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PRINT Cat.: H1-4E ISSN: 0842-3202 PDF Cat.: H1-4E-PDF ISSN: 1497-9144 Pub.: 170403 Health Canada would like to acknowledge the work and effort that went into producing this Annual Report.

It is through the dedication and timely commitment of the following departments of health and their staff that we are able to bring you this report on the administration and operation of the Canada Health Act: We also greatly appreciate the extensive work effort that was put into this report by our production team including desktop publishers, translators, editors and concordance experts, printers and staff of Health Canada.

The Government of Canada enacted the Medical Care Act in 1966 to cost-share the provision of insured physician services with the provinces and territories.

By 1972, all provincial and territorial plans had been extended to include physician services.

Nor was their price to be bargained for at the time they were sought.

They were a fundamental need, like education, which Canadians could meet collectively and pay for through taxes.

So, take a stroll down memory lane to remember all of our past Word of the Year selections.

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Health Canada Address Locator 0900C2 Ottawa, ON K1A 0K9 Tel.: 613-957-2991 Toll free: 1-866-225-0709 Fax: 613-941-5366 TTY: 1-800-465-7735 E-mail: [email protected] © Her Majesty the Queen in Right of Canada, as represented by the Minister of Health, 2018 Publication date: February 2018 This publication may be reproduced for personal or internal use only without permission provided the source is fully acknowledged.

By 1961, all the provinces and territories had public insurance plans that provided universal access to hospital services.

Saskatchewan again pioneered by providing insurance for physician services, beginning in 1962.

This is why the Prime Minister has charged me with the responsibility to "Promote and defend the Canada Health Act to make absolutely clear that extra-billing and user fees are illegal under Canada's public Medicare system, and develop policies in collaboration with provinces and territories to improve verification and recourse mechanisms when instances of non-compliance arise." There was a time when many Canadians faced debt and hardship when they needed to seek treatment for illness or injury.

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I am grateful that there were great Canadians – Tommy Douglas, Justice Emmett Hall, Monique Bégin, to name just a few – who fought long and hard to correct this and to ensure we all have equitable access to essential health care services.While patient charges were quite rampant across Canada during Justice Hall's tenure, today, most Canadians access needed medical care without having to face charges.