For all links to info concerning federal contributions to provincial-territorial health care costs and fiscal imbalance between the two levels of government, go to the Canadian Social Research Links page
Over the past 10 years, debates on global health have paid increasing attention to the importance of health care systems, which encompass the institutions, organizations, and resources (physical, financial, and human) assembled to deliver health care services that meet population needs. It has become especially important to emphasize health care systems in low- and middle-income countries because of the substantial external funding provided for disease-specific programs, especially for drugs and medical supplies, and the relative underfunding of the broader health care infrastructures in these countries. A functioning health care system is fundamental to the achievement of universal coverage for health care, which has been the focus of recent statements by advocacy groups and other organizations around the globe, including a declaration by the United Nations in 2012.
The Ugly Truth About Canadian Health Care | City Journal
These issues have been selected for several reasons. They involve critical functions of the health care system (i.e., financing and health care delivery), receive considerable prominence in international debates on how to strengthen the health care system, and have been evaluated somewhat more rigorously than other issues.
in the health care system to ..
The second is the way of those who think that less is better for health care. They see the erosion of state support as an opportunity to enhance Medicare’s ability to act as a public good. Less money will lead the way to replacing what are widely seen as genuine sources of inefficiency. For them it will lead to replacing the fee-for-service system with capitation fees, replacing the medical model of health care with interdisciplinary teams and more emphasis on public health, and replacing the reliance on hospitals with building more community health centers.
Commission on the Future of Health Care in Canada
Curiously, though, Canadian trade negotiators to the Multilateral Agreement on Investment (MAI) talks allowed a proviso on the exemption from liberalization for health and other social services identical to that in NAFTA. It is clear that Canadian neoliberals still want to keep an international threat to Medicare hanging over the heads of its defenders.
and strengthening Canada’s health system and health care ..
The third way is that of those who recognize the trend as eventually making it so difficult for Medicare to deliver universal and comprehensive health care that Medicare will simply become the lower level of a tiered system. This recognition lays the basis for organizing to fight inadequate funding and slow privatization, not for accommodating to them or treating them opportunistically.
Privatization of health care financing can be ..
The real point is that the not-for-profit private providers in Canada are occupying places that could otherwise be occupied by U.S.-style for-profit corporate health corporations and the hospitals, clinics, laboratories, and physicians that have contracts with them. All that needs doing is to end the control of those places by a single payer. So the U.S. Trade Representative is simply using established neoliberal policy to narrowly interpret the proviso for exempting social services from privatization.