The Pros And Cons Of Canada's Universal Healthcare System

In America confidence in the health care system diminishes with aging. Americans believe that as they grow older, health care will be unaffordable to them. Seniors especially believe that once they depend on fixed budgets, that the American government will selectively rid them of attaining affordable health care. Just being able to afford their prescription drugs will be a situation where seniors will have to choose between food or medicine because of their decrease in household incomes. The one feature that is most effective in providing comprehensive health care in Canada is the participation of the government where citizens are completely covered for their health insurance. The best feature of health insurance in America is group health insurance. Group coverage normally offers the best benefits at a lower rate. The least effective feature of American health care is the cost of medical prescriptions and extended times of waiting to see the physicians. The least effective feature of Canada's medical health care system is also the lengthy time of waiting to see the physicians. Since most private health insurance companies in the US tell you which doctors to visit, specify which hospitals you may enter, this could be a deterrent to your treatment. In Canada this is not the case, if you are ill you may go to any hospital regardless of financial means or insurance coverage and get treated. Canadians and Americans found that increasing health care

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

In 1967, Tommy Douglas had a great impact in establishing Canada’s universal health care system which guarantees health care to its residents regardless of factors such as race or ethnicity, religion, income, and age (Tommy Douglas: The Father of Medicare, n.d., para.1). In the 1974 Lalonde Report it emphasizes that health services were only one of the many factors that affect health (A New Perspective On the Health of Canadians, 1974). Others factors which include income, food security, the level of education, shelter, status of health, social status, employment and working conditions, and living conditions also contribute to the status of ones’ health. These factors are known as the social determinants of health or one’s socio-economic status that provide an insight to the health of Canadians.

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

     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.

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

​There are different models of universal healthcare systems. The first is compulsory insurance which demands that residents should buy insurance; various legislations usually enforce this request.  Another type of universal insurance is the single payer health care system which is defined by the government providing funding for the health care services. The United States health care system uses the former while Canadian system utilizes the latter. The National healthcare insurance program describes the Canadian system as a system run and administered by the government. The health insurance coverage is universal (Ridic, Gleanson, & Ridic, 2012). The United States model, on the other hand, is characterized by a health package that is purchased in the private corporations or offered by the federal administration. The private insurances can be obtained from commercial insurance firms and non-profit insurers. Approximately 84% of United States residents are sheltered bythe government or private insurance (26%) (Ridic, Gleanson, & Ridic, 2012; Earl, Klees, & Curtis, 2000). Additionally, a huge percentage of coverage is employment related. In most cases, employers voluntarily sponsor the health insurance coverage (Ridic, Gleanson, & Ridic, 2012). Evaluation Canadian and US healthcare systems, this study provides an evaluation of the United States and Canadian universal healthcare systems.

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).

The effectiveness of a health system varies upon populations and the differences in cultural, socioeconomic and behavioral factors. Canadians live two to three years longer than Americans, but because they live healthier. In the U.S. there is a relatively high incidence of obesity and this leads to poor health outcomes. There is greater success of survival rate in the U.S. due to the availability of innovative technology and better screenings and treatments (O'Neill & O'Neill, 2007). When care is free there are longer waiting times for medical services and needs are not being met on time. Over the years Canada has seen an issue with controlling health expenditures because of the services that are provided and are free of charge due to their universal plan. In the U.S costs are cited as a source of unmet needs (O'Neill & O'Neill, 2007). In the U.S. there lower wait times to see a specialists and get surgery. In the U.S. unmet needs were because of costs

There is plenty of evidence to validate that many Canadians are incorrect in believing that they have “the best healthcare system in the world”. Spending on healthcare in Canada continues to outpace the government spending program in growth and is limiting public investments in other areas that would make for an overall more effective society (Daniel Muzyka). Canada is the 10th highest spender, spending an average of $2,600 per Canadian per year. Recent studies by Brett Skinner have looked at trends in the annual growth rates for provincial healthcare expenditures and total government revenue. “He found that if recent trends persist, provincial government spending on healthcare will consume more than half of total revenues from all sources in six of 10 provinces by the year 2020” (Neil Stuart).

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.

The Canadian healthcare system is a public funded single payer system that offers universal coverage to every Canadian legal resident. The national health insurance program is network of provincial and territorial health insurance programs that all have common characteristics and offer basic standard of service. The insurance program is designed to offer coverage for the medically necessary hospital care, outpatient physician services, diagnostic, chronic and rehabilitative, and acute services. (Lassey,1997).

Medicare is facing a fiscal crisis that threatens its sustainability. The need for significant Medicare reform is increasingly urgent as 76 million baby boomers are expected to retire over the next two decade. According to the 201 Medicare Trustees Report, the Hospital Insurance trust fund will be depleted in 2024. This translates to $27 trillion in unfunded liabilities over the next 75 years. Current projections indicate that health care costs will increase by more that 70 percent over the next ten years and will continue thereafter to consume an increasingly greater portion of personal income.

Canada 's health care system is 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, within guidelines set by the federal government. Under the health care system, individual citizens are provided preventative care and medical treatments from primary care physicians as well as access to hospitals, dental surgery and additional medical services. With a few exceptions, all citizens qualify for health coverage regardless of medical history, personal income, or standard of living. In addition to public health care providers such as primary care doctors and hospitals, many private clinics offering specialized services also operate in Canada.

Health care in Canada is delivered through a publicly funded health care system called Medicare, which is a universal coverage, single payer plan for all Canadians and legal residents. This health insurance pays up to 70% of all medicals costs excluding dental, eye care and medications, which is covered by private sectors. The current health care policy is guided by the provisions of the Canada Health Act 1984. Approximately 99% of physicians’ service costs and 90% of hospital care are covered by publicly funded program. Historically, Canada’s health system was dated back to 1867 when the British North American Act was passed, which gave federal government the responsibility to take care of marine hospitals and quarantine. As for the provinces, its responsibility is to manage the local hospitals, asylums, charities and other charitable organizations. To compare with the United States of America, the American government does not have a single payer program, which results in a somewhat less efficient healthcare system. Health care facilities are largely owned and operated by private sector businesses. 58% of US community hospitals are non-profit, 21% are government owned, and 21% are for-profit.