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The term medicare (in lowercase) (French: assurance maladie) is the unofficial name for Canada's universal public health insurance system. The formal terminology for the insurance system is provided by the Canada Health Act and the health insurance legislation of the individual provinces and territories. However, the word has been used with respect to Canadian public health insurance since the early 1960s
Under the terms of the Canada Health Act, the provinces and territories provide all residents with health insurance cards, which entitle the bearer to receive free medical care for almost all procedures. Patients are free to choose their own doctor, hospital, etc. Health institutions are either private and non-profit (such as university hospitals) or provincially run (such as Quebec's CLSC system). Most all doctors are in private practice as entrepreneurs and bill the medicare system for their fees. The so called public system is merely publicly funded, with most all services provided by private enterprises, as in clinics or doctors who are paid a fee-per-visit, unlike some countries where doctors are on a salary system. Canadians can change doctors any time they wish.
The Health Care System in Canada is a universal access system, but some items or services are not covered, with inconsistency province to province, e.g., drug coverage, optometry, physical therapy. While often called a socialized-public system it is in fact merely publicly funded. Most all services are provided by private enterprises, and doctors are not on a government salary, but operate as independent businesses.
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