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