Assignment Session 2
Medicare is Canada’s health care system that is publicly funded, with 13 provincial and territorial health care insurance plans (3). The federal and provincial/territorial governments work together to provide all residents of Canada reasonable access to quality health care services (3). Through the Canada Health Act, the federal government sets and administers national standards for the health care system based on the following five principles: Public Administration, Comprehensiveness, Universality, Portability, Accessibility (2). While the federal government plays a largely administrative role by setting standards and providing funds, the provincial/territorial governments are responsible for the organization, management and delivery of health care services to their respective residents (3). The provinces/territories are mandated by the Canada Health Act to operate in accordance with the five principles, however the individual provinces/territories do have an element of autonomy on decisions regarding coverage of complementary services, such as Optometry and Chiropractic (4).
The provincial government of Manitoba is one of the Canadian provinces that does currently cover chiropractic services, however the scope is somewhat limited (3). According to the Government of Manitoba website (4), Manitoba Health, Seniors and Active Living “will insure a maximum of 12 visits…the adjustment of the spinal column, pelvis and extremities are insured chiropractic services”. Unlike the Government of Ontario (6) which removed coverage for chiropractic services completely in 2004, Manitoba continues to provide coverage, however it limits it directly to the chiropractic adjustment explicitly stating: “chiropractic services other than adjustments” are not insured (4). While the federal government does not deal directly in the delivery of health care services to provincial residents, it is however, responsible for the organisation and delivery of health care services to special groups including First Nations and members of the Canadian Armed Forces (3). This similarity with the operations of the Manitoba government continues in respect to chiropractic care, as members of the Canadian Armed Forces, for example, are eligible for chiropractic services, as determined by the examining medical officer (3). The continued inclusion or re-inclusion of complete chiropractic services in provincial insurance plans will hopefully expand as the Canadian Chiropractic Association’s (CCA) vision that “Chiropractors will be an integral part of every Canadian’s healthcare team by 2023” is progressively accomplished (7).
The CCA and its ten provincial associations are responsible for advocating on behalf of patients, while the regulatory body of each province licenses practitioners, establishes standards of practice and protects the public interest (7). The Manitoba Chiropractors Association (MCA) is the provincial association and regulatory body that operates within Manitoba with its regulatory powers granted through the Chiropractic Act (5). While the CCA and MCA are responsible for advocating on behalf of patients and protecting the public interest, the Canadian Chiropractic Protective Association (CCPA), a national association founded in 1985 by the CCA, is largely responsible for advocating on behalf of its members, chiropractors, as well as supporting chiropractic education and promoting the chiropractic profession (1). According the CCPA (1), it currently covers “over eighty percent of all practicing chiropractors in Canada”, as well as ensuring its members are up to date and fully informed of the professional liability issues concerning chiropractic in Canada.
- About | CCPA Online [Internet]. Ccpaonline.ca. 2016 [cited 25 September 2016]. Available from: http://www.ccpaonline.ca/about
- Canadian Health Care: Canada Health Act [Internet]. Canadian-healthcare.org. 2016 [cited 25 September 2016]. Available from: http://www.canadian-healthcare.org/page2.html
- Content Template [Internet]. Healthycanadians.gc.ca. 2016 [cited 25 September 2016]. Available from: http://healthycanadians.gc.ca/health-system-systeme-sante/system-systeme/about-apropos-eng.php#a21
- Health M. Are You Covered? | Manitoba Health, Seniors and Active Living | Province of Manitoba [Internet]. Gov.mb.ca. 2016 [cited 25 September 2016]. Available from: http://www.gov.mb.ca/health/mhsip/index.html
- Manitoba Chiropractors Association Regulatory Board [Internet]. Mbchiro.org. 2016 [cited 25 September 2016]. Available from: http://www.mbchiro.org
- OHIP – Changes to Coverage for Chiropractors – Ontario Health Insurance (OHIP) – Publications – Public Information – MOHLTC [Internet]. Health.gov.on.ca. 2016 [cited 25 September 2016]. Available from: http://www.health.gov.on.ca/en/public/publications/ohip/chiropractic.aspx
- Vision, Mission, Strategies & Values – Canadian Chiropractic Association (CCA) – Association chiropratique canadienne [Internet]. Chiropractic.ca. 2016 [cited 25 September 2016]. Available from: https://www.chiropractic.ca/about-cca/strategy-vision-mission/