1. The Canadian
Constitution assigns different responsibilities and authority to the federal
and provincial governments. Essentially, it assigns the responsibility for
funding and providing health services to the provincial governments. How has
this division of responsibilities and powers affected the development of health
programs across the country? What do you consider to be the advantages and
disadvantages of this division of power?
You are a policy maker in a province that is considering changing the way it
pays physicians. Most of the physicians in this province are currently on a
fee-for-service system. You have been asked to look at alternative modes of
physician payment and the experience of these modes in other jurisdictions
(i.e., other provinces and countries). Compare and contrast these modes, and
indicate whether a mode other than fee-for-service might be more suitable for
your province. Will it be suitable for all kinds of physicians? Will a mixture
of methods be preferable?
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