Hospitals
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
in Canada were initially places which cared for the poor as those with higher socioeconomic status were cared for at home. In
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 ...
during the 18th century, a series of charitable institutions, many set up by Catholic religious orders, provided such care.
The first medical schools were established in
Lower Canada
The Province of Lower Canada (french: province du Bas-Canada) was a British colony on the lower Saint Lawrence River and the shores of the Gulf of Saint Lawrence (1791–1841). It covered the southern portion of the current Province of Quebec an ...
in the 1820s. These included the
Montreal Medical Institution
The Faculty of Medicine and Health Sciences is one of the constituent faculties of McGill University. It was established in 1829 after the Montreal Medical Institution was incorporated into McGill College as the college's first faculty; it was t ...
, which is the
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 ...
Faculty of Medicine
A medical school is a tertiary educational institution, or part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, M ...
today. In the mid-1870s, Sir
William Osler
Sir William Osler, 1st Baronet, (; July 12, 1849 – December 29, 1919) was a Canadian physician and one of the "Big Four" founding professors of Johns Hopkins Hospital. Osler created the first Residency (medicine), residency program for spec ...
changed the face of medical school instruction with the introduction of the hands-on approach. The College of Physicians and Surgeons of Upper Canada was established in 1839, and in 1869, it was permanently incorporated. In 1834, William Kelly, a surgeon with the
Royal Navy
The Royal Navy (RN) is the United Kingdom's naval warfare force. Although warships were used by English and Scottish kings from the early medieval period, the first major maritime engagements were fought in the Hundred Years' War against F ...
, introduced the idea of preventing the spread of disease via sanitation measures following epidemics of
cholera
Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
. In 1892, Dr.
William Osler
Sir William Osler, 1st Baronet, (; July 12, 1849 – December 29, 1919) was a Canadian physician and one of the "Big Four" founding professors of Johns Hopkins Hospital. Osler created the first Residency (medicine), residency program for spec ...
wrote the landmark text ''
The Principles and Practice of Medicine
''The Principles and Practice of Medicine: Designed for the Use of Practitioners and Students of Medicine'' is a medical textbook by Sir William Osler. It was first published in 1892 by D. Appleton & Company, while Osler was professor of Medicine ...
'', which dominated medical instruction in the West for the following half century. Around this time, a movement began that called for the improved healthcare for the poor, focusing mainly on sanitation and hygiene. This period saw important advances including the provision of safe drinking water to most of the population, public baths and beaches, and municipal garbage services to remove waste from the city. During this period, medical care was severely lacking for the poor and minorities such as
First Nations
First Nations or first peoples may refer to:
* Indigenous peoples, for ethnic groups who are the earliest known inhabitants of an area.
Indigenous groups
*First Nations is commonly used to describe some Indigenous groups including:
**First Natio ...
.
18th century
Hospitals
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
were initially places which cared for the poor; Others were cared for at home. In
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 ...
(formerly known as
Canada (New France)
The colony of Canada was a French colony within the larger territory of New France. It was claimed by France in 1535 during the second voyage of Jacques Cartier, in the name of the French king, Francis I. The colony remained a French territory u ...
and then as
Lower Canada
The Province of Lower Canada (french: province du Bas-Canada) was a British colony on the lower Saint Lawrence River and the shores of the Gulf of Saint Lawrence (1791–1841). It covered the southern portion of the current Province of Quebec an ...
), a series of charitable institutions, many set up by Catholic religious orders, provided such care. As the country grew, hospitals grew with them. They tended to be not-for-profit, and were run by municipal governments, charitable organizations, and religious denominations (both Catholic and Protestant). These organizations tended to be at arm's length from government; they received subsidies from provincial governments to admit and treat all patients, regardless of their ability to pay. Dr. David Parker of the Maritimes was the first to operate using anesthetic. One of the first "modern" operations, the removal of a tumor, was performed by
William Fraser Tolmie
William Fraser Tolmie ( "Dr. Tolmie") (February 3, 1812 – December 8, 1886) was a surgeon, fur trader, scientist, and politician.
He was born in Inverness, Scotland, in 1812, and by 1833 moved to the Pacific Northwest in the service of ...
in
British Columbia
British Columbia (commonly abbreviated as BC) is the westernmost province of Canada, situated between the Pacific Ocean and the Rocky Mountains. It has a diverse geography, with rugged landscapes that include rocky coastlines, sandy beaches, ...
.
19th century
The first medical schools were established in Lower Canada in the 1820s. These included the
Montreal Medical Institution
The Faculty of Medicine and Health Sciences is one of the constituent faculties of McGill University. It was established in 1829 after the Montreal Medical Institution was incorporated into McGill College as the college's first faculty; it was t ...
, which is the faculty of medicine at
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 ...
today; in the mid-1870s, Sir
William Osler
Sir William Osler, 1st Baronet, (; July 12, 1849 – December 29, 1919) was a Canadian physician and one of the "Big Four" founding professors of Johns Hopkins Hospital. Osler created the first Residency (medicine), residency program for spec ...
changed the face of medical school instruction throughout the West with the introduction of the hands-on approach and U.F.T.. The College of Physicians and Surgeons of Upper Canada was established in 1839 and in 1869 was permanently incorporated. In 1834, William Kelly, a surgeon with the
Royal Navy
The Royal Navy (RN) is the United Kingdom's naval warfare force. Although warships were used by English and Scottish kings from the early medieval period, the first major maritime engagements were fought in the Hundred Years' War against F ...
, introduced the idea of preventing the spread of disease via sanitation measures following epidemics of
cholera
Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
. In 1871, female physicians
Emily Howard Stowe
Emily Howard Stowe (née Jennings, May 1, 1831 – April 30, 1903) was a Canadian physician who was the first female physician to practise in Canada, the second licensed female physician in Canada and an activist for women's rights and suff ...
and
Jennie Kidd Trout
Jennie Kidd Trout (born Gowanlock; April 21, 1841 – November 10, 1921) was the first woman in Canada to become a licensed medical doctor, on March 11, 1875. Trout was the only woman in Canada licensed to practice medicine until July 1880, when ...
won the right for women to be admitted to medical schools and granted licences from the
College of Physicians and Surgeons of Ontario
The College of Physicians and Surgeons of Ontario (CPSO) is the regulatory college for medical doctors in Ontario, Canada.
The college issues certificates of registration for all doctors to allow them to practise medicine as well as:
monitors an ...
. In 1883, Emily Stowe led the creation of the
Ontario Medical College for Women
Women's College Hospital is a teaching hospital in Downtown Toronto, downtown Toronto, Ontario, Canada. It is located at the north end of Hospital Row, a section of University Avenue (Toronto), University Avenue where several major hospitals are l ...
, affiliated with 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 ...
. In 1892, Dr.
William Osler
Sir William Osler, 1st Baronet, (; July 12, 1849 – December 29, 1919) was a Canadian physician and one of the "Big Four" founding professors of Johns Hopkins Hospital. Osler created the first Residency (medicine), residency program for spec ...
wrote the landmark text ''
The Principles and Practice of Medicine
''The Principles and Practice of Medicine: Designed for the Use of Practitioners and Students of Medicine'' is a medical textbook by Sir William Osler. It was first published in 1892 by D. Appleton & Company, while Osler was professor of Medicine ...
'', which dominated medical instruction in the West for the next 40 years. Around this time, a movement began that called for the improved health care for the poor, focusing mainly on sanitation and hygiene. This period saw important advances including the provision of safe drinking water to most of the population, public baths and beaches, and municipal garbage services to remove waste from the city. During this period, medical care was severely lacking for the poor and minorities such as
First Nations
First Nations or first peoples may refer to:
* Indigenous peoples, for ethnic groups who are the earliest known inhabitants of an area.
Indigenous groups
*First Nations is commonly used to describe some Indigenous groups including:
**First Natio ...
20th century
The twentieth century saw the discovery of
insulin
Insulin (, from Latin ''insula'', 'island') is a peptide hormone produced by beta cells of the pancreatic islets encoded in humans by the ''INS'' gene. It is considered to be the main anabolic hormone of the body. It regulates the metabolism o ...
by
Frederick Banting
Sir Frederick Grant Banting (November 14, 1891 – February 21, 1941) was a Canadian medical scientist, physician, painter, and Nobel laureate noted as the co-discoverer of insulin and its therapeutic potential.
In 1923, Banting and J ...
and his colleagues,
Charles Best,
J.J.R. Macleod, and
J.B. Collip in 1922. For this,
Frederick Banting
Sir Frederick Grant Banting (November 14, 1891 – February 21, 1941) was a Canadian medical scientist, physician, painter, and Nobel laureate noted as the co-discoverer of insulin and its therapeutic potential.
In 1923, Banting and J ...
and
J.J.R. Macleod of 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 ...
won the 1923
Nobel Prize in Physiology and Medicine
The Nobel Prize in Physiology or Medicine is awarded yearly by the Nobel Assembly at the Karolinska Institute for outstanding discoveries in physiology or medicine. The Nobel Prize is not a single prize, but five separate prizes that, according ...
. Dr.
Wilder Penfield
Wilder Graves Penfield (January 26, 1891April 5, 1976) was an American Canadians, American-Physicians in Canada, Canadian neurosurgeon. He expanded brain surgery's methods and techniques, including mapping the functions of various regions of th ...
, who discovered a successful surgical treatment for epilepsy called the "
Montreal procedure
Montreal ( ; officially Montréal, ) is the second-most populous city in Canada and most populous city in the Canadian province of Quebec. Founded in 1642 as '' Ville-Marie'', or "City of Mary", it is named after Mount Royal, the triple-pea ...
", founded the
Montreal Neurological Institute
The McGill University Health Centre (MUHC; french: Centre universitaire de santé McGill) is one of two major healthcare networks in the city of Montreal, Quebec. It is affiliated with McGill University and is one of the largest medical complex in ...
in 1934.
The early 20th century saw the first widespread calls for increased government involvement and the idea of a national health insurance system had considerable popularity. During the
Great Depression
The Great Depression (19291939) was an economic shock that impacted most countries across the world. It was a period of economic depression that became evident after a major fall in stock prices in the United States. The economic contagio ...
, calls for a public health system were widespread. Doctors who had long feared such an idea reconsidered hoping a government system could provide some stability as the depression had badly affected the medical community. However, governments had little money to enact the idea. In 1935, the
United Farmers of Alberta
The United Farmers of Alberta (UFA) is an association of Alberta farmers that has served different roles in its 100-year history – as a lobby group, a successful political party, and as a farm-supply retail chain. As a political party, it forme ...
passed a bill creating a provincial insurance program, but they lost office later that year and the Social Credit Party scrapped the plan due to the financial situation in the province. The next year a health insurance bill passed in
British Columbia
British Columbia (commonly abbreviated as BC) is the westernmost province of Canada, situated between the Pacific Ocean and the Rocky Mountains. It has a diverse geography, with rugged landscapes that include rocky coastlines, sandy beaches, ...
, but its implementation was halted over objections from doctors.
William Lyon Mackenzie King
William Lyon Mackenzie King (December 17, 1874 – July 22, 1950) was a Canadian statesman and politician who served as the tenth prime minister of Canada for three non-consecutive terms from 1921 to 1926, 1926 to 1930, and 1935 to 1948. A Li ...
promised to introduce such a scheme, but while he created the
Department of Health
A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their ow ...
he failed to introduce a national program.
The beginning of coverage
![Health care cost rise](https://upload.wikimedia.org/wikipedia/commons/0/0a/Health_care_cost_rise.svg)
It was not until 1947 that the first Canadian province introduced near universal health coverage.
Saskatchewan
Saskatchewan ( ; ) is a Provinces and territories of Canada, province in Western Canada, western Canada, bordered on the west by Alberta, on the north by the Northwest Territories, on the east by Manitoba, to the northeast by Nunavut, and on t ...
long had a shortage of doctors, leading to the creation of
municipal doctor programs in the early twentieth century in which a town would subsidize a doctor to practice there. Soon after, groups of communities joined to open
union hospitals under a similar model. There had thus been a long history of government involvement in Saskatchewan health care, and a significant section of it was already controlled and paid for by the government. In 1946, the
Co-operative Commonwealth Federation
The Co-operative Commonwealth Federation (CCF; french: Fédération du Commonwealth Coopératif, FCC); from 1955 the Social Democratic Party of Canada (''french: Parti social démocratique du Canada''), was a federal democratic socialism, democra ...
government in
Saskatchewan
Saskatchewan ( ; ) is a Provinces and territories of Canada, province in Western Canada, western Canada, bordered on the west by Alberta, on the north by the Northwest Territories, on the east by Manitoba, to the northeast by Nunavut, and on t ...
passed the ''
Saskatchewan Hospitalization Act'', which guaranteed free hospital care for much of the population.
Tommy Douglas
Thomas Clement Douglas (20 October 1904 – 24 February 1986) was a Scottish-born Canadian politician who served as seventh premier of Saskatchewan from 1944 to 1961 and Leader of the New Democratic Party from 1961 to 1971. A Baptist min ...
had hoped to provide
universal health care
Universal health care (also called universal health coverage, universal coverage, or universal care) is a health care system in which all residents of a particular country or region are assured access to health care. It is generally organized ar ...
, but the province did not have the money.
In 1950, Alberta's
Social Credit party also introduced a public health care plan. Alberta, however, created Medical Services (Alberta) Incorporated (MS(A)I) in 1948 to provide prepaid health services. This scheme eventually provided medical coverage to over 90% of the population.
In 1957, the majority
Liberal
Liberal or liberalism may refer to:
Politics
* a supporter of liberalism
** Liberalism by country
* an adherent of a Liberal Party
* Liberalism (international relations)
* Sexually liberal feminism
* Social liberalism
Arts, entertainment and m ...
government under Louis St. Laurent passed the
Hospital Insurance and Diagnostic Services Act
The ''Hospital Insurance and Diagnostic Services Act'' (HIDS) is a statute passed by the Parliament of Canada in 1957 that reimbursed one-half of provincial and territorial costs for hospital and diagnostic services administered under provinci ...
to fund 50% of the cost of such programs for any provincial government that adopted them. The HIDS Act outlined five conditions: public administration, comprehensiveness, universality, portability, and accessibility. These remain the pillars of the ''
Canada Health Act
The ''Canada Health Act'' (CHA; ''french: Loi canadienne sur la santé'') is a statute of the Parliament of Canada, adopted in 1984, which establishes the framework for federal financial contributions to the provincial and territorial health in ...
''.
By 1961, all ten provinces had agreed to start HIDS Act programs. In Saskatchewan, the act meant that half of their current program would now be paid for by the federal government. C.C.F. Premier
Woodrow Lloyd
Woodrow Stanley Lloyd (July 16, 1913 – April 7, 1972) was a Canadian politician and educator. Born in Saskatchewan in 1913, he became a teacher in the early 1930s. He worked as a teacher and school principal until 1944 and was involved with ...
decided to use this freed money to extend the health coverage to also include physicians. Despite the sharp disagreement of the
Saskatchewan College of Physicians and Surgeons
The College of Physicians and Surgeons of Saskatchewan is a regulatory college which acts as the governing body in the province of Saskatchewan that manages the licensing of medical practitioners, verifies practice standards for medicine, and fol ...
, Lloyd introduced the law in 1962 after defeating the
Saskatchewan doctors' strike The Saskatchewan doctors' strike was a 23-day labour action exercised by medical doctors in 1962 in the Canadian province of Saskatchewan in an attempt to force the Co-operative Commonwealth Federation government of Saskatchewan to drop its program ...
in July.
Medical Care Act
The programs in Saskatchewan and Alberta proved a success and the federal government of
Lester B. Pearson
Lester Bowles "Mike" Pearson (23 April 1897 – 27 December 1972) was a Canadian scholar, statesman, diplomat, and politician who served as the 14th prime minister of Canada from 1963 to 1968.
Born in Newtonbrook, Ontario (now part of ...
introduced the
Medical Care Act in 1966 that extended the HIDS Act cost-sharing to allow each province to establish a universal health care plan – an initiative that was drafted and initiated by the
Liberal Party
The Liberal Party is any of many political parties around the world. The meaning of ''liberal'' varies around the world, ranging from liberal conservatism on the right to social liberalism on the left.
__TOC__ Active liberal parties
This is a li ...
and supported by the
New Democratic Party
The New Democratic Party (NDP; french: Nouveau Parti démocratique, NPD) is a federal political party in Canada. Widely described as social democratic,The party is widely described as social democratic:
*
*
*
*
*
*
*
*
*
*
*
* t ...
(NDP). It also set up the
Medicare system. In 1984, the
Canada Health Act
The ''Canada Health Act'' (CHA; ''french: Loi canadienne sur la santé'') is a statute of the Parliament of Canada, adopted in 1984, which establishes the framework for federal financial contributions to the provincial and territorial health in ...
was passed under a majority Liberal government, which prohibited
user fee A user fee is a fee, tax, or impost payment paid to a facility owner or operator by a facility user as a necessary condition for using the facility.
People pay user fees for the use of many public services and facilities. At the federal level in t ...
s and extra billing by doctors. In 1999,
Prime Minister
A prime minister, premier or chief of cabinet is the head of the cabinet and the leader of the ministers in the executive branch of government, often in a parliamentary or semi-presidential system. Under those systems, a prime minister is not ...
Jean Chrétien
Joseph Jacques Jean Chrétien (; born January 11, 1934) is a Canadian lawyer and politician who served as the 20th prime minister of Canada from 1993 to 2003.
Born and raised in Shawinigan Falls, Quebec, Chrétien is a law graduate from Uni ...
and most premiers reaffirmed in the
Social Union Framework Agreement
The Social Union Framework Agreement, or SUFA, was an agreement made in Canada in 1999 between Prime Minister Jean Chrétien and the premiers of the provinces and territories of Canada, except Quebec Premier Lucien Bouchard. It concerns equality o ...
that they are committed to health care that has "comprehensiveness, universality, portability, public administration and accessibility."
[Government of Canada, Social Union, News Release,]
A Framework to Improve the Social Union for Canadians: An Agreement between the Government of Canada and the Governments of the Provinces and Territories, February 4, 1999
" Retrieved December 20, 2006.
See also
*
Healthcare in Canada
Healthcare in Canada is delivered through the provincial and territorial systems of publicly funded health care, informally called Medicare (Canada), Medicare. It is guided by the provisions of the ''Canada Health Act'' of 1984, and is Universal ...
References
{{North America topic , History of medicine in