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Organ Donation and Transplantation: The View From Canada

Canada is the second-largest country in the world with its relatively small population (approximately 35 million) divided into 10 provinces and 3 territories. Administration and delivery of healthcare services in Canada, including donation and transplantation, is complex with national legislation (Canada Health Act, 1984) but with actual delivery of health care being a provincial/territorial responsibility. TheCanadaHealthAct enforces universal access to care for hospital and physician services for all residents without charge. However, coverage for other aspects of care (eg, prescription drugs, ambulance services, home care, and so on) varies regionally. Rather than a “national healthcare system,” there are 10 provincial and 3 territorial systems administered by 13 separate Ministries of Health. Approximately 70% of all healthcare costs are covered by the government with the remaining 30% covered privately (50% out-of-pocket by the patient and 50% private supplemental insurance).