Instruct: Given a question, retrieve relevant passages that can help answer the question.
Query: Does Canada have universal health care?
Medicare () is an unofficial designation used to refer to the publicly funded, single-payer health care system of Canada. Canada does not have a unified national health care system; instead, the system consists of 13 provincial and territorial health insurance plans that provides universal health care coverage to Canadian citizens, permanent residents, and certain temporary residents. These systems are individually administered on a provincial or territorial basis, within guidelines set by the federal government. The formal terminology for the insurance system is provided by the "Canada Health Act" and the health insurance legislation of the individual provinces and territories.
From 2000 a universal health coverage has been in place, providing two fundamental rights for access to care: a right to health insurance for anyone in stable and regular residence in the territory and a right for the most disadvantaged, submitted to resources, to a free coverage, with exemption from fee.
Because medical marijuana is legal in Canada but illegal in most of the US, many US citizens with cancer, AIDS, multiple sclerosis, and glaucoma have traveled to Canada for medical treatment. One of those is Steve Kubby, the Libertarian Party's 1998 candidate for governor of California, who has adrenal cancer. Recent legal changes such as Proposition 215 may decrease this type of medical tourism from California only.The Canada Health Act covers the services of psychiatrists, medical doctors with additional training in psychiatry. In Canada, psychiatrists tend to focus on the treatment of mental illness with medication. However, the Canada Health Act excludes care provided in a "hospital or institution primarily for the mentally disordered." Some institutional care is provided by provinces. The Canada Health Act does not cover treatment by a psychologist or psychotherapist unless the practitioner is also a medical doctor. Goods and Services Tax or Harmonized Sales Tax (depending on the province) applies to the services of psychotherapists. Some coverage for mental health care and substance abuse treatment may be available under other government programs. For example, in Alberta, the province provides funding for mental health care through Alberta Health Services. Most or all provinces and territories offer government-funded drug and alcohol addiction rehabilitation, although waiting lists may exist. The cost of treatment by a psychologist or psychotherapist in Canada has been cited as a contributing factor in the high suicide rate among first responders such as police officers, EMTs and paramedics. According to a CBC report, some police forces "offer benefits plans that cover only a handful of sessions with community psychologists, forcing those seeking help to join lengthy waiting lists to seek free psychiatric assistance."
YMCA Canada was established over 160 years ago as a charity dedicated to the health of both individuals and communities. YMCA Canada values inclusiveness and accessibility and serves people of all ages, backgrounds and abilities through all stages of life. YMCA Canada is a federation of YMCAs and YMCA-YWCAs who work together to achieve common goals for improving the health of Canadians. Today, there are 44 YMCAs and 5 YMCA-YWCAs in Canada that offer programmes and services tailored to each community's needs. Together, they serve 2 million people in more than 1,000 communities across Canada—and they keep growing.
The national YMCA federation in Canada expresses its statement of purpose:The YMCA in Canada is dedicated to the growth of all persons in spirit, mind and body, and to their sense of responsibility to each other and the global community.YMCAs are a centre of community where friendships are formed and family ties are strengthened. Available programmes include:
Through YMCA financial assistance programmes, the YMCA is accessible to all.
The province of Quebec had legalized doctor assisted suicide in June 2014 as well as in late 2015 the province's Court of Appeal confirmed that their law did not contravene the country's Criminal Code because of the Carter v Canada (AG) ruling of the Supreme Court of Canada.
In Canada, pharmacists must complete undergraduate four-year bachelor of science degrees in pharmacy after completing a minimum of one or two years of university study studies beforehand. The University of Waterloo requires two years of prerequisite study in the basic sciences.
Republicans in Canada assert that their country's monarchy, due either to its popular associations with the United Kingdom, its shared nature, or both, cannot be representative of the Canadian nation. Their position is that because of its hereditary aspects and the sovereign's role as Supreme Governor of the Church of England (though he or she is such in England only; the monarch has no religious role in Canada), the monarchy is inherently contrary to egalitarianism and multiculturalism. Further, though it diverges from both the official position of the Canadian government and the opinions of some judges, legal scholars, and members of the Royal Family themselves, republicans deem the King or Queen of Canada to be either a solely British or English individual representing a British institution foreign to Canada. Founded on this perception is the republican assertion that national pride is diminished by the monarchy, its presence negating the country's full independence achieved in 1982, and makes Canada appear colonial and subservient to the United Kingdom, under which they feel Canadians suffered "military, economic, and cultural subjugation." Instead, equating anti-monarchism with patriotism, they desire a Canadian citizen to act as head of state and promote the national flag and/or the "country" as a more fitting locus of allegiance.
Canada is unusual among developed countries in the importance of the primary sector, with the logging and oil industries being two of Canada's most important. Canada also has a sizable manufacturing sector, based in Central Canada, with the automobile industry and aircraft industry being especially important. With the world's longest coastline, Canada has the 8th largest commercial fishing and seafood industry in the world. Canada is one of the global leaders of the entertainment software industry. It is a member of the APEC, NAFTA, G7, G20, OECD and WTO.
The economy of Canada is a highly developed mixed economy with 10th largest GDP by nominal and 16th largest GDP by PPP in the world. As with other developed nations, the country's economy is dominated by the service industry, which employs about three quarters of Canadians. Canada has the fourth highest total estimated value of natural resources, valued at US$33.2 trillion in 2016. It has the world's third largest proven petroleum reserves and is the fourth largest exporter of petroleum. It is also the fourth largest exporter of natural gas. Canada is considered an "energy superpower" due to its abundant natural resources and small population.
Ice hockey, referred to as simply "hockey", is Canada's most prevalent winter sport, its most popular spectator sport, and its most successful sport in international competition. Lacrosse, a sport with Indigenous origins, is Canada's oldest sport. Canadian football is Canada's second most popular spectator sport, being the most popular in the prairie provinces. The Canadian Football League's annual championship, the Grey Cup, is one of the country's largest annual sports events. While other sports have a larger spectator base, Association football, known in Canada as "soccer" in both English and French, has the most registered players of any team sport in Canada. Professional teams exist in many cities in Canada. Statistics Canada reports that the top ten sports that Canadians participate in are golf, ice hockey, swimming, soccer, basketball, baseball, volleyball, skiing (downhill and alpine), cycling and tennis.
On 6 February 2015, the Supreme Court of Canada unanimously ruled in "Carter v Canada (AG)" that Canadian adults who are mentally competent and suffering intolerably and permanently have the right to a doctor's help in dying. The court however suspended its ruling for 12 months to give the government an opportunity to write legislation and draft new laws and policies around assisted dying. In January 2016 the court granted an additional 4-month extension to its ruling suspension to allow time for the newly elected Liberal government to consult with Canadians on drafting a law to comply with the ruling. As an interim measure, it also ruled that provincial courts can now begin approving applications for euthanasia until the new law passes.
Today, this system is more or less intact. All citizens and legal foreign residents of France are covered by one of these mandatory programs, which continue to be funded by worker participation. However, since 1945, a number of major changes have been introduced. Firstly, the different health care funds (there are five: General, Independent, Agricultural, Student, Public Servants) now all reimburse at the same rate. Secondly, since 2000, the government now provides health care to those who are not covered by a mandatory regime (those who have never worked and who are not students, meaning the very rich or the very poor). This regime, unlike the worker-financed ones, is financed via general taxation and reimburses at a higher rate than the profession-based system for those who cannot afford to make up the difference. Finally, to counter the rise in health care costs, the government has installed two plans, (in 2004 and 2006), which require insured people to declare a referring doctor in order to be fully reimbursed for specialist visits, and which installed a mandatory co-pay of €1 for a doctor visit, €0.50 for each box of medicine prescribed, and a fee of €16–18 per day for hospital stays and for expensive procedures.
Since 1905 the French Government has followed the principle of "laïcité", in which it is prohibited from recognising any specific right to a religious community (except for legacy statutes like those of military chaplains and the local law in Alsace-Moselle). It recognises religious organisations according to formal legal criteria that do not address religious doctrine. Conversely, religious organisations are expected to refrain from intervening in policy-making. Certain groups, such as Scientology, Children of God, the Unification Church, or the Order of the Solar Temple, are considered cults (""sectes"" in French), and therefore do not have the same status as recognised religions in France. "Secte" is considered a pejorative term in France.
The French health care system is one of universal health care largely financed by government national health insurance. In its 2000 assessment of world health care systems, the World Health Organization found that France provided the "close to best overall health care" in the world. The French healthcare system was ranked first worldwide by the World Health Organization in 1997. In 2011, France spent 11.6% of GDP on health care, or US$4,086 per capita, a figure much higher than the average spent by countries in Europe but less than in the United States. Approximately 77% of health expenditures are covered by government funded agencies.
On 17 June 2016, Bill C-14 to legalize and regulate assisted dying passed in Canada's Parliament. This section outlines the details of this law. Strict rules govern access to assisted suicide. If they are not met, anyone who aids another person in killing themselves is guilty of a crime. Canada's law on assisted dying does not allow advance directives, nor does it allow it for minors or people who are suffering from a mental illness.
French is the second most common language in Canada, after English, and both are official languages at the federal level. It is the first language of 9.5 million people or 29% and the second language for 2.07 million or 6% of the entire population of Canada. French is the sole official language in the province of Quebec, being the mother tongue for some 7 million people, or almost 80% (2006 Census) of the province. About 95% of the people of Quebec speak French as either their first or second language, and for some as their third language. Quebec is also home to the city of Montreal, which is the world's 4th-largest French-speaking city, by number of first language speakers. New Brunswick and Manitoba are the only officially bilingual provinces, though full bilingualism is enacted only in New Brunswick, where about one third of the population is Francophone. French is also an official language of all of the territories (Northwest Territories, Nunavut, and Yukon). Out of the three, Yukon has the most French speakers, comprising just under 4% of the population. Furthermore, while French is not an official language in Ontario, the French Language Services Act ensures that provincial services are to be available in the language. The Act applies to areas of the province where there are significant Francophone communities, namely Eastern Ontario and Northern Ontario. Elsewhere, sizable French-speaking minorities are found in southern Manitoba, Nova Scotia, Prince Edward Island and the Port au Port Peninsula in Newfoundland and Labrador, where the unique Newfoundland French dialect was historically spoken. Smaller pockets of French speakers exist in all other provinces. The city of Ottawa, the Canadian capital, is also effectively bilingual, as it is on the other side of a river from Quebec, opposite the major city of Gatineau, and is required to offer governmental services in French as well as English.
The government of Canada has not acknowledged Pimicikamak's customary government in modern times. Its policy is that self-government is an inherent right of aboriginal peoples in Canada and that this right is recognized and affirmed by the Constitution of Canada. "The federal government supports the concept of self-government being exercised by Aboriginal nations or other larger groupings of Aboriginal people." but does not accept that an aboriginal people may exercise this right without first negotiating it. Negotiation and legislation of self-government can result in domestic, dependent status similar to that of Indian nations in the United States of America, whose governments are defined by Act of Congress. Canada has not generally accepted Pimicikamak's policy of exercising its inherent right.
The government of Canada prefers to deal with Cross Lake First Nation, a domestic, dependent, municipal form of government established by Act of Parliament. Under this federal legislation and the terms of various agreements, the Band Council acts as the agent of the Minister of Indian Affairs and Northern Development in delivering programs to Indians on reserve.
Since 1999, several Band Councils have taken and held office pursuant to the "Pimicikamak Election Law, 1999" instead of the federal legislation.
In 2015 the Netherlands maintained its number one position at the top of the annual Euro health consumer index, which compares healthcare systems in Europe, scoring 916 of a maximum 1,000 points. The Netherlands is the only country that has been in the top three ranking in every Euro health consumer index published since 2005. On 48 indicators such as patient rights and information, accessibility, prevention and outcomes, the Netherlands secured its top position among 37 European countries for the fifth year in a row. 
The Netherlands was also ranked first in a study comparing the health care systems of the United States, Australia, Canada, Germany and New Zealand.
A 2008 article in the journal "Health Affairs" suggested that the Dutch health system, which combines mandatory universal coverage with competing private health plans, could serve as a model for reform in the US. However,
an assessment of the 2006 Dutch health insurance reforms published in Duke University's "Journal of Health Politics, Policy and Law" in 2008 raised concerns. The analysis found that market-based competition in healthcare may not have the advantages over more publicly based single payer models that were originally envisioned for the reforms:
In Canada, as in England, there is no duty to retreat under the law. Canada's laws regarding self defense are similar in nature to that of England, as they center around the acts committed, and whether or not those acts are considered reasonable in the circumstances. The sections of the Canadian criminal code that deal with self defense or defense of property are sections 34 and 35, respectively. These sections were updated in 2012 to clarify the code, and to help legal professionals to apply the law in accordance with the values Canadians hold to be acceptable.
The first move towards a national health insurance system was launched in Germany in 1883, with the Sickness Insurance Law. Industrial employers were mandated to provide injury and illness insurance for their low-wage workers, and the system was funded and administered by employees and employers through "sick funds", which were drawn from deductions in workers' wages and from employers' contributions. Other countries soon began to follow suit. In the United Kingdom, the National Insurance Act 1911 provided coverage for primary care (but not specialist or hospital care) for wage earners, covering about one third of the population. The Russian Empire established a similar system in 1912, and other industrialized countries began following suit. By the 1930s, similar systems existed in virtually all of Western and Central Europe. Japan introduced an employee health insurance law in 1927, expanding further upon it in 1935 and 1940. Following the Russian Revolution of 1917, the Soviet Union established a fully public and centralized health care system in 1920. However, it was not a truly universal system at that point, as rural residents were not covered.
The service sector in Canada is vast and multifaceted, employing about three quarters of Canadians and accounting for 70% of GDP. The largest employer is the retail sector, employing almost 12% of Canadians. The retail industry is concentrated mainly in a small number of chain stores clustered together in shopping malls. In recent years, there has been an increase in the number of big-box stores, such as Wal-Mart (of the United States), Real Canadian Superstore, and Best Buy (of the United States). This has led to fewer workers in this sector and a migration of retail jobs to the suburbs.
The second largest portion of the service sector is the business service and hire only a slightly smaller percentage of the population. This includes the financial services, real estate, and communications industries. This portion of the economy has been rapidly growing in recent years. It is largely concentrated in the major urban centres, especially Toronto, Montreal and Vancouver (see Banking in Canada).
The Canada Health Act of 1984 "does not directly bar private delivery or private insurance for publicly insured services," but provides financial disincentives for doing so. "Although there are laws prohibiting or curtailing private health care in some provinces, they can be changed," according to a report in the New England Journal of Medicine. The legality of the ban was considered in a decision of the Supreme Court of Canada, which ruled in "Chaoulli v. Quebec" that "the prohibition on obtaining private health insurance, while it might be constitutional in circumstances where health care services are reasonable as to both quality and timeliness, is not constitutional where the public system fails to deliver reasonable services." The appellant contended that waiting times in Quebec violated a right to life and security in the Quebec Charter of Human Rights and Freedoms. The Court agreed, but acknowledged the importance and validity of the Canada Health Act, and at least four of the seven judges explicitly recognized the right of governments to enact laws and policies that favour the public over the private system and preserve the integrity of the public system.
The government ensures the quality of care through federal standards. The government does not participate in day-to-day care or collect any information about an individual's health, which remains confidential between a person and their physician. Canada's provincially based Medicare systems are cost-effective because of their administrative simplicity. In each province, each doctor handles the insurance claim against the provincial insurer. There is no need for the person who accesses healthcare to be involved in billing and reclaim at all. Private health expenditure accounts for 30% of health care financing. The Canada Health Act does not cover prescription drugs, home care or long-term care or dental care, which means most Canadians rely on private insurance from their employers or the government to pay for those costs. Provinces provide partial coverage for children, those living in poverty and seniors.
As per the Constitution of Canada, health care is mainly a provincial government responsibility in Canada (the main exceptions being federal government responsibility for services provided to aboriginal peoples covered by treaties, the Royal Canadian Mounted Police, the armed forces, and Members of Parliament). Consequently, each province administers its own health insurance program. The federal government influences health insurance by virtue of its fiscal powers – it transfers cash and tax points to the provinces to help cover the costs of the universal health insurance programs. Under the Canada Health Act, the federal government mandates and enforces the requirement that all people have free access to what are termed "medically necessary services," defined primarily as care delivered by physicians or in hospitals, and the nursing component of long-term residential care. If provinces allow doctors or institutions to charge patients for medically necessary services, the federal government reduces its payments to the provinces by the amount of the prohibited charges. Collectively, the public provincial health insurance systems in Canada are frequently referred to as Medicare. This public insurance is tax-funded out of general government revenues, although British Columbia and Ontario levy a mandatory premium with flat rates for individuals and families to generate additional revenues - in essence, a surtax. Private health insurance is allowed, but in six provincial governments only for services that the public health plans do not cover (for example, semi-private or private rooms in hospitals and prescription drug plans). Four provinces allow insurance for services also mandated by the Canada Health Act, but in practice there is no market for it. All Canadians are free to use private insurance for elective medical services such as laser vision correction surgery, cosmetic surgery, and other non-basic medical procedures. Some 65% of Canadians have some form of supplementary private health insurance; many of them receive it through their employers. Private-sector services not paid for by the government account for nearly 30 percent of total health care spending.
The Canada Health Act, which sets the conditions with which provincial/territorial health insurance plans must comply if they wish to receive their full transfer payments from the federal government, does not allow charges to insured persons for insured services (defined as medically necessary care provided in hospitals or by physicians). Most provinces have responded through various prohibitions on such payments. This does not constitute a ban on privately funded care; indeed, about 30% of Canadian health expenditures come from private sources, both insurance and out-of-pocket payments. The Canada Health Act does not address delivery. Private clinics are therefore permitted, albeit subject to provincial/territorial regulations, but they cannot charge above the agreed-upon fee schedule unless they are treating non-insured persons (which may include those eligible under automobile insurance or worker's compensation, in addition to those who are not Canadian residents), or providing non-insured services. This provision has been controversial among those seeking a greater role for private funding.