Making Medicare:  The History of Health Care in Canada, 1914-2007 Back to Timeline Back to Timeline
History: 19892007 SAVING THE SYSTEM: THE CANADA HEALTH ACT, THE OTTAWA CHARTER AND ACHIEVING HEALTH FOR ALL, 19781988 THE ENDLESS CHALLENGE: BALANCING CHANGE AND CONTINUITY, 19892007



Analyzing the Options

In response to federal cuts, many of the provinces set up review commissions to examine the provision and delivery of health services. In Quebec, for example, the Commission d’enquête sur les services de santé et les services sociaux, chaired by Jean Rochon, had recommended regionalization and decentralization in 1988, and the government moved forward in spite of opposition from the medical profession and some hospitals. The Gallant Commission in Nova Scotia stressed the importance of primary care and recommended transferring funds from medical services and hospitals to new regional entities. But the most contentious proposal was found in Alberta’s 1989 Rainbow Report — Our Vision for Health, which called for regionalization with an emphasis on primary care and prevention and, like the Gallant Report, recommended shifting resources away from institutional care. But, more important, the Alberta report recommended private financing to increase choice and to introduce market mechanisms into the health care system.

Photo:  La grande chirurgie du docteur Rochon : les vraies conséquences du  « virage ambulatoire » (Dr. Rochon’s major surgery: the real consequences of  the move to ambulatory care)
La grande chirurgie du docteur Rochon : les vraies conséquences du « virage ambulatoire » (Dr. Rochon’s major surgery: the real consequences of the move to ambulatory care)

As Minister of Health and Social Services for the Parti Québécois from 1994 to 1998, Dr. Jean Rochon, a former academic and public health expert, tried to turn Quebec’s medicare system around by focusing on community health centres and ambulatory care.
Courtesy of L’Actualité, Vol. 21, No. 6 (April 15, 1996), cover.



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