Institutes and Strategies, Formal Structures Essay

The federal government is responsible for the delivery of primary health care services on-reserve as well as for funding the province for programs and services (Lavoie, 2013). Conversely, the province is responsible for primary health care services off-reserve, as well as hospital and physician services. While these jurisdictional boundaries seem to be clear in theory, in practice, they have been proven to be ambiguous and complex, and at times even self-serving (Lavoie, 2013; Kelly, 2011). This has contributed in an alarming burden of illness among First Nations communities that have economic, political and social implications for all Canadians. A study of these ambiguities and complexities as well as their consequences first requires a scan of the historical policies that have led to the current state of affairs in the healthcare of First Nations people.

Health care expenditure accounted for an estimated 11% (214.9 billion) of Canada’s GDP in 2014 (CIHI, 2014). Canada boasts a universal, cost-effective and fair health care system to its citizens (Picard, 2010). However, despite great claims and large expenses incurred Canada’s health care system has been reported inefficient in it’s delivery to the population (Davis, Schoen, & Stremikis, 2010; Picard, 2010). As inconsistencies exist in health care delivery across the country, choosing priorities for the health of the Canadian people becomes of vital importance. In Ontario, progress toward a better health care system has been stated to be moving forward by putting the needs of the “patient’s first” (Ministry of Health and Long-Term Care [MOHLTC], 2015). This policy brief will give a background of health care issues in Canada related to Ontario. Three evidence-based priorities will be suggested for Ontario’s health policy agenda for the next three to five years. Furthermore, through a critical analysis of these issues a recommendation of the top priority issue for the agenda will be presented.

Local Aboriginal community control in health is important as this classifies the Aboriginal entire health. Thus, it allows Aboriginal communities to find out their own relationships, protocols and procedures. NACCHO represents local Aboriginal community control at a national level. By making sure that Aboriginal people have a greater right of entry to valuable health care within Australia. A coordinated holistic response is provided by NACCHO from the community sector. Therefore, it is promoting for culturally respectful and approaches to needs requirement. This shows the improvement in health and wellbeing through ACCHSs with better outcome.

“Today … there is a growing crisis of women’s homelessness across Canada. The Canadian government has failed to explore the causes of women’s homelessness” (Rahder, 2006, p.38). This growing issue is caused by societies carelessness on the homelessness issue, and the lack of support to change it. Even the Canadian government does not see it as an urgent issue to address because, as stated above, they have even failed to

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).

Homelessness is defined as the situation of an individual or family without stable, permanent, appropriate housing, or the immediate prospect, means, and ability of acquiring it. It is the result of systemic or societal barriers, a lack of affordable and appropriate housing, the individual/household’s financial, mental, cognitive, behavioral or physical challenges, and/or racism and discrimination. Most people do not choose to be homeless, and the experience is generally negative, unpleasant, stressful and distressing6. Homelessness is a problem that affects every Canadian town or city, and is one that is dealt with using a variety of different methods.

The majority of homeless children and females are victims of domestic violence (NCH, 1998). It is estimated that there are 200 000 homeless people who live on the streets of Canada (Globe and Mail, 1998) and an 80 000 more in risk of becoming homeless (National Post, 1998). Of these people between 30% and 35% are people with severe mental illnesses (National Post, 1998). "On any given night, 45% of the 4 200 people filling Toronto's homeless shelters are families with children" (Toronto Star, 1998). An increasing number of the homeless are teenagers of which many are runaways who have been kicked out or felt they had no choice but to leave (Michaud, Margaret, 1988). It is difficult to find out exactly what age categories the homeless fit into because the information is very limited. -3- WHY THEY ARE HOMELESS There is so many different causes of homelessness the largest being poverty (NCH, 1998). Poor people are frequently unable to pay for housing, food, health care and child care. It is hard to make choices when recourses are so limited. Unemployment is also a large contribution to the homeless society (NCH, 1998). Another factor contributing to homelessness is the decline in Social Services. Within the last few years, government has made it increasingly difficult for anyone to be approved to get assistance. There is also the factors of domestic violence which forces many out of their home, mental illness which enables the individuals to obtain

How we define health differs to how Indigenous Australians define health. The World Health Organisation defines health as “not only the absence of infirmity and disease but also a state of physical, mental and social well-being” (WHO, 1946) However, the National Aboriginal Health Strategy Working Party (1989)

“The status of Indigenous health in contemporary Australia is a result of historic factors as well as contemporary socio-economic issues” (Hampton & Toombs, 2013, p. 1).

The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is

Since the 1970’s, many Indigenous communities have established their own independent, community-controlled health services (ACCHs) and an over-arching representatives advocacy body, the National Aboriginal Controlled Community Health Organisation (NACCHO previously NAIHO) was formed in 1975.

The substance of this paper will be to discuss the discourse regarding the inequalities facing aboriginal peoples living on reserves in the northwestern corner of Ontario. Inequality is not naturally occurring; poverty is not an innate cultural trait that accumulates at the feet of the marginalized (Schick & St.Denis, 2005, p.304). Stephens, Nettleton and Porter stated in the Lancet (2005) “Aboriginal people in Canada suffer enormous inequalities in health and in accessibility to health

They would invent, new structures to deal with each communities’ individual needs. The goal is to empower the community. The Indigenous community from what I understand views their bodies as their land so it should under their control. They want more than just accessibility, they are working toward creating a system free from stigma and violence, that as culturally safe practices that are private within the community. Which might have inspired their philosophy is their bodies their choice no matter their gender identities, they speak for our indigenous community member, representing their different sexualities and different gender expressions. The authors address the impact of colonialism on has had on the culture, on impact is still being felt. The authors wish to reinstate the elders as educators in a culturally safe health care practices. They speak about have ng more options and resources. The strategies are to re-educate the community and allies, create more grass root organization within the community for the people by the people. to kill the notion that they need outside

The current social welfare issue that I chose to explore is homelessness within Canada. First, this essay will give a brief description of homelessness. Secondly, it will describe how homelessness relates to some concepts and theories that we learned in this course Introduction to Social Welfare, it will also look at what may have happened to people facing homelessness one hundred years ago, next we will explore a possible solution to this social issue and where this fits within the political ideologies. Finally, I will give a brief explanation on whether social media is an effective tool for bringing about awareness regarding social issues.

As a result, now women too have to travel a great distance to have their deliveries done by a professional. Some women have to reach cities 1 month prior to their delivery and pay all their own expenses (Hay, Varga-Toth, Hines, 2006, p.25) Because of all these hospital closures and reduced services now there are problems with surgical procedures and pharmacists. Most of the doctors and pharmacists does not stay long in these areas. They leave the community and return to cities (Hay, Varga-Toth, Hines, 2006, p.26) Also these rural areas do not receive much care for alcohol problems and HIV/AIDS. These services are poorly served. Aboriginals are also not given proper education in how to prevent these diseases (Hay, Varga-Toth, Hines, 2006, p. 26). These are some major issues that government fails to address or as it seems they choose purposely to ignore because these issues has been going on for decades. The government should be a bit responsible with making better policies and taking expert advices constantly to improve the policies. That is why we pay high taxes and high price for goods and services, so that the government should be always on their toe and working hard to make sure we get better and efficient policies. Policies that would help reduce inequalities and poverty in Canada.