Archive for the ‘Health Policy Context’ Category

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Bill Morneau’s unwise decision to backtrack on pharmacare

Friday, March 2nd, 2018

When Canadian medicare was being debated in the 1960s, a similar division arose between those who wanted a full-scale universal program and those who, like Morneau today, merely wanted to fill in the gaps… eventually, the medicare universalists won. Both politically and logically their arguments simply made more sense.

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Bill Morneau is wrong to rule out universal pharmacare

Friday, March 2nd, 2018

There will be no pharmacare “plan,” he said on Wednesday, but instead a pharmacare “strategy” that “deals with the gaps,” is “fiscally responsible” and “doesn’t throw out the system that we currently have.” True to his government’s preference for targeted over universal programs, the finance minister seemed to be saying that supplements to the current dysfunctional mess will have to suffice.

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Hoskins steps down as health minister to head national pharmacare strategy

Tuesday, February 27th, 2018

The federal government is eyeing a new, national pharmacare program and will name departing Ontario Health Minister Eric Hoskins to lead the effort. Hoskins, a doctor who was the key architect of the province’s OHIP+ providing free prescriptions for youth, announced Monday afternoon that he was stepping down as minister and MPP for St. Paul’s, effective immediately… “In politics in Canada, Eric Hoskins in particular has been the most ardent and most articulate champion of a universal pharmacare system”

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Purdue Pharma given free reign in Canada as it is sanctioned in the United States

Friday, February 23rd, 2018

Several American states have already successfully sued Purdue Pharma and others may follow… We have the same tragic opioid crisis here in Canada relative to the U.S. — 3,000 deaths per year in Canada compared to 30,000 in the United States — and trail only the U.S. when it comes to opioid prescribing rates. But unlike our neighbours, Canadian governments have not taken similar actions against Purdue Pharma. Canadians pay for this inaction.

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NAFTA will undermine health unless Canada resists monopolies on medicines

Monday, February 5th, 2018

There are two potential changes to NAFTA that threaten to derail progress toward affordable access to medicines: First, U.S. trade representatives are advancing Big Pharma’s demand for more restrictive intellectual property rules, pushing longer patent terms and “data exclusivity” rules… Second, business lobbies are pushing hard to maintain and expand the widely-denounced “investor-state dispute settlement” mechanism currently found in NAFTA.

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Prescription for healthier population: spend more on social services

Monday, January 22nd, 2018

A one-cent increase in social spending for every dollar spent on health care increases life expectancy and cuts premature death, study shows… Dutton and his fellow researchers looked at health and social spending in nine provinces over 31 years from 1981 to 2011 and compared it to three population health measures: potentially avoidable death, life expectancy and infant mortality… “More social spending was associated with a more positive outcome. Life expectancy went up and potentially avoidable mortality went down,”

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Hallway medicine: Do we really need more hospital beds?

Tuesday, November 7th, 2017

In Ontario alone, there are almost 4,000 “alternate level of care” (ALC) patients (7,500 Canada-wide), an Orwellian euphemism used to describe people who have been discharged but continue to live in hospitals because they have nowhere else to go, for lack of long-term-care beds and home-care spots. Surely before we start reopening dilapidated old hospitals, we should start by getting ALC patients into more appropriate care.

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Bernie Sanders lauds Canadian health-care system in Toronto speech

Monday, October 30th, 2017

“if you want to expand and protect health care or education, there are people out there in every country in the world who think it is more important to give tax breaks to the richest people … what we need to do is take those oligarchs on.” … What went mostly unsaid during Mr. Sanders’s speech is that while Canada’s health-care system can look great compared with that of the United States, it can still fare poorly next to comparable countries.

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It’s time for a smarter approach to drugs

Friday, October 6th, 2017

The harm-reduction approach cannot fully succeed until we stop treating people addicted to drugs as criminals… The war on drugs has driven up the cost of policing, contributed to a national crisis of court delays, compounded racial and class inequities and unnecessarily criminalized people living with physical and mental illness. All that, without delivering any of the promised benefits for public health or public safety.

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Doctors deserve a better deal, not tax dodges

Wednesday, October 4th, 2017

… physicians (like lawyers) can access tens of thousands of dollars in RRSP tax shelters beyond the reach of most workers. The lack of physician pensions is a choice they made collectively a half-century ago, when they adamantly refused to be deemed government employees despite earning virtually all their income from public funds in a now archaic fee-for-service model. That income anachronism is debilitating for all sides — patients, doctors and the government.

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