Monthly Archives: February 2018
In Canada Health Act(CHA) design, the system is predominantly public financed and privately delivered. The Canada Health Act combined and replaced the Hospital and Diagnostic Services Act and the Medical Services Act in 1984. The event in Saskatchewan (SK) such as the famous 23 day’s strike just prior to creating public insurance for physicians (which then was followed by the federal Medical Services Act). It mainly results from that physicians didn’t want to be working with the government, so they went on strike to remain autonomous. SK government thought it would be much easier to only have public payment and allow physicians to still function as private forms of delivery. By the time the Canada Health Act replaced the other two Acts, physicians were even more powerful and even less likely to want to change their status. The government wanted physicians’ willingness to accept Fee-for-service(FFS) remuneration method. The CHA allows physicians to choose their own medical practice locations and facilitators in exchange for the FFS remuneration method. Intuitively, the Canada Health Act is the inception of the current Medicare approach. The current Medicare approach in Canada leads physicians to have a chance to create the long waiting time.
Read more about the history of the Canadian health system: