,Chapter 1: The History of Health Care in Canada
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MULTIPLE CHOICE +j
1. When and where was Canada’s first medical school established?
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a. Saskatoon, in 1868 +j +j
b. Ottawa, in 1867 +j +j
c. Montreal, in 1825 +j +j
d. Kingston, in 1855 +j +j
ANS: + j C
Feedback
A The first medical school was not established in Saskatoon in 1868.
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B The first medical school was not established in Ottawa in 1867.
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C The first medical school in Canada was established in 1825 in Montreal.
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D The first medical school was not established in Kingston in 1855.
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DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 4 +j
2. In 1834, William Kelly deduced which public health principle?
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a. Vaccination can successfully eradicate smallpox. +j +j +j +j
b. Education is directly related to health. +j +j +j +j +j
c. Quarantine effectively contains infections. +j +j +j
d. Sanitation and disease are related. +j +j +j +j
ANS: + j D
Feedback
A William Kelly did not deduce that smallpox could be eliminated with a vaccine.
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B William Kelly did not deduce that education level was related to health.
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C William Kelly did not introduce quarantine to contain disease.
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D William Kelly suspected a relationship between sanitation and disease and deduce
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d that water might be a source of contamination.
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DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 5 +j
3. Which of the following volunteer organizations was involved in the evolution of health care i
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n Canada?
+j
a. The Order of St. John +j +j +j +j
b. The Veterans’ Society +j +j
c. The St. Andrew’s Society
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d. The Canadian Nurses Association
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ANS: + j A
Feedback
A The Order of St. John was introduced in Canada in 1883; the members had knowl
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edge of first aid, disaster relief, and home nursing.
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, B The Veterans’ Society did not play a part in the evolution of health care in Canad
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a.
C The St. Andrew’s Society did not play a part in the evolution of health care in Ca
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nada.
D The Canadian Nurses Association did not play a part in the early evolution of hea
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lth care in Canada.
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DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 6 +j
4. What did the Hospital Insurance and Diagnostic Services Act (1957) propose?
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a. Provinces without a health insurance plan must pay additional federal tax.
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b. Provinces and territories with a health insurance plan would receive substantial
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funding from the federal government.
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c. Certain services would no longer be funded by the federal government.
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d. Physicians would be allowed to charge a fee for service to the client.
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ANS: + j B
Feedback
A The Hospital Insurance and Diagnostic Services Act did not propose an increas
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e in tax for provinces without a plan.
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B Under the Hospital Insurance and Diagnostic Services Act (1957), provinces an
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d territories with a health insurance plan would have funding matched by the fe
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deral government by 50 cents for every dollar.
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C The Hospital Insurance and Diagnostic Services Act did not propose the remov
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al of insured medical services.
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D The Hospital Insurance and Diagnostic Services Act did not allow physicians to
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charge a fee for service. +j +j +j +j
DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 13 +j
5. What major change in political thinking occurred in post–
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World War II Canada in relation to health care?
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a. Universities should educate more nurses. +j +j +j +j
b. The government should not be required to provide access to primary health care.
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c. Individual families should be responsible for absorbing the cost of health care.
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d. Governments should be responsible for providing basic services like health care.
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ANS: + j D
Feedback
A The need to educate more nurses was not part of post–
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World War II thinking in Canada.+j +j +j +j +j
B The lack of responsibility of the government to provide health care was not part
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of post–World War II thinking in Canada.
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C The belief that families should bear the cost of health care was not part of the poli
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tical thinking in post–World War II Canada.
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D In post– +j
World War II Canada, and in the aftermath of a depression, the thinking shifted
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to the idea that governments had an obligation to provide Canadians with a bett
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er standard of living, including access to quality health care.
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, DIF: Cognitive Level: Analysis +j +j REF: +j+j p. 12 +j
6. What important act was passed by the government of Tommy Douglas in Saskatchewan in
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1947?
+j
a. The Hospital Insurance Act
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b. The Medical Care Act
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c. The Hospital Insurance and Diagnostic Services Act
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d. The Canada Health Act
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ANS: + j A
Feedback
A The Hospital Insurance Act was passed by the government of Saskatchewan, le
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d by Tommy Douglas, in 1947. It guaranteed Saskatchewan residents hospital ca
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re in exchange for a modest insurance premium payment.
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B The Medical Care Act was not passed in Saskatchewan in 1947.
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C The Hospital Insurance and Diagnostic Services Act was not passed in Saskatche
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wan in 1947. +j +j
D The Canada Health Act was not passed in Saskatchewan in 1947.
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DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 14 +j
7. What important recommendation was embodied in the Hall Report?
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a. Individuals should take responsibility for some of their health care costs.
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b. Preventive health measures would be a wise investment.+j +j +j +j +j +j +j
c. Extra billing should not be part of Canada’s health care system.
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d. Provinces should retain full control as well as financial responsibility for health
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+j care.
ANS: + j C
Feedback
A The Hall Report did not propose that individuals pay for some of their health ca
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re costs.
+j
B The Hall Report did not propose that preventive health measures would be a wi
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se investment.
+j
C The Hall Report recommended an end to extra billing and suggested that, inste
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ad, doctors be allowed to operate entirely outside of the Medical Care Act.
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D The Hall Report did not propose that provinces should retain all financial respons
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ibility for health care. +j +j +j
DIF: Cognitive Level: Analysis +j +j REF: +j+j p. 17 +j
8. Why did the Established Programs Financing (EPF) mechanism of funding become
+j +j +j +j +j +j +j +j +j +j
+j inadequate for health care? +j +j +j
a. The government imposed many corporate tax cuts.
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b. Health care spending increased dramatically, causing provincial and territorial
+j +j +j +j +j +j +j +j +
overspending.
j
c. The cost of education took up more dollars than had been anticipated.
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+j +j +j +j +j +j +j +j
MULTIPLE CHOICE +j
1. When and where was Canada’s first medical school established?
+j +j +j +j +j +j +j +j
a. Saskatoon, in 1868 +j +j
b. Ottawa, in 1867 +j +j
c. Montreal, in 1825 +j +j
d. Kingston, in 1855 +j +j
ANS: + j C
Feedback
A The first medical school was not established in Saskatoon in 1868.
+j +j +j +j +j +j +j +j +j +j
B The first medical school was not established in Ottawa in 1867.
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C The first medical school in Canada was established in 1825 in Montreal.
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D The first medical school was not established in Kingston in 1855.
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DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 4 +j
2. In 1834, William Kelly deduced which public health principle?
+j +j +j +j +j +j +j +j
a. Vaccination can successfully eradicate smallpox. +j +j +j +j
b. Education is directly related to health. +j +j +j +j +j
c. Quarantine effectively contains infections. +j +j +j
d. Sanitation and disease are related. +j +j +j +j
ANS: + j D
Feedback
A William Kelly did not deduce that smallpox could be eliminated with a vaccine.
+j +j +j +j +j +j +j +j +j +j +j +j
B William Kelly did not deduce that education level was related to health.
+j +j +j +j +j +j +j +j +j +j +j
C William Kelly did not introduce quarantine to contain disease.
+j +j +j +j +j +j +j +j
D William Kelly suspected a relationship between sanitation and disease and deduce
+j +j +j +j +j +j +j +j +j +j
d that water might be a source of contamination.
+j +j +j +j +j +j +j +j
DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 5 +j
3. Which of the following volunteer organizations was involved in the evolution of health care i
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
n Canada?
+j
a. The Order of St. John +j +j +j +j
b. The Veterans’ Society +j +j
c. The St. Andrew’s Society
+j +j +j
d. The Canadian Nurses Association
+j +j +j
ANS: + j A
Feedback
A The Order of St. John was introduced in Canada in 1883; the members had knowl
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
edge of first aid, disaster relief, and home nursing.
+j +j +j +j +j +j +j +j
, B The Veterans’ Society did not play a part in the evolution of health care in Canad
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a.
C The St. Andrew’s Society did not play a part in the evolution of health care in Ca
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nada.
D The Canadian Nurses Association did not play a part in the early evolution of hea
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
lth care in Canada.
+j +j +j
DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 6 +j
4. What did the Hospital Insurance and Diagnostic Services Act (1957) propose?
+j +j +j +j +j +j +j +j +j +j
a. Provinces without a health insurance plan must pay additional federal tax.
+j +j +j +j +j +j +j +j +j +j
b. Provinces and territories with a health insurance plan would receive substantial
+j +j +j +j +j +j +j +j +j +j
funding from the federal government.
+j +j +j +j +j
c. Certain services would no longer be funded by the federal government.
+j +j +j +j +j +j +j +j +j +j
d. Physicians would be allowed to charge a fee for service to the client.
+j +j +j +j +j +j +j +j +j +j +j +j
ANS: + j B
Feedback
A The Hospital Insurance and Diagnostic Services Act did not propose an increas
+j +j +j +j +j +j +j +j +j +j +j
e in tax for provinces without a plan.
+j +j +j +j +j +j +j
B Under the Hospital Insurance and Diagnostic Services Act (1957), provinces an
+j +j +j +j +j +j +j +j +j +j
d territories with a health insurance plan would have funding matched by the fe
+j +j +j +j +j +j +j +j +j +j +j +j +j
deral government by 50 cents for every dollar.
+j +j +j +j +j +j +j
C The Hospital Insurance and Diagnostic Services Act did not propose the remov
+j +j +j +j +j +j +j +j +j +j +j
al of insured medical services.
+j +j +j +j
D The Hospital Insurance and Diagnostic Services Act did not allow physicians to
+j +j +j +j +j +j +j +j +j +j +j +j
charge a fee for service. +j +j +j +j
DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 13 +j
5. What major change in political thinking occurred in post–
+j +j +j +j +j +j +j +j
World War II Canada in relation to health care?
+j +j +j +j +j +j +j +j
a. Universities should educate more nurses. +j +j +j +j
b. The government should not be required to provide access to primary health care.
+j +j +j +j +j +j +j +j +j +j +j +j
c. Individual families should be responsible for absorbing the cost of health care.
+j +j +j +j +j +j +j +j +j +j +j
d. Governments should be responsible for providing basic services like health care.
+j +j +j +j +j +j +j +j +j +j
ANS: + j D
Feedback
A The need to educate more nurses was not part of post–
+j +j +j +j +j +j +j +j +j +j
World War II thinking in Canada.+j +j +j +j +j
B The lack of responsibility of the government to provide health care was not part
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
of post–World War II thinking in Canada.
+j +j +j +j +j +j
C The belief that families should bear the cost of health care was not part of the poli
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
tical thinking in post–World War II Canada.
+j +j +j +j +j +j
D In post– +j
World War II Canada, and in the aftermath of a depression, the thinking shifted
+j +j +j +j +j +j +j +j +j +j +j +j +j
to the idea that governments had an obligation to provide Canadians with a bett
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
er standard of living, including access to quality health care.
+j +j +j +j +j +j +j +j +j
, DIF: Cognitive Level: Analysis +j +j REF: +j+j p. 12 +j
6. What important act was passed by the government of Tommy Douglas in Saskatchewan in
+j +j +j +j +j +j +j +j +j +j +j +j +j
1947?
+j
a. The Hospital Insurance Act
+j +j +j
b. The Medical Care Act
+j +j +j
c. The Hospital Insurance and Diagnostic Services Act
+j +j +j +j +j +j
d. The Canada Health Act
+j +j +j
ANS: + j A
Feedback
A The Hospital Insurance Act was passed by the government of Saskatchewan, le
+j +j +j +j +j +j +j +j +j +j +j
d by Tommy Douglas, in 1947. It guaranteed Saskatchewan residents hospital ca
+j +j +j +j +j +j +j +j +j +j +j
re in exchange for a modest insurance premium payment.
+j +j +j +j +j +j +j +j
B The Medical Care Act was not passed in Saskatchewan in 1947.
+j +j +j +j +j +j +j +j +j +j
C The Hospital Insurance and Diagnostic Services Act was not passed in Saskatche
+j +j +j +j +j +j +j +j +j +j +j
wan in 1947. +j +j
D The Canada Health Act was not passed in Saskatchewan in 1947.
+j +j +j +j +j +j +j +j +j +j
DIF: Cognitive Level: Knowledge +j +j REF: +j+j p. 14 +j
7. What important recommendation was embodied in the Hall Report?
+j +j +j +j +j +j +j +j
a. Individuals should take responsibility for some of their health care costs.
+j +j +j +j +j +j +j +j +j +j
b. Preventive health measures would be a wise investment.+j +j +j +j +j +j +j
c. Extra billing should not be part of Canada’s health care system.
+j +j +j +j +j +j +j +j +j +j
d. Provinces should retain full control as well as financial responsibility for health
+j +j +j +j +j +j +j +j +j +j +j
+j care.
ANS: + j C
Feedback
A The Hall Report did not propose that individuals pay for some of their health ca
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
re costs.
+j
B The Hall Report did not propose that preventive health measures would be a wi
+j +j +j +j +j +j +j +j +j +j +j +j +j
se investment.
+j
C The Hall Report recommended an end to extra billing and suggested that, inste
+j +j +j +j +j +j +j +j +j +j +j +j
ad, doctors be allowed to operate entirely outside of the Medical Care Act.
+j +j +j +j +j +j +j +j +j +j +j +j
D The Hall Report did not propose that provinces should retain all financial respons
+j +j +j +j +j +j +j +j +j +j +j +j
ibility for health care. +j +j +j
DIF: Cognitive Level: Analysis +j +j REF: +j+j p. 17 +j
8. Why did the Established Programs Financing (EPF) mechanism of funding become
+j +j +j +j +j +j +j +j +j +j
+j inadequate for health care? +j +j +j
a. The government imposed many corporate tax cuts.
+j +j +j +j +j +j
b. Health care spending increased dramatically, causing provincial and territorial
+j +j +j +j +j +j +j +j +
overspending.
j
c. The cost of education took up more dollars than had been anticipated.
+j +j +j +j +j +j +j +j +j +j +j
