{"title":"Canada and the Netherlands: Rhetoric versus Reality in the Evolution of Solidarity Underpinning Universal Health Coverage.","authors":"Gregory P Marchildon, Roland Bertens","doi":"10.3138/cjhh.685-012024","DOIUrl":"10.3138/cjhh.685-012024","url":null,"abstract":"<p><p>Since the mid-twentieth century, the shared goal of healthcare systems of Canada and the Netherlands has been to achieve broad healthcare access and coverage for citizens despite their health system differences. However, the rhetoric of \"state\" control in Canada and \"market\" control in the Netherlands belies very different realities in both countries. A longer historical perspective uncovers the discrepancies between the rhetoric and reality of solidarity that has emerged - and still exists - in both countries. In Canada, universal healthcare is historically seen as an important cultural cornerstone to be facilitated by the state as a public good in the context of institutional paralysis. In contrast, the Dutch system is historically predicated on an ideology of limited state control and healthcare provision by private parties. Yet the historical development of the system shows an ever-growing influence of the state in ensuring universal access to a continually broadening range of health services.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":" ","pages":"155-181"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barbara Natalie Clow (1959-2025): A Tribute to a Fellow Medical Historian (and More).","authors":"J T H Connor","doi":"10.3138/cjhh.42.1.8","DOIUrl":"https://doi.org/10.3138/cjhh.42.1.8","url":null,"abstract":"","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"212-215"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barbara Natalie Clow (1959-2025): A Tribute to a Fellow Medical Historian (and More).","authors":"J T H Connor","doi":"10.3138/cjhh.42.1.8","DOIUrl":"https://doi.org/10.3138/cjhh.42.1.8","url":null,"abstract":"","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"212-215"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Former des médecins <i>in English</i> au service des Canadiens français : le cas de la Faculté de médecine de l'Université d'Ottawa, 1945-1965.","authors":"Kim Girouard, Susan Lamb","doi":"10.3138/cjhh.695-052024","DOIUrl":"10.3138/cjhh.695-052024","url":null,"abstract":"<p><p>This article examines the contradictory linguistic posture adopted by the Faculty of Medicine of the University of Ottawa and the way in which Francophones and French language evolved there from 1945 to 1965. We suggest that the institution used English as a key to access government funding, allowing it to develop and, above all, to accredit its medical school. We also show that the standardization process in which the Faculty engaged opened the door even wider to the English language and to Anglo-American models of medical education. Even if French Canadians were able to create spaces for survival within the Faculty, the University negotiated their access to medical education at a high price. The result, we suggest, is that it continued to evolve in this unusual posture, convinced that it had to train doctors in English to serve French Canadians.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"129-154"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"The Massacre of the Tonsil\": Tonsillectomies and Medical Malpractice in Mid-20<sup>th</sup>-Century Canada.","authors":"R Blake Brown","doi":"10.3138/cjhh.703-062024","DOIUrl":"https://doi.org/10.3138/cjhh.703-062024","url":null,"abstract":"<p><p>Tonsillectomy was one of the most common surgeries in Canada in the mid-twentieth century. Tonsils received blame for many health problems, and advocates of the tonsillectomy said it was an important form of preventative medicine. However, like all surgeries, the procedure came with dangers. Only a small percentage of patients - most of whom were children - suffered injuries or died, but the large number of tonsillectomies meant that a substantial number of people experienced adverse outcomes. Plaintiffs who sued for medical malpractice faced a tort law system that made it extremely difficult to secure compensation. So long as the procedure was carried out with an ordinary level of skill and care, no compensation was typically available. This paper shows how Canadian law facilitated the use of tonsillectomy, and, in doing so, highlights the need to consider the role of judge-made law in the history of medicine.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"102-128"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"La mécanothérapie dans le Grand établissement thermal de Vichy au début du XX<sup>e</sup> siècle : entre médication physique méthodique et enjeux publicitaires.","authors":"Frédéric Dutheil","doi":"10.3138/cjhh.700-052024","DOIUrl":"https://doi.org/10.3138/cjhh.700-052024","url":null,"abstract":"<p><p>In Vichy, spa treatments were transformed at the end of the 19th century by advances in medical science. Water-based medication is now accompanied by a wide range of treatments. Indeed, the spa industry is fighting to win triple recognition - medical, scientific and technical. This article examines the entire process that led to the creation of a specialized area within the spa dedicated to a new therapy: mechanotherapy. Dosing and fitting \"medication through movement\", this practice overturns accepted practices. The curative use of rigorously administered physical exercise breaks with accepted ideas of health care. The innovative nature of this practice suggests that it has therapeutic and strategic implications for the resort's recognition, modernization and visitor numbers. The introduction of mechanotherapy is part of a competitive process between the various spas of the Belle Époque. It brought diversification and renewal to treatments, and contributed to the medical excellence and glamour of the Grand Établissement Thermal de Vichy, from both a commercial and advertising perspective.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"37-67"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legitimizing AIDS as a Disability: The AIDS and Disability Action Project in British Columbia, 1987-1991.","authors":"Matthew J McLaughlin","doi":"10.3138/cjhh.674-092023","DOIUrl":"https://doi.org/10.3138/cjhh.674-092023","url":null,"abstract":"<p><p>In 1987, the British Columbia Coalition of the Disabled launched the AIDS and Disability Action Project. This article studies phase one of the project, undertaken from 1987 through 1991, to trace how the Coalition educated the disability community about HIV/AIDS, advocated for HIV/AIDS to be recognized as a disability, and pushed for cooperation between the HIV/AIDS and disability movements. Accordingly, it analyzes the research reports, educational materials, and conference presentations produced by and for the Coalition during this time. A critical evaluation of these materials demonstrates how the gay rights and disability rights movements were repeatedly juxtaposed to uncover strategies that could benefit HIV/AIDS activism, which inadvertently overlooked barriers that prevented the communities from cooperating. By contextualizing the efforts of the Coalition, however, this article highlights how they identified and challenged barriers that inhibited members of both communities from accessing services and support systems needed to fully integrate and participate in society.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"182-211"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"If There Is One Class of Patients that Government Aided Hospital Should Make Room and Care for, It Is Maternity Cases\": Infectious Disease, Maternal Health, and Public Health in the History of Saskatchewan's Earliest Hospitals, 1895-1919.","authors":"Helen Vandenberg, Letitia Johnson","doi":"10.3138/cjhh.693-032024","DOIUrl":"https://doi.org/10.3138/cjhh.693-032024","url":null,"abstract":"<p><p>This study investigates the evolution of hospital development in Saskatchewan during the late nineteenth and early twentieth centuries. Utilizing provincial health department reports, local newspapers, and Victorian Order of Nurses records, it highlights the shifting social and health priorities that solidified the dominance of municipal hospitals in the Canadian prairie. Charitable religious and women's organizations were significantly involved in the earliest hospital development. The Union Hospital Act of 1917 marked a significant shift, enabling municipalities to collaborate through taxation to fund small hospitals. Initially focused on infectious disease control for immigrant settlers, public health officials later championed small union hospitals to prevent maternal and infant deaths. The uneven success of early hospitals, shaped by diverse funding sources and regional disparities, challenges the notion of hospitals as preordained sites for Medicare, reflecting instead a shifting negotiation of priorities, resources, and public health goals related to Saskatchewan's health system history.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"1-36"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diversity and Discrimination in Dentistry: The University of Toronto Faculty of Dentistry.","authors":"Catherine Carstairs","doi":"10.3138/cjhh.698-052024","DOIUrl":"https://doi.org/10.3138/cjhh.698-052024","url":null,"abstract":"<p><p>This article examines the history of discrimination against women, Jews, Blacks, and Asians at the University of Toronto dental school from 1921 to 2000. The University of Toronto was the largest dental school in Canada. Discrimination could take various forms - the most obvious was a quota. As this article will show, although it was not a quota per se, the University of Toronto dental school discriminated against Jewish students in the admissions process at least until 1954 and possibly thereafter. There appears to have been no discrimination against women in the admission process, although there is evidence of discrimination against Asian applicants. In addition to discrimination around admissions, students and professors also subjected Jewish, female, and other minority students to daily acts of hostility (sometimes guised in the form of teasing) that made the atmosphere less than welcoming.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"42 1","pages":"68-101"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 in Perspective: A Witness Seminar<sup>1</sup>.","authors":"Catherine Carstairs, Amy Greer, Rachael Magilsen","doi":"10.3138/cjhh.678-112023","DOIUrl":"https://doi.org/10.3138/cjhh.678-112023","url":null,"abstract":"<p><p>In June 2023, we brought together leaders who responded to the emergency phase COVID-19 pandemic in Ontario as part of a \"Witness Seminar.\" This approach to studying history was developed by the Institute of Contemporary British History. It has been extensively used in the history of science and medicine by the Wellcome Trust History of Twentieth Century Medicine. A witness seminar provides a collective oral history, in which participants can express diverse perspectives, build on each other's thoughts, and create a documentary record for policy makers and future historians. The published transcript provides an intimate look at how the pandemic played out in the eyes of some of key responders and raises many questions about the history of public health funding and administration in the province of Ontario, the failures in long-term care, and the need to improve pandemic communication. This article documents the success of the pandemic response.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"41 2","pages":"247-260"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}