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Maroc Maroc - ARMCHAIRMAYOR.CA - A La Une - 08/Aug 11:09

CHARBONNEAU – Nurse practitioners should be brought into Health Care Act

A DRAFT POLICY from the Canadian Medical Association (CMA) has caused quite a stir in the medical community. The CMA has identified loopholes where a two-tiered health care system could operate. One concern is the growing use of nurse practitioners and other health care professionals such as pharmacists. Nurse practitioners and others operate in a grey area because they were never included in the Canada Health Act of 1984. The act only applies to physicians. Since 1984, provinces have expanded the scope of practice of other health professionals. Since nurse practitioners are not included in Health Act, they could extra-bill. With a shortage of doctors, other health care professionals are providing more care than ever. As far as I can tell, nurse practitioners are not extra-billing patients; except where a patient has workplace insurance which requires that a patient pay upfront and be reimbursed later –not a violation of the Health Act. Private health insurance is legal as long as does not duplicate services covered by provincial health insurance plans. Private insurance covers services not covered by the public system, such as dental care, vision care, or prescription drugs. The CMA is concerned that private health insurance is offering services [...]

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