The goal of the association was to provide workers with access to health services at a reasonable cost through an advanced reimbursement plan.

Later, with the implementation of a public health system (1957) and the Régie de l'assurance maladie du Québec (1969), Blue Cross changed its plans to complement the healthcare public system.

At that time, private insurance plans were used as an argument by the Quebec administration to counterweight the Canadian government's pressure for a unique national healthcare program.

For the Premier of Quebec, Maurice Duplessis, healthcare represented a provincial area of expertise.

The following administrations have maintained the position that national standards would not necessarily meet local needs.