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The roles and responsibilities for Canada's health care system are shared between the federal, provincial and territorial governments.The provincial and territorial governments have primary jurisdiction in the administra­tion and delivery of health care services.On an annual basis, the Federal Minister of Health is required to report to Parliament on the administra­tion and operation of the Canada Health Act, as set out in section 23 of the Act.The vehicle for so doing is the Canada Health Act Annual Report.Saskatchewan was the first province to establish universal, public hospital insurance in 1947 and, ten years later, the Government of Canada passed the Hospital Insurance and Diagnostic Services Act (1957), to share in the cost of these services with the provinces and territories.By 1961, all the provinces and territories had public insurance plans that provided universal access to hospital services.They were a fundamental need, like education, which Canadians could meet collectively and pay for through taxes.

In 1979, at the request of the federal government, Justice Emmett Hall undertook a review of the state of health services in Canada.The Canada Health Act is Canada's federal health care insurance legislation and defines the national principles that govern the Canadian health care insurance system, namely, public administration, comprehensiveness, univer­sality, portability and accessibility.These principles reflect the underling Canadian values of equity and solidarity.Protecting and upholding human rights and social justice are the fundamental objectives of social work and are closely linked to the values that underpin the Canada Health Act – equity, fairness and solidarity.These values are undermined when patients are charged for medically necessary care at the point of service.

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