Marchildon Gregory P
Can J Health Hist. 2023 Apr;40(1):197-222. doi: 10.3138/cjhh.618-112022. Epub 2023 May 31.
The Saskatchewan Dental Plan in Canada was the first universal dental care plan for children in North America. Based on a similar New Zealand program, it would take over two decades from the time that the provincial government first considered the New Zealand policy until a final decision was made to implement the program. This article reviews the reasons for the long gestation of the policy, including the hostility of organized dentistry in Saskatchewan and Canada and the caution of the government's bureaucracy. It would take until a social democratic government was elected in 1971 before the political stream joined with the pre-existing problem and policy streams to open the policy window. Established in 1974, the program was terminated in 1987 due to opposition of organized dentistry combined with the pro-market ideology of a newly elected government.
加拿大萨斯喀彻温省牙科计划是北美首个面向儿童的全民牙科护理计划。该计划以新西兰的一个类似项目为蓝本，从省政府首次考虑新西兰政策到最终决定实施该计划，历时二十多年。本文回顾了该政策酝酿时间之久的原因，包括萨斯喀彻温省和加拿大牙科行业组织的抵制以及政府官僚机构的谨慎态度。直到1971年社会民主党政府当选，政治潮流才与既有的问题和政策潮流汇合，打开了政策之窗。该计划于1974年设立，1987年因牙科行业组织的反对以及新当选政府的亲市场理念而终止。
