In a country as diverse socially, culturally, and geographically as Canada, the federal government must continue to
encourage the active participation of its citizens in community life. The Government of Canada is committed to building
a stronger, more cooperative federation in which all levels of government work together to promote core values,
linguistic duality, ethnic diversity, art, culture, and active citizenship, while enhancing the health, safety, and
standard of living of citizens. It is also committed to working collaboratively with Aboriginal leaders and their
communities to improve the well-being of Aboriginal peoples in Canada.
Collaboration between federal, provincial, and territorial governments is essential to provide Canadians with a
publicly funded health system that can cope with the breadth of health issues.
The Government of Canada is dedicated to strengthening the justice system and reinforcing Canada's capacity to
address the dangers posed by local crimes. To ensure the safety of Canadian communities, the Government of Canada also
works in partnership with volunteers, academics, governments, and community organizations on ways to prevent crime by
investing in approaches that help stakeholders address the root causes of crime and victimization, such as family
violence, gang recruitment, or substance abuse. The Government of Canada establishes and enforces laws that keep
Canadians safe, regulate Canadian society, and protect disadvantaged groups in Canadian communities. It is also the
federal government's responsibility to work collaboratively with First Nations, Inuit, and Métis in developing healthy,
sustainable communities and in achieving their economic, social, and cultural aspirations.
A country that builds upon its foundation of linguistic duality and fosters creative expression across the diversity
of its people also encourages dialogue, intercultural exchange, and, ultimately, a more inclusive society. At the same
time, a society based on the values of inclusion and openness to diversity is better able to generate new ideas from a
broader spectrum of experiences and views.
A wide array of social programs exists to strengthen Canada's social well-being and to enhance the quality of life of
its citizens. Some of these initiatives are aimed at preserving the ethno-cultural traditions that enrich our society,
improving the chances for Canadian children to have a good start in life, and helping seniors to enjoy a dignified life,
while fully participating in their communities. Other initiatives help facilitate the successful integration of
newcomers through access to settlement supports and by granting Canadian citizenship to eligible persons. The Government
of Canada also provides direct support, tax assistance, and funding to citizens, as well as public and voluntary sector
organizations.
This section tracks the Government of Canada's contribution to four outcome areas related to social affairs:
1. healthy Canadians
2. safe and secure communities;
3. a diverse society that promotes linguistic duality and social inclusion; and
4. a vibrant Canadian culture and heritage.
Did you know?
The Aboriginal Horizontal Framework provides a government-wide view of Aboriginal-directed programming and
spending offered by the Government of Canada. It arranges the suite of federal programs and services under seven
thematic headings: health, lifelong learning, safe and sustainable communities, housing, economic opportunity, lands
and resources, and governance and relationships. The Aboriginal Horizontal Framework reflects the Government of
Canada's commitment to increase transparency and improve horizontal management of federal programs targeted to
Aboriginal peoples.
The fully detailed Aboriginal Horizontal Framework is available at the following website:
http://www.tbs-sct.gc.ca/pmd-obgr/
|
|
![Aboriginal Horizontal Framework](/web/20061130002523im_/http://www.tbs-sct.gc.ca/report/govrev/06/cp-rc04_e.gif)
Key risks and challenges that impact Canada's social affairs
- An assessment of social performance must often be coupled with an analysis of the risks and challenges that
have influenced, and continue to influence, the state of social affairs. The following section provides a
summary of some of the key risks and challenges to the Canadian social outlook.
Timely Access to Health Care Services
- Canadians continue to take pride in their public system of health care, while at the same time having concerns
for its future and its ability to provide timely access to the quality care people need. Consistently, Canadians
are concerned about waiting for diagnostic tests, waiting for surgeries, or waiting to see specialists.
Reducing Crime Rates
- Family violence, gun proliferation, and drug abuse are among many factors that put individuals and communities
at risk. While Canadian communities require appropriate tools, knowledge, and support in order to deal with the
root causes of crime at a local level, sound management of offenders and effective corrections policies also
enhance public safety.
Meeting the Needs of Canada's Diverse Population
- As Canada's population becomes increasingly diverse, there will be challenges in continuing to promote unity,
cross-cultural understanding, and education and to recognize that linguistic duality and cultural diversity
constitute a unique social and economic advantage that benefits all Canadians across the country.
A Distinctive Character for Canadian Culture
- Canada is finding new ways of supporting Canadian communications, arts, and creativity. The distinctive
character of Canadian culture needs to be reflected in the images of Canada held by Canadians and by people from
other countries. The challenge is to promote cultural works that reflect a diversity of perspectives and voices,
and ensure a strong Canadian presence throughout Canada.
|
Performance context
To set its programs, expenditures, and performance in context, the Government of Canada is tracking key measures of
long-term progress in the area of healthy Canadians. In the electronic version of the report, clicking
on indicators in the Performance Highlights table below will lead you to detailed information about performance and
trends.
Trend
|
Indicator
|
Performance Highlights
|
▲
|
Life expectancy
|
Life expectancy at birth has steadily increased from 77.8 years in 1991 to 79.9 years in 2003 (82.4 years for
women and 77.4 years for men).
|
▲
|
Self-rated health status
|
Between 2003 and 2005, the proportion of Canadians describing their health as "excellent" or "very
good" increased. In 2005, 65.5% of Canadians aged 12 and older reported that they were in excellent or very
good health, up from 59.6% in 2003.
|
▬
|
Healthy lifestyles
|
In the last decade, Canadians' progress toward living healthy lifestyles has been mixed. Although people are
exercising more, a greater proportion of Canadians are considered overweight or obese.
|
▬
|
Waiting times
|
In 2005, the median waiting time was about four weeks for specialist visits and non-emergency surgery, and three
weeks for diagnostic tests. Nationally, median waiting times remained stable between 2003 and 2005, but there were
differences at the provincial level.
|
▬
|
Patient satisfaction
|
Between 2000–01 and 2002–03, the percentage of Canadians who rated the quality of overall health services as
being either "excellent" or "good" stayed relatively stable, increasing from 84.4% to 86.6%.
|
The Government of Canada's contribution to healthy Canadians
Canada's universal health care system exists to safeguard and improve the health of all Canadians. Responsibility for
public health and access to quality health care services is shared among federal, provincial, or territorial
governments. All levels of government and other stakeholders are working together to renew and strengthen Canada's
publicly funded health care system and to ensure Canadians receive adequate health care services in a timely manner. In Budget
2006, the Government of Canada announced important commitments to ensure that evidence-based benchmarks for
medically acceptable wait times are established, starting in five priority areas: cancer care, cardiac care, diagnostic
imaging procedures, joint replacements, and sight restoration. As stated in the Speech
from the Throne, Canada's new government will work with the provinces and territories to make sure that all
Canadians receive essential medical treatment within clinically acceptable waiting times.
While all levels of government play key roles in Canada's health care system, the federal government's
responsibilities divide into five broad areas:
Did you know?
The Government of Canada continues to collaborate with provincial and territorial governments to develop the
building blocks for establishing Patient Wait Times Guarantees to ensure that Canadians receive medically necessary
services within clinically acceptable wait times. More specifically, Health Canada
is working with experts and stakeholders to invest in research, advance the use of information and communications
technologies, facilitate better collaboration between jurisdictions, and ensure the supply of medical professionals.
Significant progress has already been made with the establishment of 10 common evidence-based wait time
benchmarks in the areas of cancer screening and care, cardiac surgery, hip and knee replacements, and cataracts.
Source: Health Canada, 2006
|
1) Supporting the health care system by setting and administering national principles or standards under the Canada
Health Act and assisting in the financing of provincial and territorial health care services through fiscal
transfers. Set at $19 billion in 2005–06, health cash transfers are legislated to increase by 6 per cent annually up
to 2013–14. This increase means an additional $1.1 billion in 2006–07 and a further $1.2 billion in 2007–08 in
support of provincial-territorial health systems. (Source: Department of Finance Canada)
2) Delivering direct health services to specific groups, including veterans, military personnel, inmates of federal
penitentiaries, refugee claimants, serving members of the Royal Canadian Mounted Police (RCMP), as well as First Nations
populations living on reserves and the Inuit. The Government of Canada is committed to reducing the gap in health status
between Aboriginal peoples and non-Aboriginal people by providing a range of ongoing programs to different segments of
on-reserve First Nations and recognized Inuit populations. For example, primary health care services are provided
through nursing stations and community health centres in remote and/or isolated communities to supplement and support
the services that provincial, territorial, and regional health authorities provide. In addition, the Government of
Canada provides supplementary health benefits to approximately 764,523 eligible First Nations and Inuit to cover
pharmaceuticals, dental services, vision services, medical transportation, medical supplies and equipment, and crisis
intervention mental health counselling.
3) Promoting multiple strategies to improve the health of the population. The federal government promotes physical
activity, sport, and health at the national level; works to prevent and control the risks of disease and injuries;
supports and funds research; and manages public health emergencies. To support such population health activities and to
protect the health of Canadians, Budget 2006 provided Health Canada and the Public Health Agency of Canada with $104
million over two years to develop and implement with various partners the Canadian
Strategy for Cancer Control.
4) Working with key partners to ensure that Canadians have accurate, timely health information on which to base
decisions (e.g. evaluating and monitoring safety and therapeutic effectiveness of drugs and medical devices; monitoring
food safety and taking risk management action as appropriate, including issuing food recalls and allergy alerts;
monitoring air quality and its effect on human health; and posting smog alerts).
5) Representing Canada at international fora on global health initiatives and participating in multinational efforts
to eradicate disease, improve health, and reduce risk associated with public health threats.
Links to detailed departmental information
Several departments, agencies, and Crown corporations that receive appropriations contribute to the outcome of healthy
Canadians through their respective strategic outcomes and program activities. This document serves as a road
map to facilitate navigation through the departmental and agency performance reports. Clicking on the links in the
electronic version of the following table will lead you to planning, performance, and resource information that is
contained in the organizations' departmental performance reports and reports on plans and priorities, as well as in the Annual
Report to Parliament on Crown Corporations and Other Corporate Interests of Canada. The Strategic Outcomes
database, which can be found at http://www.tbs-sct.gc.ca/rma/krc/cp-rc_e.asp, also leads to
relevant audits and evaluations.
Outcome Area
|
Federal Organizations
|
Healthy Canadians
|
Canadian Centre for Occupational Health and Safety
Canadian Food Inspection Agency
Canadian Institutes of Health Research
Correctional Service Canada
Department of Finance Canada
Hazardous Materials Information Review Commission
Health Canada
Indian and Northern Affairs Canada
Patented Medicine Prices Review Board Canada
Public Health Agency of Canada
Veterans Affairs Canada
|
|