CEU Electronic Theses and Dissertations, 2025
| Author | Greig-Steinmetz, Ursula |
|---|---|
| Title | THE EXPANSION OF HEALTHCARE COVERAGE FOR CHILDREN OF PRECARIOUS MIGRANTS IN QUEBEC An Evaluation of Bill 83s Implementation in Montreal |
| Summary | This thesis evaluates the implementation of Bill 83, passed in 2021 that expanded health care insurance coverage for children of precarious migrants in Quebec. Utilizing Mayne’s 6 step contribution analysis, the bill’s contribution to improve healthcare accessibility is evaluated, according to Levesque’s conceptualization of accessibility, which encompass dimensions of affordability, approachability, availability, accommodation, and appropriateness of healthcare services. Through purposeful sampling, semi structured expert interviews were conducted with professionals from Médecins du Monde, La Maison Bleu, the CLSC Côte-des-Neiges and the Commission on the Rights of People and Children of Quebec. The analysis revealed that Bill 83 has contributed to enhancing accessibility for the group in question, but this contribution is challenged by a number of implementation and structural issues. Lack of sufficient communication, wrongful charges, administrative burdens, and insufficient linguistically appropriate care persist, undermining the expected causal mechanisms in which Bill 83’s implementation was expected to produce intended results. The research underscores the importance of addressing these dimensions of implementation to bridge the gap between legal and realized access to healthcare. By shedding light on the practical challenges that remain, this thesis contributes to a broader understanding of healthcare accessibility issues for precarious migrants and offers insights for improving the implementation of similar policies that expand coverage for vulnerable groups. |
| Supervisor | Ciornei, Irina, Bodenstein, Thilo |
| Department | Public Policy MA |
| Full text | https://www.etd.ceu.edu/2025/greig_ursula.pdf |
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