Healthcare in Canada
Canada (with the exception of the province of Quebec) is one of the few countries with a universal healthcare system that does not include coverage of prescription medication (other such countries are Russia and some of the former USSR republics even though Russia is considering a switch to full coverage of many prescription medications in the near future). Residents of Quebec who are covered by the province's public prescription drug plan pay an annual premium of $0 to $660 when they file their Quebec income tax return. Pharmaceutical medications are covered by public funds in some provinces for the elderly or indigent, or through employment-based private insurance or paid for out-of-pocket. Most drug prices are negotiated with suppliers by each provincial government to control costs but more recently, the Council of the Federation announced an initiative for select provinces to work together to create a larger buying block for more leverage to control costs of pharmaceutical drugs. More than 60 percent of prescription medications are paid for privately in Canada. Family physicians (often known as general practitioners or GPs in Canada) are chosen by individuals. If a patient wishes to see a specialist or is counselled to see a specialist by their GP, a referral is made by a GP in the local community. Preventive care and early detection are considered critical and yearly checkups are recommended for everyone.
Social programs in Canada
All provinces in Canada provide universal, publicly funded healthcare to Canadian citizens, permanent residents and certain temporary residents, with their costs partially subsidized by the federal government. Approximately 70% of expenditures for health care in Canada come from public sources, with the rest paid privately (both through private insurance, and through out-of-pocket payments). The extent of public financing varies considerably across services. For example, approximately 99% of physician services, and 90% of hospital care, are paid by publicly funded sources, whereas almost all dental care and most prescription drug cost are paid for privately. Most physicians are self-employed private entities which enjoy coverage under each province's respective healthcare plans.Compared to other single-payer health systems in the world, Canada is unusual in banning the purchase of private insurance or care for any services that are listed. This is meant to prevent what is described as "two-tier healthcare", which would allow the rich to "jump the queue". However, in 2005 the Supreme Court of Canada ruled in "Chaoulli v. Quebec (Attorney General)" that the ban on private care could be unconstitutional if it caused unreasonable delays for patients.