Sampath Poongodi, Wilson Donna
University of Alberta, Edmonton, Alberta.
Glob J Health Sci. 2011 Dec 29;4(1):118-26. doi: 10.5539/gjhs.v4n1p118.
Medicare is a popular program in Canada that offers universal access to medically-necessary healthcare services for all Canadians through a public insurance plan in each province. In spite of its popularity, healthcare privatization has been debated, often over concerns about wait times for healthcare services. A case report focused on the 2005 Supreme Court's response to the "Chaoulli v. Quebec" challenge of the Quebec law banning the purchase of private health insurance for publicly-insured services is presented, along with findings from a state of science review to determine if there would be any benefit from adopting the United States model of private health insurance. This review reveals private health insurance would have significant negative implications, especially by creating inequity in healthcare access for low-income groups. Further study is needed to determine whether Canada's publicly-funded healthcare system would benefit in any way from increased private financing.
医疗保险在加拿大是一个广受欢迎的项目,它通过每个省份的公共保险计划,为所有加拿大人提供获得必要医疗保健服务的普遍途径。尽管它很受欢迎,但医疗保健私有化一直存在争议,常常是围绕对医疗服务等待时间的担忧展开。本文呈现了一个案例报告,聚焦于2005年最高法院对魁北克省一项法律的回应,该法律禁止购买针对公共保险服务的私人医疗保险,此即“乔利诉魁北克省案”的挑战,同时还给出了一项科学现状审查的结果,以确定采用美国的私人医疗保险模式是否会带来任何益处。这项审查表明,私人医疗保险会产生重大负面影响,尤其是会在低收入群体获得医疗保健服务方面造成不公平。还需要进一步研究来确定加拿大的公共资助医疗保健系统是否会因私人融资增加而以任何方式受益。