Making Medicare:  The History of Health Care in Canada, 1914-2007 Back to Timeline Back to Timeline
Geography: 1958-1968 Geography: 1939-1948 Geography: 1958-1968 Geography: 1968-1978




Castonguay–Nepveu Report

In August 1967, the first volume of what became known as the Castonguay–Nepveu Report was published. Le Devoir’s headline that day read: “Le rapport Castonguay propose un régime d’assurance-maladie obligatoire, universel, public, complet, appliqué progressivement.” [The Castonguay Report proposes a compulsory, universal, public and complete health insurance plan that would be implemented in stages.] The initial Report of the Commission of Inquiry on Health and Social Welfare provided 106 recommendations to the government of Daniel Johnson regarding health insurance. “Initialement, le régime couvrirait les soins médicaux et les médicaments prescrits pour les maladies de longue durée. Les soins dentaires, oculaires et autres seraient inclus graduellement selon un ordre de priorité qu’elle mentionne” [Initially, the plan would cover medical care and prescription drugs for long-term illnesses. The services of dentists, eye doctors and others would be included gradually in order of priority, as determined by the Commission.] (Paul Cliche, “Le rapport Castonguay propose un régime d’assurance-maladie obligatoire, universel, public, complet, appliqué progressivement,” Le Devoir [August 26, 1967]: 1). As the public voiced its support, the government of Jean-Jacques Bertrand waited until April 1969 to announce a provincial medical insurance plan that would draw on federal funds as well as provincial taxes. The Union Nationale set up the Quebec Health Insurance Board in June 1969 and introduced legislation in March 1970, but it lost the provincial election in April. Claude Castonguay had resigned from the commission to run successfully for a seat in Quebec’s National Assembly. As Minister of Health, Family and Social Welfare, he not only introduced the province’s medicare plan, but also oversaw a comprehensive reorganization of health services through regionalization and decentralization.



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    Date Created: March 31, 2010 | Last Updated: April 21, 2010