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Home Policy Articles: Health Care: Canada Health Act

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Health Care Reforms: Just How Far Can We Go? popular

Philippe H. Trudel, Bruce W. Johnston, and Michel Bédard explore what kinds of health care reforms can occur under existing laws. They also examine how much room the provinces have to manoeuvre under current federal legislation, namely, the Canada Health Act, as well as which laws reform-minded provincial governments could modify.
http://www.iedm.org/uploaded/pdf/santejuridique_en.pdf

Canada Health Act? Or Canada Health Inaction?

This brief report is a technical paper prepared to accompany the Canadian Centre for Policy Alternatives’ (CCPA) Alternative Federal Budget 2003.
http://www.policyalternatives.ca/documents/National_Office_P...

Comprehensiveness in Public Health Care: An Impediment To Effective Restructuring

This article by Claude Forget argues that the debate over public health care in Canada has been “mired in semantics and wishful thinking.” In this context, Forget contends that certain words (found in the Canada Health Act) have acquired the status of principles when, in his view, they should not be considered as such.
http://www.irpp.org/pm/archive/pmvol3no11.pdf

Development of a Taxonomy for Health Care Decision-Making in Canada

Coyte’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada. This series was undertaken to examine how decisions are made about what is covered by publicly funded health care, and if decisions about what is covered should be revisited.
http://www.irpp.org/miscpubs/archive/medicare_basket/wp2004-...

Funding Hosptial Infrastructure: Why P3s Don't Work, and What Will

This report examines the consequences of adopting a “public-private partnership,” more commonly known as a P3 model, for the delivery of health care infrastructure and services.
http://www.policyalternatives.ca/documents/National_Office_P...

Hamstrung and Hogtied: Cascading Constraints on Citizen Governors

In this paper Colleen Flood and Tom Archibald look at what type of role citizen governors may be able to play in improving accountability within the Medicare system. Flood and Archibald systematically examine five levels of decision-makers within Medicare and their roles, then question whether or not citizen governors, or another form of citizen engagement would improve accountability within the system.
http://www.cprn.com/documents/37473_en.pdf

Medicare and User Fees: Unsafe at Any Price?

Medicare and User Fees: Unsafe at Any Price? by Carl Irvine and David Gratzer of the Atlantic Institute for Market Studies, argues “the time has come for user fees” in Canadian health care. Though currently prohibited by the Canada Health Act and soundly rejected by Canadian health experts and politicians, Irvine and Gratzer assert the idea of patient cost sharing is alive and well in other countries. Their paper, they state, seeks to provide a new perspective on introducing some form of user cost sharing to Canadian health care. Medicare and User Fees includes an extensive literature review on the concept of user fees. Irvine and Gratzer assert that their findings demonstrate that many developed countries with public health care successfully use some form of patient cost sharing. Based on the literature they further conclude that if properly employed, user fees have no impact on health outcomes. For these reasons, Irvine and Gratzer argue the Canada Health Act should be amended to allow for user fees – a change they believe will be an important step in the reform of Canada’s Medicare system.
http://www.aims.ca/library/fees.pdf

Money, Politics and Health Care: Reconstructing the Federal-Provincial Partnership

This publication is a collection of essays, edited by Lazar and St-Hilaire, which analyze key issues in federal-provincial health care relations, particularly the fiscal component of that relationship.
http://www.irpp.org/books/archive/16363379.htm

Moving from Debate to Action: Securing the Future for Canada’s Health System

Canadians have reached consensus on the necessity of fixing Canada’s health system and, accordingly, want to see immediate action. How, then, to move forward on substantive reform? To answer this question the Public Policy Forum convened a two-day conference with over 100 representatives from a host of health-related industries and research bodies. Instead of returning to previous discussions and proposals on health system reform, the conference was tasked with deciding what can be done now to move the issue forward and to come to a broad consensus on an overall plan.
http://www.ppforum.ca/common/assets/publications/en/ow_e_12_...

Public Remedies, Not Private Payments: Quality Health Care in Alberta

According to Tammy Horne and Susan Abells, the Alberta government has instilled in Albertans the notion that the province’s public health system is on the brink of fiscal collapse.
http://www.ualberta.ca/PARKLAND/research/studies/health.pdf

Romanow and Beyond: A Primer on Health Reform Issues in Canada

This report by Cathy Fooks and Steven Lewis has two stated objectives: to highlight the key themes found in provincial and national health reform reports over the last 5 years and to identify “areas of agreement and disagreement within the key themes.” The provincial reports of Alberta, New Brunswick, Ontario, Quebec and Saskatchewan are evaluated, as are the National Forum report, Senate Committee report and the Interim Report from the Romanow Commission.
http://www.cprn.com/documents/15525_en.pdf

The Alberta Health Care Advantage: An Accessible, High Quality, and Sustainable System

In this paper, Esmail and Ramsay address the subject of health care reform in Alberta. They examine the Mazankowski Report, the product of a study conducted by the Premier’s Advisory Council on Health for Alberta; the Report delivered a radical set of ideas to raise health care revenues and temper demand for health services, in order to make Alberta’s health care system more sustainable.
http://www.fraserinstitute.ca/admin/books/files/ABHealth.pdf...

The Boundaries of Canadian Medicare: The Role of Medical Directors and Public Participation in Decision Making

Awad, Abelson and Flood’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada. This series was undertaken to examine how decisions are made about what is covered by publicly funded health care, and if decisions about what is covered should be revisited.
http://www.irpp.org/miscpubs/archive/medicare_basket/wp2004-...

The Boundaries of Medicare: The Role of Ontario's Physician Services Review Committee

Flood and Erdman’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada. This series was undertaken to examine how decisions are made about what is covered by publicly funded health care, and if decisions about what is covered should be revisited.
http://www.irpp.org/miscpubs/archive/medicare_basket/wp2004-...

The Charter and Health Care: Guaranteeing Timely Access to Health Care for All Canadians

This article authored by Stanley H. Hartt and Patrick Monahan analyzes the Canada Health Act in relation to the systemic delays Canadians face in order to access medical services. Hartt and Monahan do not believe that the Constitution guarantees “a generalized right to purchase medical services privately”. They do, however, argue that the government acts unlawfully when prohibiting Canadians from accessing private health care in instances where the public system is unable to offer health care in a timely fashion.
http://www.cdhowe.org/pdf/commentary_164.pdf

Three Choices for the Future of Medicare

Gregory Marchildon examines what he considers three choices for the future of medicare: 1) the status quo: death by stealth; 2) tax transfer: death by execution; and 3) Ottawa as a real partner in medicare.
http://www.caledoninst.org/Publications/PDF/466ENG%2Epdf

Using private insurance to finance health care

Valentin Petkantchin explores whether allowing private health insurance is a good idea.
http://www.iedm.org/uploaded/pdf/nov05_en.pdf

What is In and Out of Medicare? Who Decides?

Flood, Tuohy and Stabile’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada. This series was undertaken to examine how decisions are made about what is covered by publicly funded health care, and if decisions about what is covered should be revisited.
http://www.irpp.org/miscpubs/archive/medicare_basket/wp2004-...