Medicare (French: assurance-maladie) is the unofficial name for Canada's publicly funded universal health insurance system[1]. The formal terminology for the insurance system is provided by the Canada Health Act and the health insurance legislation of the individual provinces and territories.
Under the terms of the Canada Health Act, all "insured persons" (basically, legal residents of Canada, including permanent residents) are entitled to receive "insured services" without copayment. Such services are defined as medically necessary services if provided in hospital, or by 'practitioners' (usually physicians).[2] Approximately 70% of Canadian health expenditures come from public sources, with the rest paid privately (both through private insurance, and through out-of-pocket payments). The extent of public financing varies considerably across services. For example, approximately 99% of physician services, and 90% of hospital care, are paid by publicly funded sources, whereas almost all dental care is paid for privately.[3] Most doctors are self-employed private entities.
Tommy Douglas is commonly known as the father of medicare, and was instrumental in its first implementation in the province of Saskatchewan. His groundwork, along with the future aid of Prime Minister Lester B. Pearson helped to make medicare a national entity from 1966.
Funding
Funding for the insurance plans comes from the general revenues of the Canadian provinces/territories, assisted by transfer payments from the federal government through the Canada Health Transfer. Some provinces charge health care premiums, but these are in effect taxes (since they are not tied to service use, nor to provincial health expenditures). The system is accordingly classified by the OECD as a tax-supported system, as opposed to the social insurance approaches used in many European countries. Currently, patients do not pay out of pocket costs to visit their doctor. Boards in each province regulate the cost, which is then reimbursed by the federal government.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment