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The Canadian health care system is so indisputably tied to our national identity that its founder, Tommy Douglas, was voted the greatest Canadian of all time in a CBC television contest. However, very little has been written to date on how Medicare as we know it was developed and implemented. This collection fills a serious gap in the existing literature by providing a comprehensive policy history of Medicare in Canada. Making Medicare features explorations of the experiments that predated the federal government’s decision to implement the Saskatchewan health care model, from Newfoundland’s cottage hospital system to Bennettcare in British Columbia. It also includes essays by key individuals (including health practitioners and two premiers) who played a role in the implementation of Medicare and the landmark Royal Commission on Health Services. Along with political scientists, policy specialists, medical historians, and health practitioners, this collection will appeal to anyone interested in the history and legacy of one of Canada’s most visible and centrally important institutions.
The introduction of medicare in Saskatchewan marks a dividing point in the history of the province and Canada. Before 1962, access to medical care was predicated on ability to pay and private health insurance. After 1962, access to needed medical care became a right in Saskatchewan, later extended to the rest of Canada. The battle to establish medicare was hard fought and in the front lines were community clinics, non-profit, consumer-controlled health co-operatives offering interdisciplinary primary care. Stan Rands was one of the key individuals who established and managed community clinics in Saskatchewan. Here is his story of how the medicare battle was fought by those who not only wanted to eliminate money as a barrier to care but also wanted to change the way health care was delivered. This is the inside story of a more radical vision of medicare, one that has still not been achieved in Canada.
Medicare is arguably Canada’s most valued social program. As federally-supported medicare enters its second half-century, Medicare’s Histories brings together leading social and health historians to reflect on the origins and evolution of medicare and the missed opportunities characterizing its past and present. Embedding medicare in the diverse constituencies that have given it existence and meaning, contributors inquire into the strengths and weaknesses of publicly insured health care and critically examine medicare’s unfinished role in achieving greater health equity for all people in Canada regardless of race, status, gender, class, age, and ability. Fundamental to the stories told in Medicare’s Histories is the essential role played by communities ¬– of activists, critics, health professionals, First Nations, patients, families, and survivors – in driving demands for health reform, in identifying particular omissions and inequities exacerbated or even created by medicare, and in responding to the realities of medicare for those who work in and rely on it. Contributors to this volume show how medicare has been shaped by politics (in the broadest sense of that word), identities, professional organizations, and social movements in Canada and abroad. As COVID lays bare social inequities and the inadequacies of health care delivery and public health, this book shows what was excluded and what was – and is – possible in health care.
An in-depth look at why Saskatchewan was the first province to introduce medicare.
Prairie Fairies draws upon a wealth of oral, archival, and cultural histories to recover the experiences of queer urban and rural people in the prairies. Focusing on five major urban centres, Winnipeg, Saskatoon, Regina, Edmonton, and Calgary, Prairie Fairies explores the regional experiences and activism of queer men and women by looking at the community centres, newsletters, magazines, and organizations that they created from 1930 to 1985. Challenging the preconceived narratives of queer history, Valerie J. Korinek argues that the LGBTTQ community has a long history in the prairie west, and that its history, previously marginalized or omitted, deserves attention. Korinek pays tribute to the prairie activists and actors who were responsible for creating spaces for socializing, politicizing, and organizing this community, both in cities and rural areas. Far from the stereotype of the isolated, insular Canadian prairies of small towns and farming communities populated by faithful farm families, Prairie Fairies historicizes the transformation of prairie cities, and ultimately the region itself, into a predominantly urban and diverse place.
Income, education, employment, housing, the wider environment, and social supports; far more than the actions of physicians, nurses, and other health care providers, it is these conditions that make the greatest difference in our health. Drawing on his experiences as a family physician in the inner city of Saskatoon, Mozambique, and rural Saskatchewan, Dr. Ryan Meili uses scholarship and patient stories to explore health determinants and democratic reforms that could create a truly healthy society. By synthesizing diverse ideas into a plan for action based on the lived experiences of practitioners and patients, A Healthy Society breaks important ground in the renewal of politics toward the goal of better lives for all Canadians.
In the spring of 1970, seventeen women set out from Vancouver in a big yellow convertible, a Volkswagen bus, and a pickup truck. They called it the Abortion Caravan. Three thousand miles later, they “occupied” the prime minister’s front lawn in Ottawa, led a rally of 500 women on Parliament Hill, chained themselves to their chairs in the visitors’ galleries, and shut down the House of Commons, the first and only time this had ever happened. The seventeen were a motley crew. They argued, they were loud, and they wouldn't take no for an answer. They pulled off a national campaign in an era when there was no social media, and with a budget that didn't stretch to long-distance phone calls. It changed their lives. And at a time when thousands of women in Canada were dying from back street abortions, it pulled women together across the country.
Few people have had a greater impact on the lives of Canadians than the late Supreme Court judge Justice Emmett Hall. At the forefront of several important judgements in the 1960s and 70s ? such as Truscott and Calder ? Hall is perhaps best known for his role in the adoption of universal health care at the federal level in 1968. Based on extensive interviews with Hall and people who knew him, Frederick Vaughan's Aggressive in Pursuit tells Hall's remarkable story. Born in Quebec in 1898 and raised in Saskatchewan, Hall had a long and distinguished career as a lawyer. In 1957, former law school classmate Prime Minister John Diefenbaker appointed Hall to the Saskatchewan Court of Queen's Bench, and four years later to the office of Chief Justice of Saskatchewan. In 1963, Diefenbaker elevated Hall to the Supreme Court of Canada, where he took up the task of universal health care and showed himself to be an aggressive defender of native causes. Aggressive in Pursuit traces Hall's career from his earliest days of private practice in Saskatchewan to the end of his career, and death, in 1994. It shows how one prairie lawyer made a difference in the life of Canada.