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