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Barriers to Health Care in Canada. HSB4U December 4th, 2013 Ms. Blumenthal. Let’s Take Up Yesterday’s Textbook Questions…. Read pg . 145-149, complete Q: 1-4 Read the “In Focus” section on pg. 148-149, complete the 3 questions of the Dove campaign On p. 150, complete question 4
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Barriers to Health Care in Canada HSB4U December 4th, 2013 Ms. Blumenthal
Let’sTake Up Yesterday’sTextbook Questions… • Read pg. 145-149, complete Q: 1-4 • Read the “In Focus” section on pg. 148-149, complete the 3 questions of the Dove campaign • On p. 150, complete question 4 http://www.youtube.com/watch?v=litXW91UauE
4 Corners Activity (ourfave!) • All Canadiansgetequalaccess to health care in Canada. • People living in urban areas are generallyhealthier, and live longer, thanthose living in more rural areas. • I should have the right to preferentialtreatment by doctors if I pay for myhealthcare out-of-pocket.
Barriers to Health Care in Canada • Canada has a public health system that mandates that all Canadians have EQUAL access to health care • Reality= some people may have betteraccessthanothers
Barriers to Health Care • There are severalbarriers to Health Care in Canada: • Cost • SecondaryCosts • GeographicBarriers
Cost • Over 25% of health care sevices are paidthroughprivate sources (out of pocket, or privatehealthinsurance) • This affects people withchronichealth issues • Almost 60% of thosewithongoinghealthconcerns have below-averagehouseholdincomes (harder to afford certain types of medications)
SecondaryCosts • Transportationcosts (to and from the hospital/ doctor’s office for appointments, across the border for treatment etc.) • Child Care (whotakes care of yourchildwhileyou are receivingtreatment?) • Lostwagesfrom time awayfromwork • Manyrehabilitation programs not covered by OHIP
GeographicBarriers • Canadians living in rural areas are more likely to have higherblood pressure, be obese, and have a higher rate of clinicaldepression, shorter life expectancycompared to those living in more urban areas (Think: Northern Ontario vs. Toronto) • Recruiting and retaininghealthprofessionals in rural areas isdifficult, despiteincentives to doctors
Equity in Healthcare- A Canadian Perspective • Socio-economicinequity in healthcare use • Some variation in health care systemsacross provinces • 2003 Canadian CommunityHealth Survey: showedinequity in number of GP, specialist, hospital and dental visits
Main SociologicalFactorsthatContribute to Inequity • INCOME • EDUCATION • COMPLEMENTARY INSURANCE for prescription drugs, dental care • REGION OF RESIDENCE
Canada HealthAct of 1984 states: “insured persons must have reasonable and uniform access to insured health services, free of financial or other barriers. No one may be discriminated against on the basis of such factors as income, age, and health status.” Is Canada upholding this legislation?
Equity in Healthcare- A U.S. Perspective “People in the United States do not enjoy the favourable health outcomes of other rich nations despite spending almost half of the world’s health care bill. Disparities in health within the nation are also greater than in other developed countries. Explanations for this fact relate to the greater health inequalities present in the US. The challenge is to get Americans to recognise that they die younger and lead less healthy lives than they should. The political will to create policies that would promote healthy lives will need to be sustained for generations if health disparities are to be overcome.” (University of Washington)
Equityfrom a U.S. Perspective • The U.S. spendsabout twice as much per personon healthcarecompared to other 1st-world nations • Despitethatspending, over 48 million Americans (1 in 7) lackhealthinsurancecoverage (that’s more than the total Canadian population!) Who do youthinklacksproperhealthinsurancecoverage? http://www.youtube.com/watch?v=4bqP_h9gPi8
Private vs. Public Healthcare • http://healthydebate.ca/2011/07/topic/cost-of-care/publicprivate
“SiCKO”- Michael Moore • http://www.youtube.com/watch?v=-hHnSlZsVRI