{"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":"https://doi.org/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":"e685012024"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","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":"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}
{"title":"Technologies, professions de santé et réformes publiques : les projets professionnels des techniciens ambulanciers paramédics et des inhalothérapeutes au Québec, 1990-2022.","authors":"Stéphanie Fardeau, Julien Prud'homme","doi":"10.3138/cjhh.675-092023","DOIUrl":"https://doi.org/10.3138/cjhh.675-092023","url":null,"abstract":"<p><p>A blind spot in the history of the healthcare professions is the evolution of \"technical\" professions, particularly after 1970. However, these professions underwent major changes at the end of the 20th century. We propose two case studies, on Quebec's paramedics and respiratory therapists' professional projects. The projects and strategies of the two groups, which had previously differed, tended to converge after 1995. From then, both groups minimize their relationship with machines and technology. Instead, they claim new tasks focused on clinical evaluation and first-line intervention. Public reforms appear to be shaping this evolution in the political strategies, professional projects and even clinical preferences, of these healthcare professions after 1995.</p>","PeriodicalId":520244,"journal":{"name":"Canadian journal of health history = Revue canadienne d'histoire de la sante","volume":"41 2","pages":"219-246"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396908","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}