In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved …show more content…
Presently, access to programs and health care services is fragmented given the nature of the health care system for Aboriginal peoples (Wilson et al., 2012). The federal government is responsible for providing limited health services among Inuit living within traditional territories and status/registered Indians living on reserves (Chen et al., 2004). This responsibility is vested in the First Nations and Inuit Health Branch organizations to carry out protection activities and health promotion, and provide funding for community health programs in Inuit communities and reserves (Chen et al., 2004). Firstly, the complexity of the health care system for Aboriginal peoples has resulted in an unequal access to health services due to the First Nations and Inuit Health Branch program (FNIHB), which only applies to Inuit and Indians. Therefore, Metis and other Aboriginal peoples who do not qualify for registration under the Indian Act do not receive health services provided by FNIHB (Chen et al., 2004). Secondly, the transfer of responsibility to health boards, communities and other authorities has resulted in unequal supply of health services between territories and provinces, uneven distribution among communities, and leaves limited opportunity for increased funding (Loppie et al., 2009). It has also lead to controversy between various levels of government over the responsibility to pay for particular health services. Jurisdictional limitations, which have failed to recognize Metis identity and rights, have resulted in health disparities among the Metis population (Wilson et al., 2012). While the federal government recently decided to include Metis status in Aboriginal initiatives, the funding has not been equitable when compared to those of Inuit and First Nations or to the non-Aboriginal populations in Canada (Loppie et al., 2009). The Aboriginal health
The health care system in Canada today is a combination of sources which depends on the services and the person being treated. 97% of Canadians are covered by Medicare which covers hospital and physician services. Medicare is funded at a governmental and provincial level. People of First Nation and Inuit descent are covered by the federal government. Members of the armed forces, veterans, and the Royal Canadian Mounted Police are also covered by the federal government. Several services such as dental care, residential care, and pharmaceutical are not covered. The 13 provinces have different approaches to health care; therefore, it is often said that Canada has 13 healthcare systems (Johnson & Stoskopf, 2010). The access to advanced medical technology and treatment, the cost of healthcare, and the overall health of Canadians fares well in comparison with other countries such as the United States.
In Samuelson and Antony’s book Power and Resistance, renowned sociologist Professor Pat Armstrong tackles the topic of health care reform from a critical feminist perspective. Her analytic critique of the historic tenets of Health Care policy in Canada, effectively points out a systemic disadvantage for the women of our society. Which, in the spirit of transparency, completely blind sighted me as a first time reader because, well, this is Canada. Canada, the internationally renowned first world nation with a reputation for progressive social reform. The same Canada that Americans make fun of for being ‘too soft’. As far as the world is concerned we’re the shining nation-state example of how to do health care right. Needless to say, Professor
The human immunodeficiency virus (HIV) and its deriving acquired immunodeficiency syndrome (AIDS) are devastating conditions that currently affect approximately 35.3 million individuals globally (WHO, 2012). In the Canadian context, the prevalence of HIV/AIDS ascended to 71,300 cases in 2011, with 8.9% of the affected individuals being aboriginal peoples (PHAC, 2011). This number not only indicates an overrepresentation of the aboriginal population among the totality of HIV/AIDS cases in the country, but it also illustrates an elevated incidence of 17.3% from the numbers reported in 2008 (PHAC, 2011). The aforementioned statistics were here exposed with the intent of recognizing the incidence and prevalence of HIV/AIDS, as alarming public health issues superimposed on the already vulnerable segment of the Canadian population that is the aboriginal community. Accordingly, the purpose of this paper is to gradually examine the multiple determinants and factors contributing to such problem as well as some of the possible actions that can ameliorate it.
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
However, Canada is working towards incremental equality when regarding this concept, which in turn, impacts reconciliation. The most universal outcomes of the physical environments of reserves are to do with substantial housing shortages and poor quality of existing homes. With the lack of affordable housing off reserves, there is overcrowding in First Nation communities, as well as homelessness for Aboriginals living in urban areas, (Reading & Wien, 2009, p.8). Homes that exist on reserves lack appropriate ventilation, which results in mold, which in turn can lead to severe asthma as well as allergies. Families on reserves do not have access to a fresh supermarket that carries nutritious foods because they live in a remote community. With this being said, health conditions may develop in Aboriginal peoples because of the lack of healthy, nutritious food. Canada is working towards equality within the physical environments as William F. Morneau (2016) describes, “Budget 2016 proposes to invest $8.4 billion over five years, beginning in 2016-17, to improve the socio-economic conditions of Indigenous peoples and their communities and bring about transformational change,” (“A Better Future for Indigenous Peoples,” 2016). All of these aspects play a key role in reaching reconciliation throughout
Individuals experience different access to health-care depending on their social location. “A lack of access is illustrated by a person who has had an unmet health-care need for which he or she felt he or she had needed, but had not received, a health-care service in the past year” (Ives, Denov, & Sussman, 2015, p. 170). Health-care access in Canada is often unequally distributed, leaving vulnerable individuals unable to secure sufficient assistance. Changes in health-care delivery in Canada have affected individuals’ access to services. Vulnerable groups such as low-income, rural, and immigrant families experience pronounced difficulty adjusting to Canada’s health-care system.
The health care system in Canada seems to be a well-functioning system, but is it really? The negatives of the system are rapidly growing and the positives of the system are decreasing in the eyes of Canadian citizens. This paper will weigh the positive and negatives of Medicare, followed by a personal response on what could be fixed in order to make the system better than it is now. The positives of our health care system are great aspects to have, but the system is beginning to show many signs of attrition because of it (Simpson, 2012). Each individual should be charged for a doctor’s service, as it may resort in less wait times and decreased costs in taxes.
Today, Canadians are concerned with many issues involving health care. It is the responsibility of the provincial party to come up with a fair, yet reasonable solution to this issue. This solution must support Canadians for the best; it involves people and how they are treated when in need for health care. The Liberal party feels that they have the best solution that will provide Canadians with the best results. It states that people will have the protection of medicare and will help with concerns like: injury prevention, nutrition, physical activity, mental health, etc. The Canadian Alliance Party’s plan is to make several policy-developments to benefit Canada’s health care. They believe it will serve the security and well-being best for all Canadians. The last party involved in this issue is the NDP Party; who indicate that they are fighting hard for a better Health Care system in our economy. The NDP Party states that the income of a family should not dictate the quality of health care.
It is often challenging to have health care services that meet the needs of Canada’s diverse population and the needs of both men and women. Gender influences access to care and women in particular are at risk for face difficulties to care (Ontario Women`s Health Equity Report, 2010 p.1). Women are more likely to be poor and have greater caregiver responsibilities in contrast to men. These both factors are barriers to accessing health services. The way the health care system is organized creates barriers to accessing effective care for women because it has failed to take into account that men and women use the health care system very differently. Canada’s health care system reinforces gender inequity rather than eliminating it. For instance, drug research bias favour males and epistemological bias assume that women’s health is only about reproductive health. As a result of these biases, women are often excluded and their health needs are not fully addressed. The Romanow Report (2002) and the Accord on Health Care Renewal (2003) has made a strong commitment to understanding the importance of the non-medical determinants of health, such as income and social status; employment; education; social environments; physical environments; healthy child development; personal health practices and coping skills; health services; social support networks; gender; and culture (Health Canada, 2001). They have also committed to gender based analysis and women’s health but, this is not visible in its work to date on Canada’s health care reform. This paper will address how the Romanow Report, the Accord on Health Care Renewal and current health policies have failed to address the health needs of women in regards to support for family ...
The Provincial Health Service Authority (PHSA) indicate that assuming opportunities to incorporate strategies to reduce health inequities in health program and service planning is vital for health program and service managers and workers (PHSA, 2011). The Guiding Framework (2013) attempts to “address conditions that create inequity, barriers to access and gaps in service; consider the specific needs of vulnerable or disadvantaged populations” (p. 13). The goals and objectives established in the framework reflect a sound approach to reducing health inequities. For example, the framework indicates that a First Nations lens will be applied in implementing and evaluating all objectives to ensure meaningful inclusion of and benefit to BC First Nations and Aboriginal peoples. As the framework aims to improve maternal health in remote and rural areas via improving access to perinatal services and resources. However, while the framework provides an overall equity direction, it does not embody other targeted objectives aimed at improving health outcomes of some specific marginalized and vulnerable populations, which as discussed later are important alongside universal approaches. For example, within the positive mental and prevention of substance harms goal, the document fails to discusses and address the unequal mental health outcomes those living in poverty and incarceration can
The Canadian health care system is widely known and described by the term “free”, which makes those individuals that classify the Canadian health care system as free, oblivious of what is actually taking place. What this article reveals and Canadians need to understand is that in Canada we have a 70:30 percent ratio of publicly and privately ran health services and those privately ran health services are to be increasing. That 70% is being financed by the government through taxation dollars while the other 30% is directly coming out of individual’s pockets or any benefits or insurance they are covered over. In the mythbuster article it states dental hygiene care is paid by individuals directly out of their pocket or by private insurance
The Canadian population is composed of people with different cultural background that consist of different communities of immigrants and natives. The Aboriginal community is one of the native community living in Canada holding 4.3% of total population as per National Household Survey 2011 (Statistics Canada, 2011).The Aboriginal people are culturally diverse in Canada having unique historical, linguistic and social contexts. Distinct cultural background of the Aboriginal communities is one of the reason they are experiencing inequities and disparities in health status compared to the non-aboriginal people. In this regard, Canadian nurses are expected to learn about cultural diversity, knowledge, skills and attitudes to provide culturally
Prior to the arrival of the Europeans in Canada in the mid- to late 1600s, Aboriginal people were the original inhabitants of the Canadian land. In Canadian history, we forced our Aboriginal people to adapt to the European-Canadian culture and values. Prior to overthrowing their land and culture, the Aboriginal peoples were thriving off the natural land materialistically and financially. In years to come in response to the mistreatment of them, the Canadian government would implement what is known as the Indigenous and Northern Affairs act [1966] this act would aim to establish financial rights and benefits for the aboriginal demographic. Today in the 21st century Canada is comprised of over 1.4 million indigenous peoples (Aylsworth
Bryant, Toba, Chad Leaver, and James Dunn. 2009. “Unmet healthcare need, gender, and health inequalities in Canada.” Health Policy 91(2009): 24-32.
By examining the case of a First Nations family who refused chemotherapy treatment for their 11 year-old daughter, JJ, diagnosed with acute lymphoblastic leukemia (ALL), one can determine how far traditional and cultural definitions of health should play a role in the well-being of another person. By showing that the benefits of chemotherapy outweigh the risks, that Aboriginal traditional practices can no longer apply in a post-colonial era, that Section 35 of the Canadian Constitution does not apply to modern-day medical diseases, I will deontologically determine that health care providers must sometimes enforce medical care - a concept, which at its very core, would appear to be maleficent, though in this case, is