Archive for the ‘Health Policy Context’ Category

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Brad Wall prescribes collaborative federalism to improve health care

Sunday, January 15th, 2012

Jan. 13, 2012
Saskatchewan Premier Brad Wall is planning to push his provincial colleagues to band together and ask Ottawa for a health care innovation fund that would provide extra money for projects to improve patient care… he believes the federal government has left the door open to doing more on health care than it is currently offering… the Harper government’s “unilateral declaration” did not foster good will, but he and his officials are not dwelling on that. He said an innovation fund could also help the provinces set up electronic health records.

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B.C. balks at federal health-funding plan

Sunday, January 15th, 2012

Jan. 13, 2012
The package includes something the provinces have long asked for: No strings attached. But the money will be distributed on a per capita basis. Ms. Clark now says that formula needs to be age-adjusted to reflect the fact that seniors require more expensive health care… Ontario Premier Dalton McGuinty has warned that necessary innovations in home care for seniors and other health-care reforms will suffer if the federal government doesn’t help set national standards. Ms. Clark… will seek an agreement with fellow premiers to ask Ottawa for an additional pot of money to direct to health care innovations.

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Federal health role is about more than money

Tuesday, January 10th, 2012

Jan. 10, 2012
… known long-term funding and is more than provinces could have reasonably expected from the 2014 first ministers’ meeting. The principle behind the federal generosity is clear. Prime Minister Stephen Harper is taking Ottawa out of the health-care debate and ending the national discussion of health and health-care system issues that began with the original federal funding in the 1966 Medical Care Act and continued up to the 2004 wait times accord. But is this a good thing for Canada?… There are at least seven areas that require national policy leadership and federal attention:

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Roy Romanow’s one-note tune on health care

Tuesday, January 10th, 2012

Jan 10, 2012
Mr. Romanow insisted that if the PM does not take an aggressive leadership role in talks about the future of medicare, public health care will weaken, private care will spread and the very fabric of our nation will be imperilled… But so what if the provinces don’t all offer identical services and delivery models? Let them devise blended public-private systems that work best for their residents or for their budgets — and let provincial governments live with the political consequences of those choices. How does that threaten “national unity”?

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Cuba does more in health at lower cost

Sunday, January 8th, 2012

Jan. 7, 2012
With each passing year, our health-care system is becoming more like the American model. More investigations, diagnostics and surgeries are performed, with subsequent higher costs and poorer health outcomes… for 2009… Cuba spent about eight times less than Canada… on health care… the reasons for success include a health policy that emphasizes prevention over treatment, primary care instead of hospital care, co-ordinated provision of care, providing services in the community where people live, and active participation of residents in goal-setting and programming.

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How to save medicare while saving money

Wednesday, December 28th, 2011

Dec 21 2011
After working on two recent studies of health-care inefficiencies, Drummond’s reform agenda is no secret: reintegrating the system; and reallocating more money to health promotion, community care, home care and long-term care… Drummond has looked closely at the Saskatchewan experiment because it comes closest to a sustained transformation of government finances. It’s a lesson Duncan has also heeded. The treasurer has taken to telling his fellow Liberals in caucus and cabinet that the prairie New Democrats pioneered an ambitious reform model…

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Diagnosing changes to health-care funding

Tuesday, December 27th, 2011

Dec 20 2011
The health transfer currently represents about 10 per cent of all federal spending. For the sake of comparison, health-care costs make up 42 per cent of the Ontario government’s total program spending… “About 80 per cent of what Ontario spends on health care comes from provincial taxes. So if the economy slows down and revenues decrease, that will be a much bigger deal than the size of the federal transfer”… On the other hand… with restricted funding, those who could get those benefits will be those who can pay out of pocket. The result will be two-tiered health care.

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Health-care funding: How Harper views the Canadian federation

Saturday, December 24th, 2011

Dec. 23, 2011
There have been some improvements in some areas; in others, not so much. The Martin accord bought peace, but it didn’t buy nearly enough innovation in health care. The federal approach announced this week finally recognizes that the levers of change for the health-care system reside in 13 provincial and territorial capitals, just like it says in the Constitution.

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Ottawa’s health plan: When money misses the point

Thursday, December 22nd, 2011

Dec. 22, 2011
The provinces and territories have five years to figure out how to make health care sustainable on their own terms… After that, the Harper Government will contribute less, tying federal contributions to the growth in the economy, with a floor of 3 per cent… By 2017, when the deal ends, the annual transfer will have grown to $36-billion… it pales in comparison with the more than $220-billion dedicated to tax cuts since 2006, or the 20-year, $490-billion commitment to refurbishing military hardware… The $26-billion over five years could buy important reforms if it’s harnessed to that purpose…

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Ottawa’s offer and the provinces’ health challenge

Thursday, December 22nd, 2011

Dec. 21, 2011
When people rightly ask: Why didn’t all that federal money indexed at 6 per cent bring about more change?, part of the answer lies right there. Federal transfers indexed at 6 per cent don’t provide any new resources for a system with 7-per-cent yearly spending increases… The biggest challenge all governments will face is to bring health-care spending down to the growth in the economy, something none of them have done. That challenge will be even tougher because the Canadian economy will not grow as fast in the next decade as it did in the past one, and the population is aging.

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