110 Questions
What are the limitations of publicly funded coverage for prescription drugs in Ontario?
Some Ontarians are not covered for prescription drugs and they have no private insurance.
How do interprovincial variations in prescription drug programs affect access to medication?
They result in differential access to drugs depending on where people live.
What is the impact of public financing on access to healthcare services?
There is differential access to healthcare services depending on where one resides.
How has the delivery of healthcare evolved beyond publicly funded hospital and physician services?
One's ability to pay and private insurance plans provided through employment have made for a more complex array of entitlements and benefits.
What has resulted in some Canadians being left more exposed to risks and burdens than others?
Differential access to healthcare services and coverage for high cost chronic diseases.
What did the federal Canada Health Act require provinces and territories to abolish?
extra-billing
What change did the federal Canada Health Act bring about for doctors?
Doctors could only bill for things covered by the provincial/territorial schedule.
What is the impact of the acceptance of privately funded health care in Canada?
It would mean Canada would have a two-tiered health care system.
What are some arguments in favor of allowing privately funded health care in Canada?
It would remove cost and strain from the public system.
What are some concerns raised about allowing privately funded health care in Canada?
It would strip resources from an already exhausted public system.
What must the payment for services rate be when out of Canada?
That which would have been paid by the province for similar services rendered
What are some of the barriers to health care in Ontario?
Socio economics, education, geography, gender, sexual orientation, immigration status, and culture
What are two examples of differences in how each province/territory defines medically necessary services?
Abortion and reproductive health
What are the two particular issues under reproductive health mentioned in the text?
Abortion and fertility treatment
Is abortion equally accessible in all provinces/territories and rural regions?
No
What is the role of law in the rise and fall of Canadian Medicare?
The role of law in the rise and fall of Canadian Medicare is discussed in Chapter 3 of the book 'Canadian Health Law and Policy.'
What frustrations with its autism program are causing some parents to leave Ontario?
Some parents are leaving Ontario because of frustrations with its autism program, as mentioned in an article by The Canadian Press.
What is the focus of the article 'Medical Necessity and the Public Funding of In Vitro Fertilization in Ontario'?
The article 'Medical Necessity and the Public Funding of In Vitro Fertilization in Ontario' focuses on the public funding of in vitro fertilization.
According to the Canadian Journal of Political Commission on the Future of Health Care in Canada, who decides what is medically necessary?
The Canadian Journal of Political Commission on the Future of Health Care in Canada discusses who decides what is medically necessary.
What is the coverage of fertility treatment offered by Canada's provinces and territories?
The coverage of fertility treatment offered by Canada's provinces and territories is discussed in an article by The Canadian Press.
What is the focus of the article 'Medical Necessity and the Public Funding of In Vitro Fertilization in Ontario'?
The public funding of in vitro fertilization in Ontario
What fertility treatment coverage is offered by Canada's provinces and territories?
Varies by province and territory
What are some concerns raised about the publicly funded health care coverage for infertility treatments?
Limited coverage resulting in unequal access to treatments
How has the publicly funded health care coverage impacted access to infertility treatments?
Created barriers for certain groups to access treatments
What change did the federal Canada Health Act bring about for fertility treatments?
It required provinces and territories to abolish user charges for infertility treatments
What is the impact of public financing on access to infertility treatments?
It has created disparities in access based on income and location
What must the publicly funded health care plan provide for in terms of compensation for insured health services rendered by medical practitioners or dentists?
Reasonable compensation for all insured health services
What is a significant barrier to access to health care in Ontario as mentioned in the text?
Socioeconomic status
Why is abortion not equally accessible in all provinces/territories, as stated in the text?
Differences in how each province/territory defines medically necessary services
In what way does the publicly funded health care system impact access to fertility treatment in Canada?
It limits the availability of fertility treatment to certain provinces/territories
What is a common misconception about the publicly funded health care coverage for infertility treatments in Canada?
It provides coverage for all types of fertility treatments without any restrictions
What has resulted in some Canadians being left more exposed to risks and burdens than others as mentioned in the text?
Variations in how each province/territory defines medically necessary services
What is the main concern raised in the text about publicly funded health care coverage for infertility treatments?
The unequal accessibility of fertility treatments across different provinces and territories
What issue is highlighted regarding the accessibility of fertility treatments in Canada?
The unequal access to fertility treatments based on geographical location
What is one of the specific issues mentioned in the text about the coverage of fertility treatments?
The limited coverage for fertility preservation procedures under provincial/territorial plans
What barrier to accessibility for infertility treatments is discussed in the text?
The restriction on the number of publicly funded IVF cycles an individual can undergo
What is a notable concern raised in the text about publicly funded health care coverage for infertility treatments?
The limited coverage for fertility treatments beyond in vitro fertilization (IVF)
What aspect of publicly funded health care coverage for infertility treatments is emphasized in the text?
The unequal access to fertility treatments based on financial status
What is the focus of the text 'Medical Necessity and the Public Funding of In Vitro Fertilization in Ontario'?
The impact of public financing on access to infertility treatments
What is a concern raised about allowing privately funded health care in Canada according to the text?
Lack of regulation in privately funded clinics
How has the delivery of infertility treatments evolved beyond publicly funded hospital and physician services?
Expansion of private clinics for infertility treatments
What is the impact of the acceptance of privately funded health care in Canada according to the text?
Inequitable access to health care services
What is the coverage of fertility treatment offered by Canada's provinces and territories?
Limited or no coverage for fertility treatment by some provinces
What are some concerns about publicly funded hospital PRs sitting idle while private clinics expand?
Increased strain on publicly funded health care facilities
What is the coverage of infertility treatments (IVF and IUI) by the provinces/territories of Canada?
Some provinces/territories provide limited coverage for IVF and IUI treatments based on medical necessity.
Why do some employers add infertility treatments to their benefit packages?
To attract and retain talent by offering comprehensive health benefits.
What is the general stance of provinces/territories regarding the coverage of infertility treatments?
Provinces/territories believe that medically required treatments should be covered, but there is no clear policy on this.
What is the primary reason behind the inequity of treatment options for infertility between provinces/territories?
Differences in population health needs and priorities in different provinces/territories.
What is the public financing situation for infertility treatments in some provinces/territories?
Some provinces/territories do not offer anything through their publicly funded health care for infertility treatments.
What is the general perspective on who should decide what is best for each province/territory regarding infertility treatments?
Each province/territory should independently decide what is best for its own population regarding infertility treatments.
What determines who is publicly insured and who is not in Canada's healthcare system?
The Canadian Health Act
In Canada, are physicians typically government employees or hospital employees?
Independent professionals
What role has significantly shaped Canada's system of healthcare and the universal single payer scheme?
The Canada Health Act
Where do residents of Canada receive insurance for hospital and physician services?
Through provincial/territorial plans
What happens if the provincial/territorial health insurance plans meet the criteria laid out in the Canada Health Act?
The federal government provides cash contributions to fund these plans
Who provides the majority of healthcare services in Canada?
Healthcare practitioners (HCPs)
What federal legislation replaced the Hospital Insurance and Diagnostic Services Act of 1957 in Canada?
Canadian Health Act
What was the primary focus of the article 'The Challenge of Defining Medical Coverage in Canada'?
The impact of public financing on access to healthcare services
What is the main provision of the Canada Health Act that consolidated and replaced the Hospital Insurance and Diagnostic Services Act, 1957?
Ensuring public access to insured health services
What was the main issue addressed in the article 'The Challenge of Defining Medical Coverage in Canada'?
Defining medical coverage in Canada
What did the federal Canada Health Act require provinces and territories to abolish?
Privately funded health care services
What is emphasized as the primary concern about publicly funded health care coverage for infertility treatments?
Inequity of treatment options between provinces/territories
What is the purpose of the Canada Health Act (CHA) as mentioned in the text?
To provide criteria for federal funding of provincial/territorial insurance plans
What impact did the Canada Health Act (CHA) have on the provincial/territorial insurance plans?
It standardized the criteria for federal funding of the plans
How has the Canada Health Act (CHA) impacted the delivery of healthcare services in Canada?
It led to differences in the provincial/territorial plans instituted across the country
What does the Canada Health Act (CHA) require provinces and territories to do?
Abolish extra billing and user fees for insured health services
What role has the Charter played in expanding health services available to individuals as mentioned in the text?
It has been used by individuals in an attempt to expand through the courts the health services made available to individuals
How has legislation such as the Local Health System Integration Act, 2006, contributed to healthcare in Ontario?
It has contributed to differences in the provincial/territorial plans instituted across the country
What is the role of the provincial minister of health in relation to the funding of physician and hospital services?
To oversee the administration of the funding plan
What impact does extra-billing by medical practitioners have on federal cash contributions under the Canada Health Act?
It leads to a deduction from the federal cash contribution
According to the Canada Health Act, are user fees or extra-billing permitted by medical practitioners or dentists?
No, they are not permitted
What is the extent of public funding for prescription drugs taken outside of hospitals in Canada?
It is limited to senior citizens and social assistance recipients
What is the impact of public financing on access to infertility treatments?
It limits access to those with private insurance
What condition must be met for a province/territory to qualify for a full cash contribution under the Canada Health Act?
No user fees or extra-billing permitted by medical practitioners or dentists
What is the penalty for a province or territory breaching one of the criteria reviewed under s.7 of the Canada Health Act?
The offending province's cash contribution for the fiscal year may be reduced
What has never been exercised despite some breaches of the Canada Health Act?
Financial penalization of the offending province
What is the contrast between the Canada Health Act (CHA) and the provincial frameworks for administering their healthcare plans?
The CHA is detailed, technical, and complex, while the provincial plans are relatively brief
What was the policy remedy implemented to address the charging of 'facility fees' for abortion services provided by private clinics in Atlantic provinces?
Increased transparency and reporting by Canadian Institute of Health Information
Which example represents a violation of the Canada Health Act (CHA)?
Charging 'facility fees' for abortion services in Quebec
What has never been exercised despite some provinces breaching the Canada Health Act (CHA)?
Financial penalization of offending provinces
What is the term for which board members are appointed in the Ontario LHIN system?
Three-year terms
What is a requirement under section 15 of the Ontario LHIN system?
Developing an Integrated Health Services Plan
What is included in the accountability agreement between the Minister and each LHIN in the Ontario LHIN system?
Performance goals and objectives
What recent amendment to legislation has made changes to the LHIN's system in Ontario?
The Patients First Act, 2016
What information is each LHIN required to provide to the Ontario Health Quality Council according to the Ontario LHIN system?
Information requested about the local health system
What is required to be developed by the Minister according to section 14 of the Ontario LHIN system?
A provincial strategic plan
What is the main focus of the Canada Health Act?
Establishing federal and provincial jurisdiction over healthcare
What is the role of Local Health Integration Networks in Ontario?
Coordinating health services and planning in their local regions
What is the impact of the distribution of total health expenditure across different provinces in Canada?
It may lead to disparities in the provision of healthcare across the provinces.
What are the primary factors that contribute to the variances in total health expenditure per person across Canadian provinces?
Population density and geographic location
What is the significance of the Canadian Charter of Rights and Freedoms in the context of healthcare delivery?
It outlines the rights and freedoms related to healthcare
What is the current status of the use of privately funded clinics in Ontario?
They are increasingly expanding beyond publicly funded services
How do provinces in Canada manage physician compensation?
By negotiating agreements with provincial medical associations
What is the primary purpose of the negotiations between provincial governments and medical associations in Canada?
To agree on compensation for insured health services
What is the role of administrative tribunals in healthcare delivery?
Resolving disputes related to healthcare services
What is the impact of the negotiations on healthcare coverage and accessibility in Canada?
It may result in disparities in healthcare coverage and accessibility across provinces.
What is the primary function of the Local Health Integration Networks in Ontario?
Coordinating health services and planning in their local regions
How do provincial medical associations contribute to the evolution of healthcare services in Canada?
By providing an expanding list of services covered under medicare
What is the main function of the OQHC?
To report on access to publicly funded healthcare services and support quality improvement
What did the Ontario legislation end for physicians?
Direct billing of patients
What does the Act intend to improve in Ontario's healthcare system?
Prohibition of 'two-tier' medicine
What is the impact of fee-for-service compensation for physicians?
Creates incentives for physicians to provide more units of services
What is the typical shift in access to healthcare in relation to third-party insurance?
Shift to both public and private third-party insurance
How has the Act impacted the charging of patients by physicians?
Prohibited physicians from billing patients directly for extra charges related to insured services
What is the new business name under which LHINs are now operating?
Home and Community Care Support Services
How many members make up the board of directors of a LHIN?
9 members
What are the objects of a local health integration network as mentioned in the text?
To integrate local health system
What powers does a LHIN have by section 6?
Powers to purchase real estate
Which of the following is NOT listed as an exclusion from health services providers?
A member of the Royal College of Dental Surgeons
What will five CEOs remain on to oversee while the LHINs are being eliminated?
Oversee different regions until the merger is complete
Test your knowledge about the federal Canada Health Act of 1984 and its impact on extra-billing and healthcare in the provinces and territories of Canada.
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