Archive for the ‘Health’ Category

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Ontario’s Proposed Super-Agency: The Creation of Ontario Health Under Bill 74

Tuesday, March 12th, 2019

This is the second bulletin in our series regarding Bill 74, an Act concerning the provision of health care in Ontario, which will, once passed, create the Connecting Care Act, 2019… This bulletin will summarize key provisions pertaining to the proposed agency, Ontario Health… its objects and powers, its board and senior management, its funding and accountability obligations and the transfer to it of certain existing operations.

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Ontario tinkers with health care, and still nobody knows what anything costs

Tuesday, March 12th, 2019

Right now doctors are typically paid on a fee-for-service basis. Surgeries and other treatments, on the other hand, are paid for out of hospitals’ global budgets. This has it exactly backwards…. the really interesting unanswered question about these new teams is how they are to be funded… Doctors already have both the know-how and the incentive, via the Hippocratic oath, to do what’s best for their patients; giving them a budget constraint would incentivize them to do what’s best for taxpayers as well.

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In the real world, encouraging signs for pharmacare

Monday, March 11th, 2019

… universal pharmacare, while it would cost Canadians less in total, would cost Canadian governments more – which is why finance ministers such as Bill Morneau are wary of it… a federal-provincial-territorial-Indigenous agency could co-exist with a fill-in-the-gaps system. But it makes more sense to go to all of this bother only for something more comprehensive, such as universal pharmacare.

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Put free menstrual products in all women’s washrooms. Period

Monday, March 11th, 2019

the city, school boards and the province should go further. They should strive for what’s known as “period equity” to normalize the conversation around menstruation and end the shame about what is, after all, a normal bodily function for half the population. To start, feminine hygiene products should be available for free not just in shelters and schools, but in workplaces and public spaces such as libraries, concert halls, sports arenas — and even privately owned stores and restaurants.

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The Trudeau government’s weak start on pharmacare

Saturday, March 9th, 2019

… its report contains no plan for pharmacare at all. It talks only about creating “building blocks” that could someday, maybe, contribute to a plan… It warns that “without reform, the system will soon be at the breaking point.” But neither the Trudeau government nor its advisory council has yet been willing to follow through to the obvious answer: universal national pharmacare.

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Pharmacare panel offers no prescription for how the new program would work

Friday, March 8th, 2019

The interim report called for a new, arm’s-length drug agency to oversee the health-technology assessments (HTA) that evaluate the efficacy and cost-effectiveness of new medicines; spearhead negotiations with pharmaceutical companies; and manage a “comprehensive, evidence-based national formulary,” which is a list of drugs covered for everyone.

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Introduction of Bill 74: The People’s Health Care Act, 2019

Tuesday, March 5th, 2019

If passed, the legislation would create a central agency to oversee Ontario’s healthcare system intended to, among other things, remove duplication… The Bill introduces the term “integrated care delivery systems” meaning a person or entity or group of persons or entities designated under the CCA that deliver three or more prescribed health care services.

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A glimpse into the future of health care in Ontario

Sunday, March 3rd, 2019

St. Joseph’s Healthcare in Hamilton, specifically at its Integrated Comprehensive Care (ICC) program… started as a pilot back in 2012. Known then as the “bundled care” program, it was designed to connect surgical patients with a single team of clinicians who could care for them before, during and after their operations… It has resulted in a savings of up to $4,000 per patient, a 30 per cent reduction in emergency department visits and 30 per cent reduction in hospital readmissions, a savings of more than 30,000 bed days and an increase in patient satisfaction, according to the hospital.

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The Liberal government shouldn’t go soft on pharmacare

Friday, March 1st, 2019

The benefits of a robust national pharmacare plan are substantial, both in improving health outcomes for millions of Canadians and reducing overall costs. The farther off that ideal the government goes, the fewer of those benefits we’ll see… Maintaining this inadequate patchwork costs everyone — governments, individuals and businesses — far more than it should. That’s not good for anyone, including those who enjoy good coverage now. As the Commons health committee put it: “In short, it will save money and lives.”

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The Ford government’s health reform is clear as mud

Friday, March 1st, 2019

The possibility that these teams, which might include doctors and hospitals, along with home care agencies and long-term care homes, could share one budget has the potential to deliver positive change. It would provide a clearer incentive to ensure that patients can access the right care in the right place, which generally costs far less than waiting for things to escalate into crisis. But if this is also the government’s way to shave dollars out of the health budget, that potential goes right out the window.

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