Deck 1: The Canadian Health Care System

Question 1

Which province was the first to institute a hospital insurance plan that was financed entirely by the province?

A)Alberta
B)Manitoba
C)Saskatchewan
D)British Columbia

Answer 1

Saskatchewan

Question 2

During the 1930s, prior to the availability of universal health insurance, economic disaster left numerous patients unable to pay medical bills. Many physicians found themselves in a difficult financial situation during this time. The Saskatchewan Relief Commission attempted to assist physicians with monthly payments in which of the following amounts?

A)$10 to $20 per month
B)$25 to $50 per month
C)$50 to $75 per month
D)$75 to $100 per month

Answer 2

$50 to $75 per month

Question 3

The first provincial hospital insurance plan was subsidized from general revenues and which other source?

A)Federal sales tax
B)Provincial sales tax
C)Federal transfer payments
D)World War II Surplus Fund

Answer 3

Provincial sales tax

Question 4

Which government act confirmed the historical division of powers between the Canadian federal government and the provinces in relation to responsibility for health care?

A)British North America Act
B)Constitution Act of 1982
C)Canada Health Act of 1984
D)National Medicare Act

Question 5

Despite the lack of planning for change at the system level, which following principle driving health care reform has had some positive effects on the provision of health care?

A)A move toward the provision of more community-based services
B)An increase in the number of acute-care hospital beds
C)A maintained health emphasis on the medical cure model
D)A retention of the physician-centred and hospital-based health care model

Question 6

In Calgary during the 1930s, what was the approximate monthly income of a general hospital graduate nurse, excluding room and board?

A)$20 per month
B)$30 per month
C)$40 per month
D)$50 per month

Question 7

The need for change in how health services are structured and paid for has been recognized for some time. Which following factor has been a deterrent to implementing these needed changes?

A)Political considerations
B)Financial considerations
C)Provinces wanting to give up their constitutional prerogatives to federal control
D)The proposition of powerful lobbyists indicating that the status quo is envied by many countries

Question 8

The federal government's first foray into health care financing occurred through the National Health Grants Program in which year?

A)1945
B)1946
C)1947
D)1948

Question 9

In 1935, which government act was responsible for collecting information and advising groups in provinces that were planning a health insurance program?

A)Canada Health Act
B)National Health Grants Act
C)Employment and Social Insurance Act
D)National System of Medicare and Medicaid Act

Question 10

The first province-wide Blue Cross Plan in Canada was created in which province?

A)Manitoba
B)Nova Scotia
C)Saskatchewan
D)British Columbia

Question 11

In which year was the first hospital insurance plan that was financed entirely by the province created?

A)1942
B)1947
C)1952
D)1957

Question 12

By which year had all of the provinces accepted the terms and conditions of the Hospital Insurance and Diagnostic Act of 1957?

A)1957
B)1959
C)1961
D)1963

Question 13

There was much variation among the provinces in relation to user charges and extra billing during the 1970s. Which province had the most restrictive rules related to extra billing?

A)Prince Edward Island
B)Quebec
C)Alberta
D)Manitoba

Question 14

Recession has led to many discussions about privatizing health care. Although a number of provinces conducted experiments in privatization, the results have not been made public, largely because these experiments violate which following principle of health care legislation in Canada?

A)Accessibility
B)Universality
C)Portability
D)Public administration

Question 15

Which following statement is true regarding the Hospital Insurance and Diagnostic Act of 1957, which laid out the details of a national health insurance plan?

A)All provinces were required to join.
B)The act did not allow for hospital insurance portability from province to province.
C)The act provided comprehensive coverage for all in-hospital care.
D)Federal payments were based on a province's population.