Claude Castonguay, (May 8, 1929 – December 12, 2020) was a
Canadian
Canadians (french: Canadiens) are people identified with the country of Canada. This connection may be residential, legal, historical or cultural. For most Canadians, many (or all) of these connections exist and are collectively the source of ...
politician, educator, and businessman.
Career
Born in
Quebec City
Quebec City ( or ; french: Ville de Québec), officially Québec (), is the capital city of the Provinces and territories of Canada, Canadian province of Quebec. As of July 2021, the city had a population of 549,459, and the Communauté métrop ...
,
Quebec
Quebec ( ; )According to the Canadian government, ''Québec'' (with the acute accent) is the official name in Canadian French and ''Quebec'' (without the accent) is the province's official name in Canadian English is one of the thirtee ...
, the son of Émile Castonguay and Jeanne Gauvin, he studied science at
Université Laval
Université Laval is a public research university in Quebec City, Quebec, Canada. The university was founded by royal charter issued by Queen Victoria in 1852, with roots in the founding of the Séminaire de Québec in 1663 by François de Montm ...
, followed by actuary science at the
University of Manitoba
The University of Manitoba (U of M, UManitoba, or UM) is a Canadian public research university in the province of Manitoba.1970 Quebec election to the
National Assembly of Quebec
The National Assembly of Quebec (officially in french: link=no, Assemblée nationale du Québec) is the legislative body of the province of Quebec in Canada. Legislators are called MNAs (Members of the National Assembly; french: link=no, déput ...
in the riding of Louis-Hebert. He served as Minister of Health, Family and Social Welfare. He did not run in 1973. In 1978, he was the President-elect of the Canadian Institute of Actuaries. From 1982 until 1989, he was the
chief executive officer
A chief executive officer (CEO), also known as a central executive officer (CEO), chief administrator officer (CAO) or just chief executive (CE), is one of a number of corporate executives charged with the management of an organization especially ...
Laurentian Bank of Canada
The Laurentian Bank of Canada (LBC; french: Banque Laurentienne du Canada, link=no) is a Schedule 1 bank that operates primarily in the province of Quebec, with commercial and business banking offices located in Ontario, Alberta, British Columbi ...
. From 1989 to 1990, he was the chairman of the
Conference Board of Canada
The Conference Board of Canada is a Canadian not-for-profit think tank dedicated to researching and analyzing economic trends, as well as organizational performance and public policy issues.
Describing itself as "objective" and "non-partisan", th ...
. He was the Chancellor of the
Université de Montréal
The Université de Montréal (UdeM; ; translates to University of Montreal) is a French-language public research university in Montreal, Quebec, Canada. The university's main campus is located in the Côte-des-Neiges neighborhood of Côte- ...
from 1986 until 1990.
He was appointed to the
Senate
A senate is a deliberative assembly, often the upper house or chamber of a bicameral legislature. The name comes from the ancient Roman Senate (Latin: ''Senatus''), so-called as an assembly of the senior (Latin: ''senex'' meaning "the el ...
, as a member of the Progressive Conservative caucus.
He represented the senatorial division of Stadacona, Quebec, from September 23, 1990 until his resignation on December 9, 1992.
Castonguay-Nepveu Commission
During the 1960s, the
Jean Lesage
Jean Lesage (; 10 June 1912 – 12 December 1980) was a Canadian lawyer and politician from Quebec. He served as the 19th premier of Quebec from 22 June 1960 to 16 June 1966. Alongside Georges-Émile Lapalme, René Lévesque and others, he is ...
Quebec government mandated Castonguay to chair a Commission (with Gerard Nepveu)- The Commission on health care and social services (Commission d'enquête sur les services de santé et les services sociaux)- on the state of health care in Quebec much of which, before the
Quiet Revolution
The Quiet Revolution (french: Révolution tranquille) was a period of intense socio-political and socio-cultural change in French Canada which started in Quebec after the election of 1960, characterized by the effective secularization of govern ...
, was still largely under the jurisdiction of the
Clergy
Clergy are formal leaders within established religions. Their roles and functions vary in different religious traditions, but usually involve presiding over specific rituals and teaching their religion's doctrines and practices. Some of the ter ...
. The result was the Castonguay-Nepveu Report published in 1967. This report recommended a new state-run health insurance policy, a new health care network, as well as a new network of social service
clinics
A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care need ...
now known as the
CLSC
CLSCs (''centre local de services communautaires'', local community service centre) in Quebec are free clinics and hospitals run and maintained by the Quebec government. They are a form of community health centre.
The service was launched in the e ...
. The plan was to give a broader access to
health
Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World Health Organiza ...
and
psychiatric
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry.
Initial psy ...
care for the Quebec population. Major changes were made following the recommendation, most notably the introduction of hospitalisation and
medication
A medication (also called medicament, medicine, pharmaceutical drug, medicinal drug or simply drug) is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy (pharmacotherapy) is an important part of the medical field and re ...
insurance
Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to hedge ...
. Castonguay is so closely identified with health care in Quebec that many people refer to the Quebec health card (Carte d'assurance-maladie au Québec) as a Castonguette.
Castonguay task force on Quebec health care
In 2007, the minority Liberal government of Quebec appointed Castonguay to a closed-door committee examining the health-care system's finances. Castonguay is a long-serving advocate of greater privatization, user fees and private insurance.
The Castonguay task force released in February 2008 said Quebec residents should pay $25 for every visit to a doctor. The report also called for an increase of up to one percentage point in the Quebec sales tax to help pay for medicare. Castonguay said health care is growing 5.8 per cent a year as a share of the provincial budget, while total government spending increases 3.9 per cent annually.
Most of the report was publicly dismissed by the government of the day.
Forty years after being one of the pioneers of public health care, Castonguay's commission advocates both an increased role for private enterprise in medicine and increased public investment in the socialized system both through taxes and through user fees. Castonguay was quoted as saying "We are proposing to give a greater role to the private sector so that people can exercise freedom of choice." While concerned about the financial stresses the system places on the government, Castonguay does not advocate dismantling publicly financed health insurance altogether.
Death
He died on December 12, 2020 at the age of 91.
Honours
* In 1974, he was made a Companion of the
Order of Canada
The Order of Canada (french: Ordre du Canada; abbreviated as OC) is a Canadian state order and the second-highest honour for merit in the system of orders, decorations, and medals of Canada, after the Order of Merit.
To coincide with the ...
.
* In 1991, he was made an Officer of the
National Order of Quebec
The National Order of Quebec, termed officially in French as ''l'Ordre national du Québec'', and in English abbreviation as the Order of Quebec, is an order of merit in the Canadian province of Quebec. Instituted in 1984 when Lieutenant Governo ...
. In 2014, he was promoted to Grand Officer.
* He was awarded Honorary Doctor of Laws from
Bishop's University
Bishop's University (french: Université Bishop's) is a small English-language Liberal arts college, liberal arts university in Lennoxville, a borough of Sherbrooke, Quebec, Canada. The founder of the institution was the Anglican Diocese of Quebe ...
,
McGill University
McGill University (french: link=no, Université McGill) is an English-language public research university located in Montreal, Quebec, Canada. Founded in 1821 by royal charter granted by King George IV,Frost, Stanley Brice. ''McGill Universit ...
, the
University of Toronto
The University of Toronto (UToronto or U of T) is a public research university in Toronto, Ontario, Canada, located on the grounds that surround Queen's Park. It was founded by royal charter in 1827 as King's College, the first institution ...
, the
University of Manitoba
The University of Manitoba (U of M, UManitoba, or UM) is a Canadian public research university in the province of Manitoba.Laurentian University
Laurentian University (french: Université Laurentienne), officially the Laurentian University of Sudbury, is a mid-sized Bilingualism in Canada, bilingual public university in Greater Sudbury, Ontario, Canada, incorporated on March 28, 1960. Lau ...
,
Concordia University
Concordia University ( French: ''Université Concordia'') is a public research university located in Montreal, Quebec, Canada. Founded in 1974 following the merger of Loyola College and Sir George Williams University, Concordia is one of the t ...
, the
University of Western Ontario
The University of Western Ontario (UWO), also known as Western University or Western, is a Public university, public research university in London, Ontario, London, Ontario, Canada. The main campus is located on of land, surrounded by resident ...
and
York University
York University (french: Université York), also known as YorkU or simply YU, is a public university, public research university in Toronto, Ontario, Canada. It is Canada's fourth-largest university, and it has approximately 55,700 students, 7,0 ...