The Administration of the Non-Insured Health Benefits Dental Care Program and Its Impacts on Nunavut's Inuit Population
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Despite the fact that state-recognized Indigenous persons in Canada are eligible for dental care benefits through the federally-funded Non-Insured Health Benefits (NIHB) program, Nunavut’s Inuit suffer significant oral health disparities relative to the general Canadian population. This thesis explores how the administration of the NIHB program may contribute to the poor oral health outcomes for Nunavut’s Inuit. It proposes that the program as it exists today is financially unsustainable, and is not conducive to public health objectives, identifying three possible areas of reform: the fee-for-service remuneration model, which creates financial incentives for providers to over-treat patients and is not well-suited for Nunavut’s unique environment; the centralized administrative organization, which does not produce policies reflective of Inuit needs; and the provision of service days to communities, which does not follow any discernible formula. I conclude that increased devolution toan Inuit organization may offer solutions to each of these problems.
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- Copyright © 2013 the author(s). Theses may be used for non-commercial research, educational, or related academic purposes only. Such uses include personal study, research, scholarship, and teaching. Theses may only be shared by linking to Carleton University Institutional Repository and no part may be used without proper attribution to the author. No part may be used for commercial purposes directly or indirectly via a for-profit platform; no adaptation or derivative works are permitted without consent from the copyright owner.
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- 2013
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