Moorhouse A
Can Nurse. 1993 May;89(5):21-4.
The federal government's reduction in transfer payments for health and education, in combination with a severe recession, has put provincial and territorial health ministries, health professionals and hospital administrators under immense financial pressure. In response, user fees are being discussed as one way to maintain medicare. Yet, charging levies for health services presents numerous ethical problems. User fees would end the universality of and accessibility to health care for many Canadians. Hence, they would constitute an unfair tax on the sick and the poor. The hardest hit would be the elderly, children, women, aboriginal people, the disabled and the chronically ill.
联邦政府削减卫生和教育方面的转移支付，再加上严重的经济衰退，给各省和地区的卫生部、卫生专业人员和医院管理人员带来了巨大的财政压力。作为回应，有人讨论收取使用费作为维持医疗保险的一种方式。然而，对医疗服务收费存在诸多伦理问题。使用费将终结许多加拿大人享受医疗保健的普遍性和可及性。因此，它们将构成对病人和穷人的不公平税收。受影响最大的将是老年人、儿童、妇女、原住民、残疾人和慢性病患者。
