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.
Louis St. Laurent
It took taxation surpluses no longer needed by the wartime military and paying back in full Canada's debts accrued during the World Wars and the Great Depression. With remaining revenues, St-Laurent oversaw the expansion of Canada's social programs, including the gradual expansion of social welfare programs such as family allowances, old age pensions, government funding of university and post-secondary education and an early form of Medicare termed "Hospital Insurance" at the time. This scheme lay the groundwork for Tommy Douglas' healthcare system in Saskatchewan, and Pearson's nationwide universal healthcare in the late 1960s. Under this legislation, the federal government paid around 50% of the cost of provincial health plans to cover "a basic range of inpatient services in acute, convalescent, and chronic hospital care." The condition for the cost-sharing agreements was that all citizens were to be entitled to these benefits, and by March 1963, 98.8 of Canadians were covered by "Hospital Insurance". According to historian Katherine Boothe, however, St. Laurent did not regard government health insurance to be a "good policy idea", instead favouring the expansion of voluntary insurance through existing plans. In 1951, for instance, St. Laurent spoke in support of the medical profession assuming "the administration and responsibility for, a scheme that would provide prepaid medical attendance to any Canadian who needed it".