The Canadian Health Care System

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.

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

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

The Canadian health care system is funded majorly by the public, with very few private donations. Over the past few decades acts of large-scale philanthropy by wealthy private donors have started to increase, due to the investments in social programs and infrastructure from the government declining. Without the aid of private donors and large sources of income from outside of the public (government) the infrastructure of all hospitals, clinics, and the totality of western healthcare systems would collapse and ultimately fail as the system is set up presently. There is an opportunity of keeping a healthy and happy society sustained by public funds, as long as the government is able to step up and provide the healthcare system with enough funds, making the donations from philanthropists an excess instead of a necessity.

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.

The waiting time for medical services is long in both countries. The waiting time is mostly determined by the number of medical doctors and facilities available in relation to the population. According to the report done by the American Medical Student Association (2011), it was discovered that the doctor-to-patient ratio in the U.S. is more than in Canada. As a result, the survey discovered that about 42% of patients in Canada had to wait for about two hours compared to the U.S. whereby 29% had to wait for two hours. Also, 43% of Canadians compared to 10% of Americans are forced to wait for about four weeks to see a specialist. In addition, the same study discovered that 37% of Canadians compared to 34% of Americans found it difficult to access medical services during weekends and holidays. As a result, 47% of Canadians compared to 50% of Americans felt that it would have been possible for them to be treated on a regular basis than on an emergency basis if medical personnel were available (American Medical Student Association, 2011).

     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.

In this paper, there will be a comparative analysis to the United States (U.S.) healthcare system and Canadians healthcare system highlighting the advantages and disadvantages of both.

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.

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

At some point in time, we all must have had a chance of sitting in a waiting room of a hospital. I had a chance to visit the doctor last week and it was horrible, I had to wait to meet the doctor for around 4 hours While I was dying of pain. That made me to curse the whole hospital system in Canada and that 's the main reason that lead me to prepare this essay . British Columbia health care system with emphasis on " Providing " patient-centred care". which is defined as "Shifting the culture of health care from being disease-centred and provider-focused to being patient centered". This represents a great polished political language which they use to make people feel content and confident by confusing without them knowing that they are being confused.

Canada is a country of many peoples that have come together. Throughout Canada’s history there has been discrimination of several races. However, the aboriginal people of Canada have faced particular discrimination considering that they have been treated poorly and against their will, especially considering that they were the original people of the land who welcomed those from across the seas. Aboriginal people, in particular, are facing injustice concerning their privileges, accessibility, and equality in the healthcare system. Canada boasts of having one of the greatest healthcare systems in the world with a high life expectancy for both men and women. The rights of Canadian citizens pertaining to health is stated in the Canada Health

The Commonwealth Fund (2017) states that Canada's health care system is a group of socialized health insurance plans that provide coverage to all Canadian citizens. Almost every Canadian citizen is entitled to free healthcare regardless of income or pre-existing conditions. Some exceptions include undocumented immigrants, people with expired VISAs, and those who “enter the country ‘illegally,’ are not covered by any federal or provincial program, although provinces and territories provide some limited services” (The Commonwealth Fund, 2017). Interestingly, the most unlikely members of society such as refugees and inmates in federal prisons receive additional health benefits (The Commonwealth Fund, 2017).