Title Is two-tier health care the future? / edited by Colleen M. Flood and Bryan Thomas

Published Ottawa, Ontario : University of Ottawa Press, 2020

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Description 1 online resource Series Law, technology and media Law, technology, and media. Contents Cover -- Half Title Page -- Title Page -- Copyright Page -- Table of Contents -- List of Figures -- List of Tables -- Introduction: The Courts and Two-Tier Medicare -- Part I: The Context and Contestations of Public and Private in the Canadian Health Care System -- 1. Private Finance and Canadian Medicare: Learning from History -- 2. Chaoulli to Cambie: Charter Challenges to the Regulation of Private Care -- 3. Borders, Fences, and Crossings: Regulating Parallel Private Finance in Health Care -- 4. Chaoulli v Quebec: Cause or Symptom of Quebec Health System Privatization? 5. Experiences with Two-Tier Home Care in Canada: A Focus on Inequalities in Home Care Use by Income in Ontario -- 6. Self-Regulation as a Means of Regulating Privately Financed Medicare: What Can We Learn from the Fertility Sector? -- Part II: Is Canada Odd? Looking at the Regulation of Public/Private Mix of Health Care in Other Countries -- 7. The Politics of Market-Oriented Reforms: Lessons from the United Kingdom, the United States, and the Netherlands -- 8. The Public-Private Mix in Health Care: Reflections on the Interplay between Social and Private Insurance in Germany 9. The Public-Private Mix in France: A Case for Two-Tier Health Care? -- 10. Embracing Private Finance and Private Provision: The Australian System -- 11. Embracing and Disentangling from Private Finance: The Irish System -- 12. Contracting Our Way Around Two-Tier Care? The Use of Physician Contracts to Limit Dual Practice -- Conclusion: The Complex Dynamics of Canadian Medicare and the Constitution -- Contributors' Biographies -- Acknowlegments -- Index -- Back Cover Summary "Canadians are deeply worried about wait times for health and this book explores whether or not two-tier health care is a solution. Entrepreneurial doctors and private clinics are bringing Charter challenges to existing laws restrictive of a two-tier system. They argue (wrongly in our view) that Canada is an outlier amongst developed countries in limiting options to jump the queue. In this book, leading researchers explore the public and private mix in Canada and within countries such as Australia, Germany, France and Ireland. We explain the history and complexity of interactions between public and private funding of health care. We also explain the many regulations and policies found in different countries used to both inhibit and sometimes to encourage two-tier care (for example, tax breaks). If a Canadian court strikes down laws restrictive of two-tier, Canadian governments can (i) permit and even encourage two-tier care to grow; (ii) pass new regulations that allow a small measure of two-tier care; or (iii) take positive steps to eliminate wait times in Canadian health care, and thereby reduce demand for two-tier care. We argue for option three as the best means to ensure Canadian principles of equity in access, ensure timely care, and fend off constitutional challenges. This work is critical not only for court challenges but also for Canadian governments who need the best evidence possible about different approaches to regulating two-tier care if they are forced by a court to revisit existing laws as a result of a successful Charter challenge."-- Provided by publisher Bibliography Includes bibliographical references and index Subject Medical care -- Canada -- Evaluation Medical policy -- Canada Medical care -- Law and legislation -- Canada Medical policy -- Case studies Public-private sector cooperation -- Case studies Public health administration. Medical care. Medical policy. Medical laws and legislation. Public Health Administration Patient Care Delivery of Health Care Health Policy Legislation, Medical LAW -- Health. Public health administration Medical laws and legislation Medical care Medical care -- Evaluation Medical care -- Law and legislation Medical policy Public-private sector cooperation SUBJECT Canada https://id.nlm.nih.gov/mesh/D002170 Subject Canada Genre/Form Case studies Case studies. Études de cas. Form Electronic book Author Flood, Colleen M., editor. Thomas, Bryan, 1973- editor ISBN 9780776628080 0776628089 0776628097 9780776628103 0776628100 9780776628097

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