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vrijdag 23 februari 2018

The Lancet: [Comment] Canada's efforts to ensure the health and wellbeing of Indigenous peoples

[Comment] Canada's efforts to ensure the health and wellbeing of Indigenous peoples
In September, 2017, Prime Minister Justin Trudeau stood before the UN General Assembly and acknowledged that the "failure of successive Canadian governments to respect the rights of Indigenous peoples in Canada is our great shame."1 For generations, First Nations, Inuit, and Métis peoples in Canada were denied the right to self-determination and subjected to laws, policies, and practices based on domination and assimilation. Indigenous peoples lost control over their own lives.
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[Perspectives] Monique Bégin: Canadian health icon
When, in 1976, Canadian Prime Minister Pierre Elliott Trudeau offered Monique Bégin a post in his Cabinet, which would make her one of the first female ministers in the country's history, she turned him down. The offer was for a junior ministry in charge of a newly independent status of women portfolio—a post that nevertheless came with no budget, no staff, and no department, and "made no sense" for advancing women's status, she recalls. "Trudeau told me I am the only person on earth who refused to be a minister", she says.
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[Comment] Canada and global health: accelerate leadership now
Canada's celebration in 2017 of 150 years as a nation is a ripe time for reflection on both its own universal health system and the country's global commitments towards universal health coverage (UHC) as articulated in the Sustainable Development Goals (SDGs).1,2 The recognition in the prairie province of Saskatchewan that farmers should not have to sell the farm to pay for their family's health care was the principled pivot point that triggered Canada's march towards UHC in the 1960s. Although it took nearly a century for the Canadian confederation, established in 1867, to achieve UHC, over these past 50 years, from a global perspective, Canada's universal health-care system is viewed as being among the world's best.
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[Series] Canada's universal health-care system: achieving its potential
Access to health care based on need rather than ability to pay was the founding principle of the Canadian health-care system. Medicare was born in one province in 1947. It spread across the country through federal cost sharing, and eventually was harmonised through standards in a federal law, the Canada Health Act of 1984. The health-care system is less a true national system than a decentralised collection of provincial and territorial insurance plans covering a narrow basket of services, which are free at the point of care.
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[Comment] Canada's time to act
Beavers, ice hockey, maple syrup, Mounted Police, peace-keeping. These things conjure Canada in the minds of many. Others will add health to the list, for Canada's public health-care system is one of the oldest and most celebrated in the world and because Canada has ministered to global humanitarian, migration, and medical crises for decades. While Canadian values of solidarity, inclusivity, and diplomacy have found much expression in matters of health, there are clear signs that all of the world now "needs more Canada".
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