Medical care, Cost of--British Columbia

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  • Sound Recording Database SMIDDEV_SR_SUBJECT_HEADINGS.

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Medical care, Cost of--British Columbia

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Medical care, Cost of--British Columbia

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Medical care, Cost of--British Columbia

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Alternative Payments program files

  • GR-3487
  • Series
  • 1968-2011

The series consists of applications, reports, forms, correspondence, printouts from government databases, and budget information received, maintained and created by the Ministry of Health and its successors. The records were created between 1968 and 2011 for the Alternative Payments program. The series documents the provision and monitoring of Medical Services Plan (MSP) funding for physician and health care practitioner services through alternative payment agreements to regional health authorities. The functions of the Alternative Payment program were controlled by the Physicians’ Compensation branch.

The Alternative Payments program is a method of funding physician services by the Medical Services Plan through means other than the fee-for-service method. The program is designed to secure sufficient access to care in situations where fee-for-service arrangements may not guarantee physicians the financial support or stability to be able to provide needed care, such as in teaching hospitals or community-based services in rural areas. There are two models for alternative payments : service agreements and sessional arrangements. Service agreements consist of a contract between the Ministry of Health and a Health Authority which retains physicians under contract or direct employment. Sessional arrangements are based on contracts between a Health Authority and a physician.

Records consist of alternative payment agreement accountability records case files. Records regard reviewing applications from regional health authorities for funding for programs within their geographic areas of responsibility; developing and monitoring agreements with regional health authorities; monitoring programs funded by alternative payments methods; and processing payments to regional health authorities in accordance with approved agreements. The series also include some files with related policies, procedures and forms.

Ministries responsible for the creation of this series, and their dates of the responsibility, are:
British Columbia. Ministry of Health (1976-2001)
British Columbia. Ministry of Health Services (2001-2005)
British Columbia. Ministry of Health (2005-2008)
British Columbia. Ministry of Health Services (2008-2011)

The records are arranged in several groups of accessions by health region and then by agency or health authority. The records are covered by Medical Services Plan ORCS 40740-20, 40600-00 and 40700-02.

British Columbia. Ministry of Health (1976-2001)

B.C. Liberal Association : [speech]

SUMMARY: M.L.A. Jack McRae, a patient at Vancouver General Hospital, discusses his medical treatment and the B.C. Hospital Plan, and praises the Liberal Party for bringing in medical insurance.;

Bill Bennett : [press conferences, speeches, etc., April-May 1977]

CALL NUMBER: T1707:0025 SUPPLIED TITLE OF TAPE(S): Bill Bennett: Announcements concerning BC Ferries RECORDED: [location unknown], 1977-04 SUMMARY: TRACK 1: Premier Bill Bennett is interviewed, and Transportation Minister Jack Davis comments on the question of ferry routes and rates, 21 April 1977. TRACK 2: Bennett discusses the upcoming rate reductions for ferry services, 22 April 1977. CALL NUMBER: T1707:0026 SUPPLIED TITLE OF TAPE(S): Bill Bennett: Announcement concerning railway development and Pharmacare RECORDED: [location unknown], 1977-05-10 & 12 SUMMARY: TRACK 1: Premier Bill Bennett, Economic Development Minister Don Phillips and federal Justice Minister Ron Basford at a press conference about the $10 million agreement on Northern Coal and Railway development, 10 May 1977. TRACK 2: Bennett announces the introduction of a universal pharmacare system for BC, 12 May 1977. CALL NUMBER: T1707:0027 SUPPLIED TITLE OF TAPE(S): Bill Bennett: on ferry rates and Governor Dixy Lee Ray RECORDED: [location unknown], 1977-05-12 & 17 SUMMARY: TRACK 1: Premier Bill Bennett announces new rates for BC Ferries, 12 May 1977. TRACK 2: Bennett comments on the cancellation of the visit to Victoria by Washington Governor Dixy Lee Ray. Also, Conservative leader Scott Wallace comments on the cancellation, 17 May 1977. CALL NUMBER: T1707:0028 SUPPLIED TITLE OF TAPE(S): Bill Bennett: Announces the reconvening of the Legislature RECORDED: [location unknown], 1977-05-26 SUMMARY: TRACK 1: Premier Bill Bennett announces that the Legislature will re-convene on 13 June 1977. 26 May 1977. [TRACK 2: blank?] CALL NUMBER: T1707:0029 SUPPLIED TITLE OF TAPE(S): Bill Bennett: Answers questions from Courtenay students RECORDED: [location unknown], 1977-05-26 SUMMARY: Premier Bill Bennett answers questions from students of Courtenay High School, 26 May 1977.

Bob McClelland addresses the Victoria Medical Society

CALL NUMBER: T2689:0004 SUPPLIED TITLE OF TAPE(S): Bob McClelland addresses the annual dinner of the Victoria Medical Society : [tape 1] SUMMARY: BC Health Minister Bob McClelland addresses the annual dinner of the Victoria Medical Society, December 3, 1976. Grace, toast to the Queen, introduction of head table, guests, welcome to two new honourary members; introduction of guest speaker, the Honourable Robert McClelland, British Columbia's Minister of Health. McClelland talks about his philosophy of health care, the need for preventative ;medicine and lifestyle change (i.e., personal responsibility for own health care, education about lifestyle change, seat belt legislation). Questions about funding preventative medicine; education; special programs; need for deterrent fees; other incentives; lack of facilities for really sick people; financial constraints.

CALL NUMBER: T2689:0005 SUPPLIED TITLE OF TAPE(S): Bob McClelland addresses the annual dinner of the Victoria Medical Society : [tape 2] SUMMARY: Final questions about lack of facilities, finance, cutbacks. Thanks to guest speaker, Robert McClelland.

[Dennis Cocke -- health conference]

News item. NDP Health Minister Dennis Cocke fears that rising BC health care costs might mean a drop in efficiency, even at higher rates. He hints that the province has had to pick up more than its share of health care costs even with the agreement between provincial governments and the federal government. At the end of the conference, Cocke gives each of the ministers and delegates a "crying towel" to commemorate the event.

Gender reassignment surgery human rights complaints

  • GR-3981
  • Series
  • 2005

This series consists of human rights complaints related to gender reassignment surgery from 2005. These records were created by the Ministry of Health, and its predecessors, in response to complaints filed with the Human Rights Tribunal.

Records relate to the assessment and decisions regarding requests for Medical Services Plan (MSP) funding for gender reassignment surgery (GRS). Gender reassignment surgery requires pre-authorization for MSP funding. The beneficiary’s physician refers the request to MSP, where the application is assessed by Medical Services Branch staff, the consultant psychiatrist, and the Gender Reassignment Surgical Review Committee, who issues the letter of decision. This includes the resulting human rights tribunal case and actions resulting from the decision.

The series includes records of one case regarding discrimination based on sex resulting from different coverage provided to individuals undergoing male to female, and female to male transitions, as described in the records.

Record types include correspondence, memorandum, reports, briefing notes, copies of complaint, investigation and resolution records, financial records and the decision document of the BC Human Rights Tribunal.

Records are scheduled under Medical Services Plan ORCS (142798) number 41560-30.

British Columbia. Ministry of Health (2005-2008)

Health supplementary benefits program records

  • GR-3982
  • Series
  • 1991-2010

This series consists of Health supplementary benefits program records created by the Ministry of Health Services and its predecessors from 1991-2010.

These agreements document the formal relationship between the government and the medical community and the changes in that relationship. Records relate to the Medical Services Plan (MSP) or special committees relating to supplementary health care specialties. This includes records relating to negotiations for funding and the provision of services between the provincial government and representative bodies of practitioners including massage therapists, chiropractors, podiatrists, dentists, and occupational therapists. Most records relate to the addition or deletion of specific medical procedures or services from related fee schedules covered by MSP.

Prior to 2003, The provincial government human resources agency (BCPSA, prior to that Public Service Relations Commission (PSERC), and prior to that GPSD) negotiated the agreements with representatives of practitioner groups. As of 2003, the Ministry of Health Services has assumed the role of negotiator between the Medical Service Commission and practitioner governing bodies.

Records types include reports; correspondence; billing guides; committee minutes regarding additional or altered fees for medical services; and final approved agreements which the Medical Service Commission is responsible for under the Medicare Protection Act (RSBC 1996, c. 286).

Records are covered under the Medical Services Plan schedule (142798) ORCS number 43000-00, 43000-20, 43000-35.

British Columbia. Ministry of Health Services (2008-2011)

Jack Davis : [press conferences, etc., 1977 & 1978]

CALL NUMBER: T1209:0001 SUPPLIED TITLE OF TAPE(S): News conferences on gas legislation and BC Ferries RECORDED: [location unknown], 1977-02-26 & 28 SUMMARY: TRACK 1: Jack Davis, Minister of Energy, Transport and Communications, discusses changes in the legislation regarding natural gas, 26 February 1977. TRACK 2: Davis discusses the size of ferry crews on the BC Ferries vessels, 28 February 1977. CALL NUMBER: T1209:0002 SUPPLIED TITLE OF TAPE(S): News conferences on pipelines and seat belt legislation RECORDED: [location unknown], 1977-03-01 & 15 SUMMARY: TRACK 1: Jack Davis, Minister of Energy, Transport and Communications, discusses possible oil pipeline routes in BC, and potential environment effects, 1 March 1977. TRACK 2: Davis introduces automobile seat belt legislation, 15 March 1977. CALL NUMBER: T1209:0003 SUPPLIED TITLE OF TAPE(S): News conferences on natural gas exports and seat belt fines RECORDED: [location unknown], 1977-03-23 & 24 SUMMARY: TRACK 1: Jack Davis, Minister of Energy, Transport and Communications, discusses problems related to natural gas export contracts, 23 March 1977. TRACK 2: Davis announces reduced penalties for seat belt infractions, 24 March 1977. Also: NDP MLA Rosemary Brown applauds the announcement of the Human Resources Minster that there will be no "deductible" charge for Pharmacare, 24 March 1977. CALL NUMBER: T1209:0004 SUPPLIED TITLE OF TAPE(S): Jack Davis on northern ferries, Revelstoke Dam and BC Tel rates RECORDED: [location unknown], 1977-04-19 & 1977-05-17 SUMMARY: TRACK 1: Jack Davis, Minister of Energy, Transport and Communications, on northern ferry transportation and the Revelstoke Dam situation, 19 April 1977. TRACK 2: Davis on BC Tel rates, 17 May 1977. CALL NUMBER: T1209:0005 SUPPLIED TITLE OF TAPE(S): Jack Davis on BC Ferries, energy report, and Cherry Point oil port RECORDED: [location unknown], 1977-05-17 & 1977-06-03 SUMMARY: TRACK 1: Jack Davis, Minister of Energy, Transport and Communications, on BC Ferries, BC Steamships, and MIT energy report, 17 May 1977. TRACK 2: Davis doesn't like Cherry Point, Washington, as a potential location for an oil port, 3 June 1977. CALL NUMBER: T1209:0006 SUPPLIED TITLE OF TAPE(S): Jack Davis on nuclear power, seat belts, and Alcan pipeline RECORDED: [location unknown], 1977-06-17 & 1977-07-04 SUMMARY: TRACK 1: Jack Davis, Minister of Energy, Transport and Communications, says nuclear power plants are not required in BC, 17 June 1977. Also: NDP MLA Dave Stupich on municipal finance, [same date?]. TRACK 2: Davis on seat belt legislation and the Alcan Pipeline route, 4 July 1977. Also: Human Resources Minister Bill Vander Zalm on the abolition of the Vancouver Resources Board, [same date?]. CALL NUMBER: T1209:0007 SUPPLIED TITLE OF TAPE(S): Jack Davis comments on his resignation as Minister RECORDED: [location unknown], 1978-04-[03?] SUMMARY: TRACK 1: Jack Davis, Social Credit MLA (North Vancouver - Seymour), explains the reasons why he resigned as Minister of Energy, Transport and Communications, pending the outcome of an RCMP investigation into his air travel expenses. Davis admits that he traded-in first class airplane tickets for regular fare tickets and pocketed the difference. But, Davis says, he did not claim some other expenses he could have claimed, and the refunds he received were kept in lieu of claiming for those other items. Davis also says that he reimbursed the government for some of the difference. The press questions Davis extensively regarding the specifics of what he did, as well as about details surrounding his resignation. April 3 [?], 1978. [TRACK 2: blank.]

Medical Services Commission minutes and records of decision

  • GR-3966
  • Series
  • 1965-2009

This series consists of minutes, records of decision and other records of the Medical Services Commission (MSC). Most records relate to determining what medical services and procedures are covered under the Medical Services Plan (MSP), their availability, what cost will be covered and how they will be billed. Medical services also include those of dentists, podiatrists, orthodontists, optometrists, chiropractors, massage therapists, physiotherapists, naturopaths, etc. MSC activities also include changing guidelines or appointing hearing panels, committees and subcommittees to support MSC actions and ensure compliance.

This series is arranged in three subseries: records of decision, minutes and other records.

Records of decision date from 1994-2008. These files include agendas, records of decision, correspondence, background information related to issues presented in the meetings for consideration or decision, and other informational items presented to the Commission. Records relate to issues included in the Commission’s meetings.

Minutes date from 1965-1975 and 1991-2009. They document the decisions of the commission which provide the basis for Medical Services Plan policy. Most files are arranged by minute numbers comprised of the year the decision is made and then the next consecutive number. Some minutes may be missing or in the incorrect order. Minutes from the 1960s and 1970s are arranged by date. They are more detailed, and may include transcriptions of proceedings and other documents such as correspondence. Minutes are arranged by year in the file list, however this order may differ from the file order in the boxes.

Other records include copies of legislation from other provinces and BC, including draft of the first legislation and regulation used in implementing MSP.

Records are covered under Medical Services Plan ORCS (schedule 142798) numbers 40050-40 and 40050-50.

British Columbia. Medical Services Commission

Medical Services Plan (MSP) clinical practice guidelines and protocols support files

  • GR-4032
  • Series
  • 1993 - 2010

The series consists of records relating to support provided by Medical Services Plan (MSP) for the initiation, approval, and development of clinical practice guidelines and protocols for physicians in BC between 1993-2010. Guidelines and protocols are developed by physician working committees under the umbrella of the Guidelines and Protocols Advisory Committee (GPAC), co-chaired by MSP and the BC Medical Association (BCMA), which meets approximately six times per calendar year. GPAC is responsible for documenting the discussion of topics that may become the subject of a future guideline or protocol. If GPAC determines that a guideline or protocol is required, responsibility for developing the guideline or protocol relating to the topic is assigned to a working committee. MSP supports the development of protocols and guidelines by providing information, analysis and review services to physician working committees; secretariat services to the working committees; and by retaining documentation relating to the development of protocols and guidelines. The records were created under the Medicare Protection Act (RSBC 1996, c. 286).
The records are arranged chronologically by meeting date or by working committee, then by guideline or protocol. They include correspondence, policy files, agendas, critical documents packages containing records of decision, and reports. The records are classified under the following Medical Services Plan ORCS guidelines and protocols - initiation and approval (40220-00, 40220-02, 40220-31) and guidelines and protocols - development classifications (40240-00, 40240-02, 40240-21). The MSP ORCS (schedule 142798) was published in 2014.

British Columbia. Medical Services Commission

Ralph Loffmark interview

CALL NUMBER: T3093:0001 SUPPLIED TITLE OF TAPE(S): Early life and education PERIOD COVERED: 1920-1960 RECORDED: [location unknown], 1978-07 SUMMARY: TRACK 1: Ralph Loffmark discusses: his family background; his early life in the interior of B.C.; his education in Chase, B.C., Kamloops, B.C., at the University of B.C., and at the University of Toronto; his election to the student council at the University of Toronto as athletic director; and his enlistment in the Canadian army. TRACK 2: Ralph Loffmark discusses: his service in the armed forces, his close encounters with death; his first experience with a conscious political policy; his law and business education experiences as a veteran; his first employment as a lawyer; his interests in accountancy; teaching commerce at UBC; his experience writing in areas of the law and commerce; his first interests in politics. CALL NUMBER: T3093:0002 SUPPLIED TITLE OF TAPE(S): Loffmark's first election and some of his political ideas PERIOD COVERED: 1950-1963 RECORDED: [location unknown], 1978-07 SUMMARY: TRACK 1: Ralph Loffmark discusses: his first exposure to politics; his entry into politics as a Social Credit candidate in 1963; the 1963 election campaign; his perceptions of the Social Credit Party at that time; his concern over the state of roads in B.C. during that period. TRACK 2: Ralph Loffmark discusses the expropriation of B.C. Electric as a major issue in the1963 provincial election; the nature of the Social Credit membership in Point Grey; the nature of nomination and candidacy procedure; dams on the Peace and Columbia Rivers; the crippling effects of cost overruns in government projects; some of his perceptions about the political parties in B.C.; and his primary occupational objectives. CALL NUMBER: T3093:0003 SUPPLIED TITLE OF TAPE(S): Being elected and joining the cabinet PERIOD COVERED: 1963-1968 RECORDED: [location unknown], 1978-07 SUMMARY: TRACK 1: Loffmark discusses: the role of the backbencher in the legislature; joining the cabinet as Minister of Industrial Development, Trade and Commerce in 1964; attempts at influencing cabinet ministers; his priorities as a cabinet minister; and transportation problems in Canada. TRACK 2: Loffmark discusses: Canadian freight rates; trade promotion activities; Japanese business connections; contrasts between doing business with Japan and India; his appointment to Treasury Board; the duties of Treasury Board; and inter-departmental relations. CALL NUMBER: T3093:0004 SUPPLIED TITLE OF TAPE(S): Minister of Trade and Commerce PERIOD COVERED: 1964-1968 RECORDED: [location unknown], 1978-07 SUMMARY: TRACK 1: Loffmark discusses: the development of the Bank of British Columbia; the run on B.C. bonds after the expropriation of B.C. Electric; the opportunities for tax reductions open to a business man; foreign investment in B.C.; secondary industries in B.C.; the poor state of dominion-provincial relations; B.C. separatism; the contention over the adequacy of Vancouver harbour; the possible over-production of pulp and paper. TRACK 2: Loffmark discusses: the redistribution of seats prior to the 1966 provincial election; the 1966 election campaign in Vancouver South; his travels on trade missions; joint American-Canadian development around the area of the Alaskan Panhandle. CALL NUMBER: T3093:0005 SUPPLIED TITLE OF TAPE(S): Minister of Health PERIOD COVERED: 1964-1972 RECORDED: [location unknown], 1978-07 SUMMARY: TRACK 1: Loffmark discusses: his move from the Ministry of Trade and Industry to Health; Phil Gaglardi's removal as Minister of Highways and its effect on the Social Credit Party; the problems he perceived in the field of health; his priorities as Health minister; the ban on liquor and tobacco advertising; the death penalty for persistent drug traffickers; the operation of government liquor stores; the debate over pollution control; the necessity to maintain some kind of control over doctors who were abusing medicare; Scott Wallace's position in the Social Credit Party; and pharmacare and dentacare. TRACK 2: Loffmark discusses: dentacare and pharmacare; the publishing of doctors' earnings; the resource development vs. social services debate; the Clearwater incident; B.C. government efforts to fight heroin addiction; the government's power to allow certain doctors to use hospital facilities; the effects of Scott Wallace's crossing the floor; and the 1972 provincial election. CALL NUMBER: T3093:0006 SUPPLIED TITLE OF TAPE(S): Health care and some general political perceptions PERIOD COVERED: 1964-1972 RECORDED: [location unknown], 1978-07 SUMMARY: TRACK 1: Loffmark discusses: the 1972 election; the Dease Lake railway extension; his major accomplishments as Minister of Health; his decision to retire from politics; his impressions of politics in general and of the party system; his relationship with W.A.C. Bennett; and cabinet meetings. TRACK 2: Ralph Loffmark discusses the timing of elections; the nature of the relationship between the civil service and the government; decision-making in his ministries; all-night sittings of the Legislature; his relationship with the press; government-organized group relations; opposition party unity; the effectiveness of opposition parties; and his perception of persons in the opposition parties. CALL NUMBER: T3093:0007 SUPPLIED TITLE OF TAPE(S): Some general political perceptions PERIOD COVERED: 1964-1978 RECORDED: [location unknown], 1978-07 SUMMARY: TRACK 1: Loffmark discusses: his views on the Dease Lake railway extension; cost reductions in health care; the home medical care scheme; his present activities; religion in politics; the effectiveness of a good political leader; the role of an MLA; the reasons behind W.A.C. Bennett's success; the Social Credit party as a coalition; reforms in the procedure of the House; the nature of the makeup of the Social Credit government; the nature of Social Credit policy-making; the proper functions of government; the rise of administrative tribunals; the decline of the Legislature. [TRACK 2: blank; end of interview]

Webster! : 1987-03-23

Public affairs. Jack Webster's popular weekday morning talk show. Guests and topics for this episode are: Jake Epp, Minister of Health and Welfare, talks about AIDS. Dr. John O'Brien-Bell, President of the BC Medical Association, refutes the Minister of Finance's claim that BC doctors' fees are substantially higher than in the rest of Canada.

Webster! : 1987-03-25

Public affairs. Jack Webster's popular weekday morning talk show. Guests and topics for this episode are: NDP leader Ed Broadbent talks about the Quebec secession movement and a free trade agreement with the US. Brian Calder, Director of the Real Estate Board, discusses progressive real estate taxes. Physiotherapists Craig Ross and Jan Lowcock of the BC Association of Physiotherapists talk about a new $5 user surcharge.