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I intend to continue this conversation over the coming months, and to work with provinces and territories to address the issue of patient charges in an even-handed manner. Pearson asked Justice Hall whether Tommy Douglas' Saskatchewan health care experiment could work across Canada, he responded, "most definitely." When I am asked if the Canada Health Act remains relevant and should be defended, I say "most definitely." -The Honourable Ginette Petitpas Taylor, Minister of Health Canada has a predominantly publicly financed and administered health care system.

The Canadian health insurance system is achieved through 13 interlocking provincial and territorial health care insurance plans, and is designed to ensure that all eligible residents of Canadian provinces and territories have reasonable access to medically necessary hospital and physician services on a prepaid basis, without charges re­lated to the provision of insured health services.

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This is why the Prime Minister has charged me with the responsibility to "Promote and defend the Canada Health Act to make absolutely clear that extra-billing and user fees are illegal under Canada's public Medicare system, and develop policies in collaboration with provinces and territories to improve verification and recourse mechanisms when instances of non-compliance arise." There was a time when many Canadians faced debt and hardship when they needed to seek treatment for illness or injury.

I am grateful that there were great Canadians – Tommy Douglas, Justice Emmett Hall, Monique Bégin, to name just a few – who fought long and hard to correct this and to ensure we all have equitable access to essential health care services.

By 1972, all provincial and territorial plans had been extended to include physician services.The Canadian people determined that they should band together to pay medical bills when they were well and income earning.Health services were no longer to be bought off the shelf and paid for at the checkout stand.By 1961, all the provinces and territories had public insurance plans that provided universal access to hospital services.Saskatchewan again pioneered by providing insurance for physician services, beginning in 1962.

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In 1979, at the request of the federal government, Justice Emmett Hall undertook a review of the state of health services in Canada.

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