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: paul@GallantHealthworks.com
Overview (12 slides are included in this public version)  Context/Background of Presenter Canada Health Act Overview of the Act BC Perspectives  from Conversation on Health Comments & Questions
Canada Health Act (CHA) Passed in 1984, the  Canada Health Act  is Canada’s national legislation for publicly funded health care insurance.  It is a monetary arrangement between the federal government and the Provinces.  The  Canada Health Act  outlines the rules that provinces and territories must follow to receive federal funding for health care.  All Canadian provinces and territories are responsible for running health care in their jurisdictions
CHA Provinces required to make decisions on: where health care facilities, like hospitals, will be located,  how many health practitioners will be needed, and  how much of their budget will be given to health care.
Services Covered There are two groups of services covered under the Canada Health Act :  Insured health care services ( medically necessary hospital  services, physician services and surgical-dental services)  Extended health care services (certain aspects of long-term residential care and health aspects of home care and ambulatory care services)
CHA Principles  The  Act  sets out five principles that provincial and territorial  governments must follow: Public Administration:  Healthcare insurance plans must be operated on a non-profit basis by a public authority.  Comprehensiveness:  The plans must cover all services provided by doctors and in hospitals, if they are medically necessary.  Universality:  All of the residents of a province must be entitled to the benefits of the plan.  Portability:  A province must continue to cover its residents when they are traveling elsewhere in Canada.  Accessibility:  Provinces must provide reasonable access to insured health services on uniform terms and conditions, without financial and other barriers.  http://www.ccdonline.ca/publications/health-inspector/0802.htm
Questions to Think About... (Not included in this public version)
Canadian Identity & CHA For most Canadians, the CHA has become a document of near constitutional status 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).
Envisioning a Healthy British Columbia: Summary Conversation on Health British Columbians expressed a strong view about health and what it means to us as a province.  Some ideas and concerns of participants around their vision of a healthy British Columbia, included: Empowering people to make healthy choices and live healthy lifestyles;  Supporting a healthy society and environment;  Keeping people safe in their communities and workplaces; and,  Focusing on  Aboriginal people, seniors and  people with disabilities.
Media Clip BC Premier on Healthcare 2007 www.bcconversationonhealth.ca/media/VBOT.mov
Summary CHA Passed in 1984, The  Canada Health Act  has grown to be regarded by many as a symbol of what it means to be Canadian.   The  Act  is a social contract that defines healthcare as a basic right of Canadians.   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.   The Federal Government believed that these fees were keeping some patients from getting the care they needed.  http://www.ccdonline.ca/publications/health-inspector/0802.htm
For More Information • Health Canada  www.hc-sc.gc.ca Department of Justice Canada −  Canada Health Act  198.103.98.49/en/C-6/  • Canada Health Act Overview  www.hc-sc.gc.ca/ahc-asc/media/nr-cp/2002/2002_care-soinsbk4_e.html Ministry of Health, BC web-site, Home and Community Care.  http://www.healthservices.gov.bc.ca/hcc/index.html  Government of Canada Questions 1 800 O-Canada  ( 1 800 622-6232 ) or TTY  1 800 926-9105 BC Conversation on Health http://www.bcconversationonhealth.ca/media/PartI_PeopleWithDisabilities_intro.pdf Premier Campbell, 2007 Video   www.bcconversationonhealth.ca/media/VBOT.mov

Canada Health Act & BC Conversation on Health

  • 1.
    Excerpts from UBCPresentation The Canada Health Act (CHA) & BC Conversation on Health October 2008 Paul W. Gallant , MHK, MBA(c), BRec (TR) Certified Health Executive Contact: [email protected]
  • 2.
    Overview (12 slidesare included in this public version) Context/Background of Presenter Canada Health Act Overview of the Act BC Perspectives from Conversation on Health Comments & Questions
  • 3.
    Canada Health Act(CHA) Passed in 1984, the Canada Health Act is Canada’s national legislation for publicly funded health care insurance. It is a monetary arrangement between the federal government and the Provinces. The Canada Health Act outlines the rules that provinces and territories must follow to receive federal funding for health care. All Canadian provinces and territories are responsible for running health care in their jurisdictions
  • 4.
    CHA Provinces requiredto make decisions on: where health care facilities, like hospitals, will be located, how many health practitioners will be needed, and how much of their budget will be given to health care.
  • 5.
    Services Covered Thereare two groups of services covered under the Canada Health Act : Insured health care services ( medically necessary hospital services, physician services and surgical-dental services) Extended health care services (certain aspects of long-term residential care and health aspects of home care and ambulatory care services)
  • 6.
    CHA Principles The Act sets out five principles that provincial and territorial governments must follow: Public Administration: Healthcare insurance plans must be operated on a non-profit basis by a public authority. Comprehensiveness: The plans must cover all services provided by doctors and in hospitals, if they are medically necessary. Universality: All of the residents of a province must be entitled to the benefits of the plan. Portability: A province must continue to cover its residents when they are traveling elsewhere in Canada. Accessibility: Provinces must provide reasonable access to insured health services on uniform terms and conditions, without financial and other barriers. http://www.ccdonline.ca/publications/health-inspector/0802.htm
  • 7.
    Questions to ThinkAbout... (Not included in this public version)
  • 8.
    Canadian Identity &CHA For most Canadians, the CHA has become a document of near constitutional status 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).
  • 9.
    Envisioning a HealthyBritish Columbia: Summary Conversation on Health British Columbians expressed a strong view about health and what it means to us as a province. Some ideas and concerns of participants around their vision of a healthy British Columbia, included: Empowering people to make healthy choices and live healthy lifestyles; Supporting a healthy society and environment; Keeping people safe in their communities and workplaces; and, Focusing on Aboriginal people, seniors and people with disabilities.
  • 10.
    Media Clip BCPremier on Healthcare 2007 www.bcconversationonhealth.ca/media/VBOT.mov
  • 11.
    Summary CHA Passedin 1984, The Canada Health Act has grown to be regarded by many as a symbol of what it means to be Canadian.  The Act is a social contract that defines healthcare as a basic right of Canadians.  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.  The Federal Government believed that these fees were keeping some patients from getting the care they needed.  http://www.ccdonline.ca/publications/health-inspector/0802.htm
  • 12.
    For More Information• Health Canada www.hc-sc.gc.ca Department of Justice Canada − Canada Health Act 198.103.98.49/en/C-6/ • Canada Health Act Overview www.hc-sc.gc.ca/ahc-asc/media/nr-cp/2002/2002_care-soinsbk4_e.html Ministry of Health, BC web-site, Home and Community Care.  http://www.healthservices.gov.bc.ca/hcc/index.html Government of Canada Questions 1 800 O-Canada ( 1 800 622-6232 ) or TTY 1 800 926-9105 BC Conversation on Health http://www.bcconversationonhealth.ca/media/PartI_PeopleWithDisabilities_intro.pdf Premier Campbell, 2007 Video www.bcconversationonhealth.ca/media/VBOT.mov