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The Canada Health Act guarantees access to medical care for all Canadians and outlines a funding mechanisms for achieving this goal. However, it also entrenches patterns of authority and service models which reflect a hierarchical model of health care. Using the field of home care, it is argued that health structures enshrined in current legislation will actually impede the development of alternative types of service and organizational arrangements needed to meet the needs of future elderly Canadians requiring health care in their homes.
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Sheila M. Neysmith (1989) studied this question.
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