Summary: The Canadian Health Care System

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.

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

Since the colonization of Canada First Nations people have been discriminated against and assimilated into the new culture of Canada through policies created by the government. Policies created had the intentions of improving the Aboriginal people’s standard of living and increasing their opportunities. Mainly in the past hundred years in Canadian Society, policies and government implemented actions such as; Residential schools, the Indian Act, and reserve systems have resulted in extinguishing native culture, teachings, and pride. Policies towards the treatment of Aboriginal Canadians has decreased their opportunities and standard of living because of policies specified previously (Residential schools, the Indian Act, and reservation systems).

Health care for First Nations people, specifically for those who live in reserve communities receiving federally run services, has been founded on colonial ideology. This allowed and influenced the beginning of dependency of the First Nations people upon the European policy makers (Browne and Fiske 2001).

First Nation Peoples within Canada have been facing many injustices in their homeland since the dawn of colonization. The most unraveling point to First Nation assimilation was the formation of the consequential Indian Act and residential schools resulting in a stir of adversity. As racist ideologies within Canada developed, upheaval against such treatment was undertaken as First Nation communities fought back against government land claims and eradication of treaty rights. In attempt to make amends, proper compensations from the injustices within residential schools have been released and the key for the future is allowing First Nation self-government. Ideals with the intent of ultimate assimilation have been standardized unto First Nation

While many may argue that the Canadian health care system provides equal treatment to every Canadian, evidence shows that this is not the case. There are major discrepancies within the system regarding Indigenous people that need to be addressed including several factors such as: housing issues, stereotypes Aboriginals face and the lack of Aboriginal doctors.

Protection, civilization, assimilation: An outline history of Canada’s Indian policy by John L. Tobias, 1991.

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

Healthcare is an ever changing entity with an ever changing population of clients. In current day 2016, the United Sates has become a melting pot of many different cultural backgrounds, which has led to changes within the system to accommodate the patient base. Unfortunately, not all changes have been able to effectively reach any and all persons from every background. We still see language and cultural barriers that have direct correlation to the inability to seek healthcare and or the ability to change cultural perspectives to ensure healthy lifestyles. Within this paper, the health of American Indian and Alaskan Native populations will be discussed along with the barriers to care and the

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).

Neighboring countries, United States and Canada have close ties to one another, share the same language and have many of the same fundamental and religious beliefs. It is an interesting debt as to which provides a superior healthcare system. In order to better understand the strengths and weakness of the two systems, this paper will review four important structural and functional elements of each system.

Access to the communities is provided year round by Wasaya Airline and airstrips that are maintained by the Ontario Ministry of Transportation. Of course, each Aboriginal community is unique with its own set of traditions and ways of healing but my observation after working within the communities for over ten years is that they all suffer from improperished conditions and substandard housing. The local economies are primarily based upon government services (Indian and Northern Affairs) (INAC) and small business. Most of the reserves have six hundred people or less, and each community has a nursing station. The nursing stations are well-maintained functional buildings built in or about the early 1960’s and are maintained by Health Canada. First Nations and Inuit Health (FNIH) maintains responsibility for primary care services in the majority of the northwest Ontario reserve communities. In the north, nurses are the primary care givers working in an extended scope of practice, and client care is centrally coordinated by nurses working within interdisciplinary teams. The majority of the nursing and medical staff working for FNIH in the Sioux Lookout zone are Caucasian and do not come from local communities. This could outwardly appear as a reinforcement of power relations in the racial identities. There is only very limited cultural training given to employees when they are employed by FNIH. Medical advice and

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.