In this essay, federal drug policy, and its correlation with the shortage of drugs in Canada, will be considered. In particular, the disruption of drug supply will be considered, with a specific focus on drug supply within the province of Ontario. A discussion will ensue surrounding drug pricing and policy, and the ways in which these frameworks can ultimately serve to affect the efficacy of medical treatment and the safety of patients. Finally, the paper will focus on the accountability of multiple stakeholders, at both the federal and provincial levels, in terms of supplying medically necessary drugs to Canadians. This analysis will encompass the dominant role played by pharmaceutical actors in Canada. Finally, conclusions will be drawn …show more content…
In order to adequately and fully grasp the role played by the private sector in drug policy in Canada, one must first consider its origins. Under the Canada Constitution Act of 1982, sections 91 and 92 enumerate the federal and provincial division of powers – thus delineating the framework within which decision-making would take place at both levels. Interestingly enough, while section 91 elaborated upon the primacy of the federal economic role, and section 92 specified the social role played by the provincial government, health was not an area specifically canvassed within the Act itself (Lam, K. Class lecture, January 13, 2015). Not indicating health directly as a provincial responsibility created a game-blaming between federal and provincial government on taking accountability for drug shortages. Federal government claims that when provinces sign contracts with manufacturers to list drugs that they should require no disruption in supply. Provincial governments claim that federal government should take responsibility because drug supply is a national responsibility (Gagnon & Lexchin, 2008 ). Despite the centrality of decision-making pertaining to healthcare and its impact on federal economics, drug policy developed in a less controlled, and more patchwork manner. While tied to the purse strings of the federal budget, decision-making with regard to drug policy was delegated to the provinces, on the understanding
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).
Today, Canada is the only industrialized nation without a national pharmacare plan (“Campaign for a National Drug Plan” 1). Currently, each province has its own pharmacare plan and this creates differences in medication prices across the nation. Price depends on drug efficacy, how commonly the drug is used, and to what extent the provincial government decides to subsidize the drug. Overall, drug coverage in Canada depends on a person’s age, income, and the province they live in. Today, one in ten Canadians cannot afford the medications that their doctors prescribe (“Pharmacare 2020” 2). Their lack of
The ethical implications of the Canadian government funding and supporting these projects, considering current drug laws and policies, are questioned by some. People believe that the government should not participate in enabling drug use (Globe & Mail, (2011) and that zero tolerance approaches should be taken. In opposition to zero tollerance attitudes some
This legislation has also created a lasting impact on drug social policies that have followed after its passage, but there is growing discontent with that laws vested authority that lies in the Drug Enforcement Agencies sole regulatory power to control the scheduling of drugs. Health care organizations must continue to comply with existing legislation and attempt to respond to local concerns, as more states complicate the legal landscape that health care organizations operate in through the passage of medical marijuana laws. The Controlled Substances Act 1970 is a significant piece of persisting legislation that affects both health care organizations and American social
The Federal government is responsible for insuring equal distribution and accessibility of health care services to citizens though they are not the only party that shape the policies of Canada’s healthcare but also the influence of doctors, health professionals, political parties, and businesses are also used (Canadian Stakeholders, n.d., para 2). The 1984 Canada Health Act outlines the requirements that provincial governments must meet. However; since there is not a descriptive list mentioning insurance services in the Act, the insured services in provinces vary creating a power shift (The Canada Health Act, 2005). Provinces also control the licensing of hospitals as well as doctors,
In the article, “Parting at the Crossroads: The Development of Health Insurance in Canada and the United States” the author Antonia Maioni argues various points as to why Canada and the United States of America have such different approaches to targeting the healthcare system. The topics covered by Maioni included, “Health Reform in Canada: The Role of the CCF-NDP”. Here Maioni discuses in great detail, the historical background to how Canada got to where they are in the health system through the ups and downs that occurred in Parliament due to “the public demand for action on medical insurance” which was influenced by the highly successful medical insurance program that existed in Saskatchewan post-world war. It goes to show, that the passing
Canada’s system is another great example of the affordability of UHC. According to the World Health Organization, check-ups, medications and surgeries are thirty to sixty percent cheaper in Canada than in the U.S. (Merino 132). Why? Well, Diane Francis, author of the National Post article “LBJ Invented Canada’s Superior Health System”, offers one explanation. Francis argues that in Canada drugs are cheaper because Canadian provinces buy the drugs in bulk through a centralized system, unlike the U.S., which makes the government programs Medicare and Medicaid buy from different sources (Merino 132). Because of the monopoly the Canadian government has on the pharmaceutical industry, the price of drugs can be manipulated by the government, making
One important issue that plagues the Canadian health system is the affordability of prescription drugs, which arises from the medication not being covered under Canada’s current universal health care system (Parliament of Canada). The prescription drugs are either paid out of pocket, or covered a certain percentage depending on their private insurance or benefits given by their profession. For those who cannot afford the medication it causes a dilemma, choosing to take on a financial burden for the sake of their own treatment and without taking the needed treatment the disease may get worse. Since it is out-of-the-pocket the wealthy can obtain the medication, while the poor are handcuffed to do so, therefore making this a financial and an equity
In Canada different public prescription drug programs are based on the assumptions that the working class of Canada does
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
Market failure appears when there is a failure in allocation of goods and services. When the market is unsuccessful, the government is called to intervene and correct the failure. Over the years, government participation in the pharmaceutical market has been more wide-ranging than any other good or service. With the government’s ability to regulate, mandate, inform, finance and provide, their intervention to overcome market failure can be beneficial for the economy. Market failure plays a significant role in today’s economy.
The federal, provincial and territorial governments are in charge of Canada’s health care system including the achievement of the social determinants of health such as proper housing, education, sanitation for every eligible citizen (Health Canada, 2011). Majority of the responsibilities of delivering, maintaining and improving health and social services are directed by the provincial and territorial governments, while the federal government is responsible for funding health care services to provinces and territories that are covered by the Canada Health Act (CHA), setting and ensuring that every province and territories adheres to the Canada Health Act principles and providing health and social services to certain group of people such as
The response to drug use in America and in some countries around the world seems to have an interesting history. As the author Daniel Patrick Moynihan describes the unintended consequences society faces when government does not deal effectively with issues of drugs in society. He provided several references that shows the historical and present connections to government interrelations and how many of these decisions have some form of negative impact and at times causes social breakdown. His historical reference to drug uses, medicinal properties as well as technology role in our present age does paint a vivid picture of how government decisions can affect us. Since
A PhRMA one of the most power Pharmaceutical interest groups is apparently supporting a large campaign against foreign drug imports. The bill that has sparked a massive mobilization by PhRMA would allow citizens to purchase drugs from Canada with as of now are a fraction of the cost in the United States. The massive campaign was started by a nonprofit organization called Partnership for Safe Medicines which claims to be a grass root movement. However, recent coincidences have led to similarities between the two to be draw. For one, the former leader of Partnership for Safe Medicines of ten year, Scott LaGana, has just left to become a senior member for PhRMA. After which the Partnership for Safe Medicines began to become the biggest advocate
In 2013 there was over a hundred thousand drug related crimes recorded in Canada. Some countries around the world, such as the Netherlands, have loosened their restrictions on recreational drug use in an attempt to lower crime rates in their nation. The current law in Canada strictly prohibits the use and distribution of all recreational drugs. Many people, however, question if this is the best way to regulate drugs. Some would argue that legalizing drugs would create an economic opportunity for the government, reduce crime, reduce drug illnesses and fatalities, and give citizens their justified rights. Thus, the government should legalize recreational drugs to be consumed and distributed in the same way as alcohol.