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Previous Volume 349:804-810 August 21, 2003 Number 8 Next

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The foundation of Canada's government-funded health insurance system was laid in 1957, when the federal government passed legislation providing financial incentives for the provincial governments to establish universal hospital insurance. Thereafter, major reforms in the health insurance system have occurred three times. In 1968, insurance for physician services was added. In 1977, the federal government altered its cost-sharing arrangement with the provinces, abandoning its previous commitment to pay approximately 50 percent of provincial health care costs. Instead, cash transfers were cut at the same time as some federal tax rates were reduced, leaving provinces the option of funding health care . . . [Full Text of this Article]

Constitutional Contradiction, Structural Gridlock

Strains on the System

The Romanow and Kirby Reports

The First Ministers' Health Care Renewal Accord, 2003

The Future

Source Information

From the Departments of Health Policy Management and Evaluation and Medicine (A.S.D., C.D.N.) and the Office of the Dean (C.D.N.), University of Toronto; and the Department of Medicine, Mount Sinai Hospital and the University Health Network (A.S.D.) — all in Toronto.

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