Question 1

How did the Constitution Act of 1867 shape Canad's health care system?&#10;A) It legislated the delivery of uniform public health care.&#10;B) It mandated comprehensive federal responsibilities for health care.&#10;C) It outlined unique provincial/territorial responsibilities for health care.&#10;D) It prompted the creation of government-managed health care facilities.

Accepted Answer

The division of federal-provincial responsibilities at the time of Confederation under the Constitution Act of 1867 meant that Canada does not have a single health care system but rather 10 provincial and 3 territorial health care systems, with uniform federal health care guidelines.

Question 2

Which of the following values provided a foundation for the national health insurance model that Canada adopted and continue to be supported by a majority of the Canadian population today?&#10;A) Faith and compassion&#10;B) Social justice and equity&#10;C) Autonomy and equity&#10;D) Accountability and transparency

Accepted Answer

In Canada, a large majority of people hold the values of social justice and equity, along with some degree of individualism, all of which served as a foundation for the current health care system and adoption of the Canada Health Act in 1984.

Question 3

Which federal government legislation in Canada assisted and supported a gradual transition towards the involvement of the federal government in provincial health care services?&#10;A) Constitution Act of 1867&#10;B) Medical Care Act of 1966&#10;C) Canada Assistance Plan of 1966&#10;D) National Health Grants Act of 1948

Accepted Answer

The National Health Grants Act of 1948 provided grants-in-aid to the provinces for a variety of health services, offering a foundation for federal involvement in provincial service delivery.

Question 4

Which province was instrumental in establishing a physician fee-for-service agreement that later became the provincial Rural Municipality Act?&#10;A) British Columbia&#10;B) Nova Scotia&#10;C) Saskatchewan&#10;D) Quebec

Accepted Answer

In 1916, the Saskatchewan government passed the Rural Municipality Act, a fee-for-service agreement that permitted any rural municipality in Saskatchewan to levy property taxes to retain doctors, who then provided primary medical care and public health services in that area.

Question 5

Why can extended health services be billed differently from insured (medically necessary) health services in Canada?&#10;A) Provincial legislation conflicts with respect to how these services are described.&#10;B) They have separate service criteria and delivery criteria.&#10;C) Billing restrictions for extended health services are not specific.&#10;D) They have different designations in the Canada Health Act.

Accepted Answer

Extended health services are not subject to the provisions that govern user charges and extra-billing in the same way that insured health services are through the Canada Health Act; as a result, the billing method for these services is different.

Question 6

How is federal health care funding provided to the provinces and territories for hospital insurance and medical care programs in Canada?&#10;A) Cost-sharing arrangements linked to inflation&#10;B) Accountability framework funding with conditions&#10;C) Specific established programs that are block funded&#10;D) Funding transfers that are contingent on health outcomes

Accepted Answer

Federal funding to the provinces and territories for the established programs of hospital insurance and medical care changed in 1977 to block funding, allowing each province and territory to allocate resources based on its unique health care priorities.

Question 7

Which of the following requirements was added to the Canada Health Act when this act was developed, to enhance equity and manage emerging concerns about extra-billing?&#10;A) Accessibility&#10;B) Medically necessary services&#10;C) Monitoring&#10;D) Transparency

Accepted Answer

The Canada Health Act sets out five criteria that provincial and territorial governments must meet through their public health care insurance plans to qualify for federal funding (public administration, comprehensiveness, universality, portability, and accessibility). Accessibility was included to address extra-billing concerns and to ensure equity (reasonable access to insured health services must be neither obstructed by financial charges nor discriminated against on the basis of such factors as income, age, or health status).

Question 8

What agreement for continued progress toward health care system reform in Canada offers the opportunity for slow but ongoing progress, despite challenges in jurisdiction and the public versus private funding debate?

A) Canada Health Act
B) Interprofessional Collaboration Act
C) Canada Health Accord
D) Common Statement of Principles on Shared Health Priorities

Accepted Answer

In 2016, the federal, provincial, and territorial governments agreed to endorse a Common Statement of Principles on Shared Health Priorities (Collaboration, Innovation, and Accountability) as a way to work together and ensure that health care systems continue to respond to the needs of Canadians.

Question 9

Which key responsibilities are included in the governance and leadership of Canada's health care system? (Select all that apply.)&#10;A) Functional system design and accountability&#10;B) Ensuring effective strategic policy frameworks&#10;C) Effective oversight and vigilant monitoring&#10;D) Provision of appropriate regulations and incentives&#10;E) Frequent community consultations

Accepted Answer

The governance and leadership responsibilities for Canada's health care system include functional system design and accountability, effective strategic policy frameworks, providing appropriate regulations and incentives, and effective monitoring.

Question 10

Which national principles for health care services were initially embedded in the 1957 Health Insurance and Diagnostic Services Act, later included in the 1966 Medical Care Act, and reaffirmed in the 1984 Canada Health Act, along with additional specific restrictions? (Select all that apply.)

A) Comprehensive coverage
B) Extra-billing provisions
C) Universality
D) Portability
E) Public administration

Accepted Answer

The national principles for shared funding of health care services that have continued to be included in federal health care legislation are comprehensive coverage, universality, portability, and public administration.

Deck 13: The Evolution of National Health Insurance