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