Primary Care Issues In Canada

The disproportionate, poor health outcomes experienced by First Nations Canadians have been attributed to an uncoordinated and fragmented health care system. This system is rooted in colonial legislation and social policies that have created jurisdictional ambiguity and long-standing confusion among federal, provincial and First Nations governments as to who is responsible for First Nations health care (Kelly, 2011; Lavoie, 2013). The responsibility of healthcare resembles a “political football and while it is being passed back and forth, the health status of First Nations people remains the lowest of any segment of the population (Cook, 2011, p. 40). Despite attempts over the last 40 years to address this pressing social issue, the absence

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.

It is expected that with the baby boomers significantly using the health care dollars, the provinces and territories will end up spending 60% of their GDP on health care services which accounts to $530 billion dollars of debt ( Robson, 2001). This discrepancy will put pressure on the federal government and encourage provincial policy makers to rely more on the federal government for funding instead of finding their own way to manage their health care systems better. Population aging affects the demand for and costs of health care services, given that seniors account for about 45% of provincial/ government health care dollars (Ng,Sanmartin,Tu, Manuel, 2014, pg 15). Seniors are not only the largest user group of health care, but their hospital visits and admissions are higher than any other age group. This is merely because seniors tend to have more chronic conditions which derive them to use the health care services. Due to the health care problems that many seniors face, it is important to address the future directions in which the sustainability of the universal health care resides.

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

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.

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

Since 1984, Canada has established a publicly funded healthcare system through the provisions of the “Canada Health Act,” which states that the objective of Canadian health care policy is to “facilitate reasonable access to health services without financial or other barriers” (“Canada Health Act” 1). However, many Canadians feel Canada’s healthcare system is financially restricting. This system does not cover many prescription drugs or speciality drugs, which are needed for 41% of Canadian citizens aged 6-79 years old (Rotterman, Michelle et al. 1). This excludes elderly citizens who require even more medications. According to the Canadian Institute for Health Information it is estimated the provincial and territorial governments spent $10.4 billion on prescription medications in 2014 (Matteo, Livio Di 2).

I have identified the aging population (greater than 55 years of age) in Chatham/Kent, Ontario (in a community I am familiar and work within); a population on the rise and with minimal government and Ministry of Health support that enables seniors to maintain quality of life,

     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.

The health care system in Ontario has been subjected to a lot of criticism and investigation since its introduction midway through the twentieth century. In the past decade, there has been a significant increase in the demand of healthcare, due to increase in the population from immigration and also, an increase in the chronic diseases among the residents of Ontario, which in turn has affected the overall quality of the provision of healthcare. Due to its availability to wide range of people it has become evident that the health care system has been restricted by incorporation of various strict time-consuming policies, which may cause the current healthcare system to be unsustainable in the future. Therefore, healthcare industry has added resources to accommodate increase in demands and the needs of the Ontarians, but this does not eliminate the problem that Ontario lacks a system-wide and sustained approach to improve quality of primary healthcare, which will be further discussed in the paper.

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

The Canadian healthcare has advanced a lot from the 1900’s till now, from multiple points of view with the assistance of new polices being set and new regulations and laws. The Canadian healthcare system are built through

Despite large investments in primary care reforms (PCR) over the years, there still hasn’t been a significant impact in certain areas of the health system, particularly those related to the ‘access to care’. The Health Quality Ontario (HQO) data from 2014 shows that almost 94% of the adults have a primary care provider, which has risen from 92% in 2006 1, 2. While the percentage of Ontarians who have a primary care provider has grown, most Ontarians are unable to get an appointment to see their doctor the same day or the next day when they become sick 2. Less than half of the population (44.3%) of the Ontarians are able to see their

Health care systems across Canada are becoming strained by this aging cohort and will continue to become even more so in the coming years. It is estimated that the number of frail elderly in Canada will “double to well over 2 million within the next 20 years” (Young, 2015, pg. 1) and it is imperative that we look at how we are going to be able to support this through changes in our healthcare system. One means of doing this is to create more

Population aging can be defined as the median age of the population increasing over time. Aging population is becoming a global phenomenon as the baby boomers are hitting the 65-year mark and fertility rates are declining. An aging population has become an issue that many countries are having to face with significant impacts in economic areas. The Canadian population has changed drastically over the last several years. As the baby boomers (the segment of the population born post World War II approximately 1946 to 1964) have grown older and become more dependent on health care and social programs to support their living. The Canadian government has become increasingly concerned with this global phenomenon as they now must invest more money in health care and pensions. This trend will continue in time as in 1971 8% of the population was 65 or older compared to today’s statistic of 14.4% of the population being 65 or older. The industrial revolution played a huge role in the demographic transition of societies and has impacted fertility rates; we have seen a large decline in fertility within Canada. On the global scale the natural rate of increase is 2.1 births per women whereas; Canada’s current fertility rate is 1.2. This, too, will have implications on society for the dependent older age sector. Furthermore, the implications of an aging population in Canada are taking great tolls on the health care sector as many of the demographic require medical support. In