). Douglas had the idea of giving all Canadians universal health care after he had succeeded in doing this for the people of Saskatchewan. After proving his outrageous idea of medical care being partially paid for by the government, it was easy to convince the rest of Canada. For only a small fee each month, Saskatchewan residents had their medical bills partially paid for and after only two years provincial debt was reduced by twenty million dollars (Colyer, et al, 2010, p.326). These same rules were implemented in the rest of Canada as a result of the 1966 Medical Care Act (Health Canada, 2012, online). As a result, Canadians were now supported by the government when they needed medical help. Consequently, universal health care brought both pride and equality to Canada because very few countries had the same luxuries that Canadians now

In the book on a citizens guidelines to policy and politics, Katherine Fierlbeck argues that “The 1983 Canada Health Act replaced the 1947 Hospital Insurance and Diagnostic Services act because of the shift from a system of 50-50 federal-provincial cost sharing to a system of block funding established in Ottawa in 1977” (Fierlbeck 2011, pg.20). Until the period of the mid 1980’s, the Canadian health care system is to be categorized in a disarray, having no foundation to components and accomplishment. The system is to rely mainly on cost sharing; whereby in a health insurance policy only a portion is paid by the health insurance. While enabling the insured party to pay a portion of the price of covered services. In this case, cost sharing is based on 50-50 provincial and federal cost-sharing agreement to a fault. By Ottawa giving tax transfers to the provinces in replacement of direct transfers, but the federal government had no capacity to conceal cash. This in return is able to affect provinces because it deprived the federal government effective, efficient, and responsive measure of provinces holding the five principles of the Canada health care. According to About Canada Health Care, Pat Armstrong and Hugh Armstrong speaks about the five principles of health care, which are; “Public administration, Comprehensiveness, Universality, Portability, and Accessibility” (Pat Armstrong & Hugh Armstrong 2008, pg.28). These five principles holds the provinces accountable to the

The Canadian healthcare system was first established in the late 1940’s and is made up of socialized health insurance plans that provide coverage to every Canadian citizen. Publicly funded and managed, rules are set forth by the federal government. In the 1960’s, Canada in essence, has had universal healthcare coverage for all services provided by physicians and hospitals. Change your source ( http://en.wikipedia.org/wiki/Health_care_in_Canada 2014) Whereas, the healthcare system in America originated in the 1800’s, but truly wasn’t established until the late 1920’s. Healthcare in America was initially for teachers for a low cost in Dallas Texas by Justin Kimball. Change you source (http://en.wikipedia.org/wiki/) Healthcare in the United States is mostly privately funded with only a few publicly funded entities such as Medicare and Medicaid. The Canadian and U.S. healthcare system s have been under a lot of scrutiny over the years, being the topic of every political conversation. In this essay, I will write about the main differences between the U.S and Canadian Health-care system, and help shed some light on how each system works. The main points I will be discussing are the wait times to see a primary care physician, the funding of each countries health care system, accessibility to medical care and the quality of care.

Most Canadians are very proud of their health care because it provides citizens universal coverage on the basis of need. However, in the recent decade, Canadians have observed obvious deterioration in the quality of the system in regards to waiting times, availability of the best technology, and adequate numbers of doctors and nurses. The apparent decline within the system has made many Canadians more open to a variety of options than they were a decade ago, provided that the core elements of the system are preserved and that these changes lead to tangible improvements in quality without damaging accessibility. In the article Canadians’ Thoughts on Their Health Care System: Preserving the Canadian Model through Innovation by Matthew Mendelsohn, he stated that 1/3 of Canadians support the two-tiered healthcare system, which offers its citizens an option of public or private health care. Canada will benefit from a two-tier health care system because it will shorten waiting times, other countries with two-tier healthcare have proven to be successful, will encourage doctors to return and stay in Canada, introduce competition and give citizens freedom to choose.

The waiting time for medical services is long in both countries. The waiting time is mostly determined by the number of medical doctors and facilities available in relation to the population. According to the report done by the American Medical Student Association (2011), it was discovered that the doctor-to-patient ratio in the U.S. is more than in Canada. As a result, the survey discovered that about 42% of patients in Canada had to wait for about two hours compared to the U.S. whereby 29% had to wait for two hours. Also, 43% of Canadians compared to 10% of Americans are forced to wait for about four weeks to see a specialist. In addition, the same study discovered that 37% of Canadians compared to 34% of Americans found it difficult to access medical services during weekends and holidays. As a result, 47% of Canadians compared to 50% of Americans felt that it would have been possible for them to be treated on a regular basis than on an emergency basis if medical personnel were available (American Medical Student Association, 2011).

     In the past, Canada’s government-funded, universally accessible, health care system has been praised and admired both at home and abroad as one of the finest in the world. A great source of pride and comfort for many Canadians is that it is based on five fundamental principles. Principles that are a reflection of the values held by Canadian citizens since the formation of Medicare in 1966. These principles were reinforced in the Canada Health Act, (CHA), of 1984 and state that the Canadian system is universal, accessible, portable, comprehensive and non-profit.

In 1984, the Canada Health Act was passed, which prohibited extra billing by doctors on patients. The health care system is for the most part publicly funded. Because of Tommy Douglas, Canada has free health care; it is funded through tax dollars. Health coverage is not affected by loss or change of jobs, as long as premiums are up to date, and there are no lifetime limits or exclusions for pre-existing conditions. The French health care system is one of universal health care largely financed by government national health insurance. In the 2000 assessment of world health care systems, the World Health Organization found that France provided the "best overall health care" in the world. In France, when you

Canada’s healthcare system started in 1946 and is made up of a group of socialized health insurance plans that provides coverage to all Canadian citizens. It is publicly funded and administered on a provincial or territorial basis with in the rules set by their federal government. Since the late 1960’s Canada essential has had a universal health insurance system covering all services provided by physicians and hospitals. In 1966 Lester B Pearson’s government subsequently expanded a policy of the universal healthcare with the medical care act. Canada’s healthcare system is the subject of political controversy and debate in the country. While healthcare in America began in the late 1800’s but was truly born in 1929 when Justin Kimball

The Canada Healthcare act [R.S. 1985, c. C-6] passed in 1984. It ensures that all residents of Canada have an equal access to necessary physician services, no extra billing from physicians and hospital. The act is on five main principles, Public administration necessary services are to offer on a non-profit basis. Next, accessibility coverage with no extra charges and comprehensiveness coverage for all medically necessary services at all times. Portability coverage is to extend to all residents in all provinces and territories. The fifth principle is universality coverage for all eligible residents of all provinces and territories (SEDAP, 2007).

Canada’s health care system “can be described as a publicly-funded, privately-provided, universal, comprehensive, affordable, single-payer, provincially administered national health care system” (Bernard, 1992, p.103). Health care in Canada is provincial responsibility, with the Canada Health act being a federal legislation (Bernard, 1992, p. 102). Federal budget cuts, has caused various problems within Medicare such as increased waiting times and lack of new technology. Another problem with Medicare is that The Canada Heath Act does not cover expenditures for prescriptions drugs. All these issue has caused individuals to suggest making Medicare privatized. Although, Canada’s health care system consists of shortcomings, our universal

Medicare is facing a fiscal crisis that threatens its sustainability. The need for significant Medicare reform is increasingly urgent as 76 million baby boomers are expected to retire over the next two decade. According to the 201 Medicare Trustees Report, the Hospital Insurance trust fund will be depleted in 2024. This translates to $27 trillion in unfunded liabilities over the next 75 years. Current projections indicate that health care costs will increase by more that 70 percent over the next ten years and will continue thereafter to consume an increasingly greater portion of personal income.