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Unformatted text preview: I Pharmaceuticals outside hospitals are not covered by III-IA; difference from policies related to hospital stays and doctor visits t} Two implications for Canada’s health system - Cost I Creeping privatization of health care in Canada; 52% of drugs in Canada are bought with private insurance or out-of-pocltet I Political influence I Large size and political power of pharmaceutical companies makes a proper regulation of this industry difficult I Pharmacare o Reasons for remaining on political agenda for a long time I Cost I A single buyer system {i_e_, provincialften'itorial government} lteeps costs low by demanding better prices, is more rigorous in the drugs it selects, and demands better performances frum companies I Large financial burden on provincialt‘territorial government - Equitr I Drugs are a large and integral part of medical treao'nent'r if the availability and accessibility of medical treatments are affected by drugs, it damages the purpose of lCanada's health system I Coordination of pharmaceutical policy I A nationalised drug plan would facilitate the coordination of various aspects of pharmaceutical policy t} Barriers to implementation I Cost I Federal government determines marlret competition or pricing of drugs, while provincial government funds [not necessary for provinces to fund as it is not a part of CHA; only hospital and physician care are a part of III-[A] I Large pharmaceutical expenditures incur for provincestten'itories; federal government does not buy drugs while provincial government does I Politics I Surrendering of sovereignty by provinciaL'ten'itorial governments to federal goveriu'nent I Situated knowledge Ct The truth always had to be moderated and filtered through complex social relations, and would dterefore reflect the particular power relations of that context I WHCI Model of Uptimal Mental Healdt ...
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  • Fall '17
  • nationalised drug plan, Uptimal Mental Healdt, pharmaceutical policy, provincial government funds

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