One of the key features of the Canadian medicine approach that differentiates it from other national health programs is which of the following?
- A. Fee of services
- B. Privatization
- C. Decentralization
- D. Flexibility
Correct Answer: C
Rationale: Medicare is highly decentralized, with each province or territory retaining control over the provision and allocation of select health services.
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Which Act in 1966 ensured access to health care based on need regardless of ability to pay?
- A. Canada Health Act
- B. Medical Health Act
- C. Hospital and Diagnostic Services Act
- D. Public Health Act
Correct Answer: B
Rationale: The Medical Care Act of 1966.
In 1867, the British North America Act (BNA Act) clarified that provincial responsibilities for health care included which of the following?
- A. Public policy
- B. Public policy
- C. Pharmaceutical safety
- D. Health research
Correct Answer: A
Rationale: The BNA Act clearly stated that the provinces were responsible for public health, including hospital care, whereas the federal government was responsible for the public policy aspects of health, such as pharmaceutical safety.
The first mandatory universal hospital insurance plan in North America was introduced by which Canadian Premier?
- A. Tommy Douglas
- B. Joey Smallwood
- C. Justin Trudeau
- D. John A. MacDonald
Correct Answer: A
Rationale: Premier Tommy Douglas of Saskatchewan in 1947.
The Canada Health Act sets the requirements for select publicly funded financed health services, but the following groups are exempt from services under the Act. (Select all that apply)
- A. Canadian Armed Forces
- B. Health care workers
- C. Royal Canadian Mounted Police
- D. Members of Parliament
- E. Federal inmates
- F. School-aged children
Correct Answer: A,C,D,E
Rationale: Exempt from coverage under the Canada Health Act are members of the Royal Canadian Mounted Police and Canadian Armed Forces (both active and eligible veterans), members of Parliament, as well as eligible Indigenous groups and refugees and all federal inmates.
Although a number of provinces have conducted experiments in privatization of health care services, these experiments violate which of the following principles of health care legislation in Canada?
- A. Accessibility
- B. Unavailability
- C. Portability
- D. Public administration
Correct Answer: D
Rationale: Many organizations, health analysts, and individuals have opposed privatization because it violates one of the five basic principles on which health legislation in Canada was founded, that is public administration.
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