Document Qk33nVd2X2OG038dg2B27B744

. ; 1 hJm(H>l WviUm Dlmi ' ' /_> ;' .!?* " V-l*'* * INDUSTRIAL MfcDICAL PRACTICE. * ;. 70S Canada's Program of Prepaid Hospital *Cara--The Historical Strum, M. C, Taylor. Hospital* 35, 42 (1961). (Hospitals, Editor, American Hospital Association PubHsbtrs, . 640 N. Lake Short Drive, Chicago, ill, ). / Since the beginning of 1961, every resident o( Canada hat been entitled to necessary hospital care In the hospital of his choice at the standard ward level, without charge* fer ae fog as it may be required. On April 12, 1957, the four-party House Of Commons unanimously pass** the Hospital Insurance and Diagnostic Services Act, aterting the nationwide government epon* sored hospital plan on its way. The plan, a grant-in-aid program providing national fends to assist provincial!? administered plans, is based on universality. It Is provided that the program be universally available and the Intent is elear that all should be covered. There is no "means" test," The program rejects tha subsldy-to-voluntary-plans approach. In some provinces the Blue Cross Plan became the core of the new agency. In others. Blue Cross continues to provid for the cost of semi-private or private accommodations. The program empbasiaes the autonomy of hospitals. The voluntary hospital system Has been greatly strengthened by the virtual rsmovel of deficits. There we# unquestioned'celuctance on the pin of Bide Croet administrators and hospital leaders to see their projects taken over by the government. However, they have helped mold the plane, fought for comprehensive service benefits, argued for higher payments to support higher standards and mast increased cost. Any dissatisfaction has been heavily counterweighed by the knowledge that government action was merely extending to all wbal they bad struggled to bring to manyi it was a tribute to their ideals and an extension of tbeir goals, -- J. Occ. Med. Absts. 706 The Changing Nature of lndmtrlal Health Problems. D, M. Rose, lnd. Med. 6 Sura. Si, 157-159 (Juna 19611. ... The number.of new chemicals being developed for use in industry and in the home is .increasing so-rapidly.that their haaard to man eannot.be adequately defined by present toxico- * loglq reoeakch methods. It will be necessary to develop new scresnlng methods andnew short .cuts to toxicological research to avoid floodihg'the counnry.wlth chemicals of unevaluaied toxi city, The unmistakable trend U tb be concerned with lesser and lesser degrees of haxard. *ia many cases the limit of detection of overt changes has slryedy been reached end work has begs* ' on'ths development of bioqhemical,/immunological, and neurophysiological techniques that will delect earl\er changes In body physiology.. An Increasing number of egenlrf Is being Identified , as producing long range, chronic, carcinogenic, or genetic effects. Increased emphasis must be placed on the study of these materials lest inclusion of false positives in this group piece an unwarranted financial burden on the uaeva and the omission of false negatives subject our indus trial popuistion to unsuspected risk. Accidents involving the increasingly important human S factor will not be prevented by the conventional engineering approach, Orcater emphasis must be placed on a new field of specialisation called "human factors engineering" to develop the principles snd laws governing the man-machine complex. Psychologist*, anthropologists, .physiologist*, epidemiologists, and b).oitatiaticiana must team up with the safely engineer and oceupational health physician and bring thdir talents to bear on those new eafetjr* problems which our burgeoning automated society is imposing on us, -- Condv from author's summary * 7 707 The industrial Physician snd the Adaptation of Medicine to an Industriallted Society, The Sap-jj plngton Memorial Lucturu. J.H.Sturnor. J, Occ, Med. 4, 295-100 (June 1962), t The author discusses the subject under the following headings: Evolution of Occupa tional Medicine, Rolo of Government, Management and Union Influences, Physician Contribution f( Pre aunt Status, Thu Future (Noods in Small Plant*), Training, Physician Attributes, Scopt of i jj . Address not in current Lilt of Periodicals*. t