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Private Practice, Public Payment

Canadian Medicine and the Politics of Health Insurance, 1911-1966

Bibliographic Data

ID11968129
AuthorsJohn E F Hastings (corresponding author), David Naylor (0000-0003-4138-7048), David C Naylor
Year1987
Volume13
Issue4
Pages536-536
Publication date1987-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCanadian Public Policy (JOURNAL)
Journal identifiersISSN: 0317-0861 • E-ISSN: 1911-9917
PublisherJSTOR (PUBLISHER)
DOI10.2307/3550895
OpenAlexW2034922605
LanguageEN
Citations received18

Naylor's particular concern is with the nature and extent of the medical profession's opposition at both the provincial and federal levels. He details various developments in medical politics and policies, including the dispute over state health insurance plans in British Columbia during the depression, the national health insurance program drafted by the King government, the doctors' strike in Saskatchewan, and the development and eventual governmental rejections of prepayment plans sponsored by organized medicine. The author concludes that physicians regarded medical insurance schemes over which they had little administrative control, or where coverage was not limited to the indigent or to those earning below a modest wage, as threats to professional incomes and autonomy. His analysis of the evolution of the professional perspectives, policies, and pressure group activities suggests that physicians are as likely to act in their own economic and social interest as any other group, and that they oppose legislation that would threaten these interests while supporting laws that strengthen them. Since the Medical Care Act became law, Ottawa has moved to strengthen health care plans in the provinces, and once again the medical profession has resisted. The final chapter in Naylor's book puts these current conflicts in historical perspective by linking them to their political precedents

Business · Family medicine · Health care · Health insurance · Payment · Political science · Politics · Private practice · Public health · Public health insurance · Canadian Identity and History · Law · Medicine · Nursing · Public Administration · Finance

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  • On the Cultural Foundations for Universal Healthcare

    Open Access•Carl W Roberts, Hexuan Liu•Journal of Communication•2014

  • For ‘Patients of Moderate Means’

    Open Access•David Gagan•Canadian Historical Review•1989

  • The Liberal Order Framework

    Open Access•Ian Mckay•Canadian Historical Review•2000

  • Competent Professionals and Modern Methods

    Megan Davies, Megan J Davies•Bulletin of the history of medicine•2002

  • Seeds of Discord

    Charles R R Hayter, Charles Hayter•Bulletin of the history of medicine•2003

  • Sigerist in Saskatchewan

    Jacalyn Duffin, Leslie A Falk•Bulletin of the history of medicine•1996

  • Roles and Responsibilities in Health Care Policy

    Antonia Maioni, Pierre-Gerlier Forest et al.•Governance of Health Care in Canada•2004

  • Worse than Being Married

    David Wright, S Mullally et al.•Journal of the History of…•2010

  • Icon and taboo

    Open Access•Carolyn Hughes Tuohy•Journal of International and…•2018

  • Wealth, equity and health care

    Open Access•Blake Poland, David Coburn et al.•Social Science & Medicine•1998

  • Practice guidelines and professional autonomy in a universal health insurance system

    Open Access•C David Naylor, A Andrew Hollenberg•Social Science & Medicine•1990

  • The Changing Nature of Professional Regulation in Canada, 1867–1961

    Open Access•T L Adams•Social Science History•2009

  • A House Divided

    Gregory P Marchildon, Gregory Marchildon•Histoire sociale•2011

  • Medicine and the State in Canada

    Open Access•Carolyn J Tuohy•Canadian Journal of Political…•1988

  • Why equity in health and in access to health care are elusive

    Open Access•Solomon R Benatar, Terrence Sullivan et al.•Global Public Health•2017

  • Federalism, Physicians, and Public Policy

    Catarina Segatto, Daniel Béland et al.•Journal of Comparative Policy…•2019

  • Prairies, psychedelics and place

    Open Access•Erika Dyck•Health & Place•2009

Unique citing works18
Citations per year0,47
Citation span1988 - 2019 (32)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 11

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