The Issues Facing A New Canadian National Pharmacare Plan

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.

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

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

In Canada the services, medication and hospital fee are controlled by the government, this created a better outcome for the security of the citizen. This regulation can lead to major saving in term of the GDP per capita paid by the government in this regard. The government negotiates drug prices so by doing that prices are more affordable for the people. It’s not necessary the uses of co-pays and deductible, but if any type of charged for any reason this can still be a dissent price by the patient. As result of this Canadian are proud and feel secured by the contribution of the social

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.

     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.

Indeed, except for Canada, every developed country with a universal public healthcare system also has universal public coverage of prescription drugs (13). The Canadian federal government has decided that pharmaceutical coverage is a provincial responsibility and it offers no financial support for provincial drug plans (14). All provinces rely on a mix of private and public drug plans that work separately from each other and the rest of the healthcare system. Age, profession and health needs often determine to what extent a patient receives access to public drug coverage and this leads to millions of Canadians having very little or often no drug coverage at all (14). Most OECD countries offer universal coverage of prescription drugs to the whole population.

When discussing health care systems, Canada’s is often used as a possible model for the US. The two countries systems are very different being that Canada has a single payer, mostly publicly funded system, while the US has a multi-payer, heavily private system. So much of the appeal of the Canadian system is that is does more for less. They provide universal access to health care for its citizens, while almost one in five non-elderly Americans are uninsured. Many of these findings come from the results of the Joint Canada/United States Survey of Health from 2002-2003. This survey revealed that the health status is for the most part similar in the two countries, but income-related health disparities exist. For example, Americans in the poorest income bracket are more likely to have poor health compared to their “counterparts” in Canada. In "Health Status, Health Care, and Inequality: Canada vs. the U.S.," (NBER Working Paper 13429) June O 'Neill and Dave M. O 'Neill take a closer look at the U.S. and Canadian health care systems. They examine whether the Canadian system delivers better health outcomes and distributes health resources more justifiably than the U.S. system. After conducting their own research, they have different findings then the survey. They feel that in the US we have too many outside factors contributing to our health to really be able to compare the two systems. Let’s take a deeper look into the different systems.

Canadians embrace our universal healthcare system as a core national value; we are proud to say that we live in a country that ensures access to healthcare for all (Stanbrook, 2015). Sadly, there is a gaping hole in our supposedly universal system which is the lack of public coverage for prescription drugs for most Canadians.  Many Canadians face drug costs they can not afford, forcing them to either take their medicines less often than prescribed or do without them entirely.  By creating a universal single payer system of public insurance coverage for prescription drugs, a universal drug coverage plan like our current healthcare system, it would ensure affordability and comprehensiveness.  This intervention uses Geoffrey Rose’s population

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

In the first Hall Royal Commission, Pharmacare is outlined as recommend in joining the covered benefits for Canadian citizens - Canadians pays slightly less than their U.S. counterparts for Pharmaceuticals (Armstrong, p51). Privatization influences an unequal system - creating significant hindrances for impoverished people in Canada, again creating a rich-poor divide that does not influence equality, which is the essence of the Canadian Health Act. As pointed out in The Canadian Regime, “In European Countries, drugs are covered by public insurance schemes. Why not do the same in Canada?” (Malcolmson, p226). Further, Malcolmson describes the possibility for the government to generate a type of bulk buying scheme - where we as a country can

Thank you for your being a member of the Conservative Party of Canada (CPC) government. The Canadians population of 35,182,000 as of 2013 with life expectancy of 80 - 84 years, male and females respectively as of 2012 report (WHO, 2015), has truly benefited from the CPC form of government. In looking at long terms prosperity, universal health coverage is one advantage that removed the health disparities by providing health care coverage to Canadian citizens regardless of social economic class, and past medical history. The Canadian government provides allowances, supplemental income, and educational subsided programs for those at the bottom of the society (Canada’s Public Health Leader- [CPHA], 2010).  The Canadian social determinant of