, a tweak that swung the pendulum in the opposite direction. With Ottawa now having almost no ability to enforce the ideals of universal accessibility, provinces began dabbling with user fees. The problems that followed led to the CHA, which stabilized and clarified the financial relationship between the federal government and the provinces. In theory, the provinces are under no obligation to adhere to the CHA, but Ottawa can cut funding if provincial health care is not universal and accessible.
Paramedics and ambulances spill out of the Emergency ramp at a Toronto hospital on Monday, April 12, 2021.While the passing of the CHA was a landmark in Canadian history, it’s becoming harder to ignore its two glaring flaws. First, the CHA lacks the teeth to enforce accessibility standards on the provinces, and the federal government has been hesitant to bite with the few teeth it does have.
That finger pointing, empowered by the vagueness of the CHA, keeps us from having essential data and delineated responsibilities. had yet to be introduced, and even Ibuprofen wasn’t on shelves. Health care was viewed solely as the domain of hospitals and physicians, and that view hadn’t changed by the time the CHA rolled around in the ‘80s.Article content
Any new public health programs are therefore unlikely to be amendments to the CHA but instead, as Flood calls them, “their own beasts.” While new legislation is theoretically a viable path forward for pharmacare, dental care, and other aspirational programs, Ottawa has instead, essentially, been cutting deals.
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