The Canada Health Act and Medicare Services for Indigenous Peoples.

Constance MacIntosh
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Abstract

The Canada Health Act (CHA) (1985) has fostered gaps in Indigenous healthcare services, through its ambiguous inclusion of Indigenous communities without acknowledging their unique needs and failing to engage the fact that provincial/territorial, federal and Indigenous governments all act as primary care providers. While the CHA symbolizes Canada's commitment to equitable access, Canada has not respected this principle when it is the healthcare provider. The paper argues for a modernization of the CHA to remedy these deficits, or federal intervention through regulations, and not waiting on the enactment of distinctions-based Indigenous health legislation which may never be passed.

加拿大卫生法》和为土著居民提供的医疗保险服务。
《加拿大卫生法》(1985年)模棱两可地将土著社区纳入其中,没有承认他们的独特需求,也没有考虑到省/地区、联邦和土著政府都是初级保健提供者这一事实,从而造成了土著保健服务方面的差距。虽然CHA象征着加拿大对公平获得机会的承诺,但加拿大作为医疗保健提供者并没有尊重这一原则。这篇论文主张对CHA进行现代化改造,以弥补这些缺陷,或者通过法规进行联邦干预,而不是等待可能永远不会通过的基于区别的土著卫生立法的颁布。
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