Barer M L
University of British Columbia.
J Health Polit Policy Law. 1988 Spring;13(1):1-25. doi: 10.1215/03616878-13-1-1.
This paper traces the development of British Columbia's controversial Bill 41, which empowers that province's Ministry of Health to restrict the issuance of billing numbers entitling physicians to seek payment from the provincial medical services plan. The bill and its predecessors have been the subjects of two court challenges by the medical profession, and the legal battles continue. The bill has also taken on a role in the evolving interpretation of Canada's new Charter of Rights and Freedoms. Meanwhile, the policy appears to be slowing the rate of growth in physician supply in the province, but its impact on the real target--medical care costs--is still uncertain.
本文追溯了不列颠哥伦比亚省备受争议的第41号法案的发展历程，该法案授权该省卫生部限制发放计费号码，这些号码赋予医生向省级医疗服务计划申请付款的权利。该法案及其前身一直是医疗行业两次法庭质疑的对象，法律斗争仍在继续。该法案在加拿大新的《权利和自由宪章》不断演变的解释中也发挥了作用。与此同时，这项政策似乎正在减缓该省医生供应的增长速度，但其对真正目标——医疗成本——的影响仍不确定。
