Renewing Canada’s Social Architecture: Modernizing Medicare
Canadian Medicare enjoys pride of place as Canada’s most revered and cherished social programs. The peculiar way in which medical necessity is defined in the Canada Health Act (medically necessary services are those provided in hospital or by a physician), was appropriate in the 1960s and ’70s when it was originally established, a time when hospital and physician services accounted for 60% of total spending. That figure now stands at around 40% due to changes in technology and demographic pressures. Canada must address the gaps in coverage left by the Canada Health Act in a way that recognizes that health technologies are constantly changing.