The new Canada Health Act Services Policy will require that medically necessary services provided by nonphysicians are publicly funded.
Canada ’s federal government is taking back health funding that it previously provided to provincial and territorial governments when it finds that patients are paying for medically necessary services that should be publicly funded. The federal government also has proposed to routinely review any patient out-of-pocket expenditures and to clamp down on provinces and territories financially when it deems appropriate.
The wording of the act likely reflected the circumstances of the time, when physicians provided nearly all medically necessary services, Joss Reimer, MD, president of the Canadian Medical Association, told“It does appear that the intention was to cover those medically necessary primary care services that, at the time, were provided by physicians.”
Reimer applauded the federal government’s intention to ensure that medically necessary care remains publicly funded, regardless of whether it is provided by a physician. “If you offer a medically necessary service, then the provincial or territorial government has to pay for it, and if a government doesn't pay for it, then the money that they should have paid for it is going to be clawed back by Ottawa,” said Fierlbeck. She gave the example of an ultrasound investigation of soft tissue damage as a medically necessary service. An ultrasound during pregnancy to determine the sex of the fetus is not medically necessary, she said.
Pregnant Canada Canadian Palliative Care Nurse Practitioner Primary Care Ultrasonography Ultrasound Sonogram Health Policy Medicare Politics Political Retirement Tissue
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