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By Michael Rachlis

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The act slightly better defined the criteria the provinces had to meet to be eligible for federal health funding. It explicitly labelled extra charges for hospital and physicians services as verboten. The provinces would now lose one dollar of their federal grant for every dollar of physicians’ or hospital user fees that was permitted within their borders. Brian Mulroney cleverly had his Conservative MPs vote for the Canada Health Act, not wanting to give the Liberals any edge in the upcoming federal election.

The federal funding would be sequestered to separate health care funding from other transfers. Some claimed that Romanow had advocated eliminating forprofit providers. In fact, Romanow did not make such a specific recommendation, though he did expound at length on his concerns about for-profit care. But Romanow did suggest two policies that would inhibit profit-making health care businesses. First, he suggested that the Canada Health Act explicitly identify diagnostic services such as MRI and CAT scans as medically necessary under the Canada Health Act.

He knew he had short period of time to take action. He worked with his hospital colleagues around the senior management table to scale back elective surgery so new post-surgical patients wouldn’t hit already full ICUs. The integrated management system led to other initiatives. The home care department hired more temporary staff to reduce new pressure on ERs and to take every referral they could from hospitals. In Saskatoon, the home care nurses had the same wages and benefits as the hospital nurses.

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