Archive for the ‘Health Policy Context’ Category

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In Developing World, Cancer Is a Very Different Disease

Tuesday, December 29th, 2015

… the median age of diagnosis for cancers of all kinds in [the U.S.] is 66. Seventy-eight percent of cases are diagnosed in people 55 or older. Childhood cancer, among the most curable, remains rare. In the developing world, cancer has a very different look… Cancers that arise in poorer countries are far less likely to be survived. A disproportionately large number of these cases are caused by infectious agents.

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Ontario plans to target home care in overhaul of health care system

Tuesday, November 24th, 2015

An expert panel report on primary-care reform… recommends dividing the province into “patient care groups,” similar to school boards, with each group responsible for ensuring every resident in the area has access to primary care… beefed-up local health networks will be given responsibility for overseeing home care, with front-line workers and case managers retaining their jobs… tailoring care delivery to the needs of local communities

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Pharmacare should be at the top of Trudeau’s agenda

Wednesday, November 18th, 2015

National standards for universal coverage of medically necessary prescription drugs would… satisfy a central goal of pharmaceutical policy: ensuring all Canadians have equitable access to necessary care. Instituting such standards would bring Canada up to par in the developed world. Guided by best available evidence, such coverage would also foster safer, more appropriate use of medicines – potentially making Canada a world leader in the quality of medicine use… [it is] not only the ethical thing to do, it can also be the economically responsible thing to do.

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Honest talk about private health services is long overdue

Tuesday, November 10th, 2015

The reality is that every universal health-care system in the world – including Canada’s – has a combination of public and private payment, and a blend of for-profit and not-for-profit delivery of services. The discussion we really need to have is what is in the so-called medicare basket of services and what is outside the publicly-funded basket. And what we need to do is not ban private care, but regulate it, as part of a broader, long-overdue reform.

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Pharmacare is finally within reach

Saturday, October 24th, 2015

The key… is an increased role for the federal government in drug financing. Ottawa wouldn’t run the program or deliver the drugs; it would provide the cash and co-ordination to bring the existing provincial programs up to an acceptable national standard… Under the C.D. Howe plan, Ottawa would top up health transfers to the provinces allowing them to ensure that drug costs do not exceed 3 per cent of family income anywhere in Canada.

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How to Break Up the Logjam over Pharmacare

Friday, October 23rd, 2015

… the federal government would: transfer additional funds to provinces whose existing or new pharmacare programs respect minimal conditions for an income-tested upper limit on annual family payments… ; become a partner in an expanded version of the Pan-Canadian Pharmaceutical Alliance (PCPA); cooperate with provinces on a model drug formulary and financing of exceptionally high drug costs for patients with certain “rare diseases”…

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Ontario to cover in-vitro fertilization treatments

Friday, October 2nd, 2015

The new coverage will take effect in December at a cost of $50 million a year to taxpayers, providing one cycle of IVF to about 4,000 women annually regardless of sexual and gender orientation or family status… Until now, Ontario has helped fund IVF only for women with blocked fallopian tubes… About half of fertility problems involve men who have difficulties such as low sperm motility… One cycle of IVF costs about $10,000, with drugs adding thousands of dollars to the tab

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In federal election, health care is far from urgent

Tuesday, August 25th, 2015

… total health care spending in Canada now represents about 11% of the country’s gross domestic product… That’s up from 9% of GDP in the mid-1990s and 7% in the 1970s… Publicly funded health care makes up about 70% of total health care spending in Canada… about the same as it was in 1997… Nobody wants to talk about real reform to the system because it’s too complicated, too sticky and too cumbersome to message on.

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Health Canada finally approves abortion pill

Saturday, August 1st, 2015

It allows a woman to end a pregnancy safely at home. – Its approval means women in rural areas or in P.E.I. (where there are no abortion facilities) would not have to travel to end a pregnancy. – Women would not have to delay an abortion while they wait for access to a surgical procedure. – The availability of the drug in other countries is associated with abortions occurring earlier in gestation. – It will free up operating room time in hospitals.

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Why a health-care report was dead on arrival in Ottawa

Wednesday, July 22nd, 2015

The Harper government was hoping for change-on-the-cheap from the panel: innovation that would cost nothing but improve the system. It certainly has no interest in an expanded, direct federal role in health care, having made it abundantly clear that health care is for the provinces, except for Ottawa’s responsibility for aboriginal and veterans’ health, public health and drug approvals… The Naylor panel noted… that [recent increases in Federal] money improved things for providers, but not for many patients.

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