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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/17631

Title: The Check-Off: A precursor of medicare in Canada?
Authors: McAlister, Chryssa N
Twohig, Peter
Keywords: Medical Insurance
Medicare
Coal mining
Issue Date: 2005
Citation: McAlister C, Twohig P. The Check-Off: A precursor of medicare in Canada? CMAJ. 2005 Dec 6;173(12):1504-6.
Abstract: The public system of health care insurance that exists in Canada today was implemented nationally in 1968 and was greatly influenced by the 1964 Royal Commission on Health Services, headed by Justice Emmett Hall. When, in his final report, Justice Hall described the evolution of health care in Canada, he made brief reference to a health insurance system that existed in the Glace Bay colliery district of Cape Breton. Known as the “Check-Off,” this was a mandatory system whereby deductions were made from miners’ wages for a subscription to physician services, medications and hospital care. A reference to the Check-Off in minutes of the Nova Scotia Provincial Workmen’s Association suggests that it dates from about 1883, although at least one other historical reference places its origin even earlier, in the mid-19th century. It proved to be a durable system, surviving in Cape Breton mining towns until 1969, when it was replaced by provincial medical insurance administered by Maritime Medical Care.
URI: http://hdl.handle.net/1807/17631
Appears in Collections:historyofsurgery.ca

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