MacDougall Heather
Department of History, University of Waterloo.
Can Bull Med Hist. 2009;26(2):283-313. doi: 10.3138/cbmh.26.2.283.
From 1939-1945, Dr. J. J. Heagerty, the long-serving federal Director of Public Health Services, championed a national health insurance program which united curative and preventive services while avoiding the pitfalls of "state medicine." But his carefully designed plan was stymied by internal and external opposition. As Keynesian economics and central planning became dominant during the war, line departments were ignored or undercut in spite of growing public support for social welfare programs. Instead, health insurance was subsumed in the 1945 reconstruction proposals for political reasons and Heagerty's comprehensive vision foundered when the conference failed.
1939年至1945年期间，长期担任联邦公共卫生服务主任的J. J. 希格蒂博士倡导实施一项全国医疗保险计划，该计划将治疗服务和预防服务结合起来，同时避免了“国家医疗”的弊端。但他精心设计的计划因内部和外部的反对而受阻。随着凯恩斯主义经济学和中央计划在战争期间占据主导地位，尽管公众对社会福利项目的支持不断增加，但各职能部门却被忽视或削弱。相反，出于政治原因，医疗保险被纳入了1945年的重建提案中，当会议失败时，希格蒂的全面设想也随之破灭。
