Canada Health Act & BC Conversation on Health


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Abridged slides from lecture to UBC students (2008).

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Canada Health Act & BC Conversation on Health

  1. 1. Excerpts from UBC Presentation The Canada Health Act (CHA) & BC Conversation on Health October 2008 Paul W. Gallant , MHK, MBA(c), BRec (TR) Certified Health Executive Contact:
  2. 2. Overview <ul><li>(12 slides are included in this public version) </li></ul><ul><li>Context/Background of Presenter </li></ul><ul><li>Canada Health Act </li></ul><ul><ul><li>Overview of the Act </li></ul></ul><ul><ul><li>BC Perspectives from Conversation on Health </li></ul></ul><ul><li>Comments & Questions </li></ul>
  3. 3. Canada Health Act (CHA) <ul><li>Passed in 1984, the Canada Health Act is Canada’s national legislation for publicly funded health care insurance. </li></ul><ul><li>It is a monetary arrangement between the federal government and the Provinces. </li></ul><ul><li>The Canada Health Act outlines the rules that provinces and territories must follow to receive federal funding for health care. </li></ul><ul><li>All Canadian provinces and territories are responsible for running health care in their jurisdictions </li></ul>
  4. 4. CHA <ul><li>Provinces required to make decisions on: </li></ul><ul><ul><li>where health care facilities, like hospitals, will be located, </li></ul></ul><ul><ul><li>how many health practitioners will be needed, and </li></ul></ul><ul><ul><li>how much of their budget will be given to health care. </li></ul></ul>
  5. 5. Services Covered <ul><ul><li>There are two groups of services covered under the </li></ul></ul><ul><ul><li>Canada Health Act : </li></ul></ul><ul><ul><li>Insured health care services ( medically necessary hospital services, physician services and surgical-dental services) </li></ul></ul><ul><ul><li>Extended health care services (certain aspects of long-term residential care and health aspects of home care and ambulatory care services) </li></ul></ul>
  6. 6. CHA Principles <ul><li>The Act sets out five principles that provincial and territorial </li></ul><ul><li>governments must follow: </li></ul><ul><li>Public Administration: Healthcare insurance plans must be operated on a non-profit basis by a public authority. </li></ul><ul><li>Comprehensiveness: The plans must cover all services provided by doctors and in hospitals, if they are medically necessary. </li></ul><ul><li>Universality: All of the residents of a province must be entitled to the benefits of the plan. </li></ul><ul><li>Portability: A province must continue to cover its residents when they are traveling elsewhere in Canada. </li></ul><ul><li>Accessibility: Provinces must provide reasonable access to insured health services on uniform terms and conditions, without financial and other barriers. </li></ul><ul><li> </li></ul>
  7. 7. Questions to Think About... <ul><ul><li>(Not included in this public version) </li></ul></ul>
  8. 8. Canadian Identity & CHA <ul><li>For most Canadians, the CHA has become a document of near constitutional status </li></ul><ul><li>The link between the CHA and Canadian identity is reinforced by the sharp contrast between the universal scope of Canada’s Medicare program and the partial scope of health insurance in the US (Naylor 1999, p. 24), where 16.3 percent of the population is left without even the most basic health insurance coverage (Reed and Tu 2002). </li></ul>
  9. 9. Envisioning a Healthy British Columbia: Summary Conversation on Health <ul><li>British Columbians expressed a strong view about health and what it means to us as a province. </li></ul><ul><li>Some ideas and concerns of participants around their vision of a healthy British Columbia, included: </li></ul><ul><ul><li>Empowering people to make healthy choices and live healthy lifestyles; </li></ul></ul><ul><ul><li>Supporting a healthy society and environment; </li></ul></ul><ul><ul><li>Keeping people safe in their communities and workplaces; and, </li></ul></ul><ul><ul><li>Focusing on Aboriginal people, seniors and people with disabilities. </li></ul></ul>
  10. 10. Media Clip <ul><li>BC Premier on Healthcare 2007 </li></ul><ul><li> </li></ul>
  11. 11. Summary CHA <ul><li>Passed in 1984, The Canada Health Act has grown to be regarded by many as a symbol of what it means to be Canadian.  </li></ul><ul><li>The Act is a social contract that defines healthcare as a basic right of Canadians.  </li></ul><ul><li>The Act was introduced primarily to address concern about direct fees, which hospitals and doctors were charging to patients in the 1970s and early 1980s.  </li></ul><ul><li>The Federal Government believed that these fees were keeping some patients from getting the care they needed.  </li></ul><ul><li> </li></ul>
  12. 12. For More Information <ul><ul><li>• Health Canada </li></ul></ul><ul><ul><li>Department of Justice Canada − Canada Health Act </li></ul></ul><ul><ul><li> </li></ul></ul><ul><ul><li>• Canada Health Act Overview </li></ul></ul><ul><ul><li>Ministry of Health, BC web-site, Home and Community Care.  </li></ul></ul><ul><ul><li> </li></ul></ul><ul><ul><li>Government of Canada Questions </li></ul></ul><ul><li>1 800 O-Canada ( 1 800 622-6232 ) or TTY 1 800 926-9105 </li></ul><ul><ul><li>BC Conversation on Health </li></ul></ul><ul><ul><li> </li></ul></ul><ul><ul><li>Premier Campbell, 2007 Video </li></ul></ul>