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Health committee  I think it's our understanding the committee may be doing some work specifically on the issue of health care and the health status of first nations and Inuit. If I may, I think I would rather defer to my colleagues in the first nations and Inuit health branch, who can better spea

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  First nations and Inuit would be regarded as insured persons for the purpose of the Canada Health Act. They receive services from the federal government. They are also entitled to services from provincial and territorial governments. A lot of the issues, as I think you know, ha

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  Well, first of all, I can say that with respect to the Canada Health Act specifically it does not impose on provinces and territories any particular standard of care. The Canada Health Act is all about the conditions under which the public health insurance scheme in a particular

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  I'll just say—and this may or may not be known to members of the committee—that there are eight organizations that Health Canada funds, which play various roles in the health system. There's the cancer partnership, the Canadian Institute for Health Information, the Mental Health

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  There's one example, and it's actually one of the examples that's cited in the report this year. I'll just connect my comment here to something that I touched on in my remarks which is that the objective here is not to impose penalties. The objective is to try to bring the respec

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  I think what you've asserted is fair. I will just note, though, when you're talking about up-charge, whether it's for a lighter weight cast, or some kind of—I don't want to call them bells and whistles because there may be some therapeutic benefits—norm in that jurisdiction, the

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  There's one accountability measure, as I mentioned, related to the CHT, and that's the requirement to comply with the Canada Health Act. I think it's fair to say that the transfers for health are, obviously, in respect of health, but they're also part of the fiscal arrangements o

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  Mr. Carrie, are you talking specifically about organizations like the Canadian Partnership Against Cancer?

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  The design of any kind of program that would try to bring in some sort of coherent coverage regime would have to deal first of all with who's eligible, under what conditions, how are they being reimbursed for drugs, on what kind of formulary, and with what kind of copays or patie

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  You're talking about the intent to develop a schedule of fees that patients would be charged, or I would say the owners of clinics would be allowed to impose on patients for certain services delivered in clinics. At the moment our understanding is the legislation has been passed

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  The transfers are subject to arrangements between the federal government and the provinces. Currently the year-over-year increase of the total pot of the Canada health transfer is 6%. There is a complex formula. It's less complex than it used to be because it's now on an equal pe

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  I'll start, and Gigi may want to comment. They don't impact the viability of the act in that it's still the case that a very large portion of health care spending in Canada goes to hospital and physician services. They are, obviously, governed by the conditions and criteria of t

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  Are you speaking specifically about drugs, or are you talking more—

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  There's no algorithm that makes a precise calculation of the consequences of forgone access to drugs among those Canadians who cannot afford to fill prescriptions. We do know from various surveys that it's not a huge portion, but there is a critical mass of Canadians who actually

March 21st, 2016Committee meeting

Abby Hoffman

Health committee  Good afternoon to all of you. Thanks for the invitation to talk to the committee about the Canada Health Act generally, and the Canada Health Act annual report for 2014-15, which was tabled in Parliament just about a month ago, on February 25. To start, I want put the Canada He

March 21st, 2016Committee meeting

Abby Hoffman