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Ontario Health Teams: Primary Care Should Be Key

Friday, September 27th, 2019

The idea that in a well-functioning healthcare system, patients must have an accountable provider serving as their medical home is more convincing than ever, and a patient enrollment model based on capitation is by far the most logical basis for such a system… The right way for the Ontario government to go at this point is… to use capitated primary-care providers as the backbone of the new OHTs.

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Giving parents money directly the best approach to financing childcare

Friday, September 20th, 2019

The financial hurdle for a parent considering the merits of working versus staying at home to care for young children can be extremely high… decentralizing the provision of child care by giving money directly to parents provides the advantages of competitive consumer markets: greater choices, innovation in staffing, various facility types, and more flexible hours and modes of care.

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Austerity and the Economy: Spending Cuts Versus Tax Increases

Friday, September 13th, 2019

Talking about “austerity” without distinction of how austerity is implemented does not make any sense. The composition of austerity plans is crucial to understand their effects on growth and fiscal sustainability.

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Ontario Health Teams should expand reforms to doctors’ Pay

Thursday, September 5th, 2019

Extend the capitation principle so that primary-care providers also have a stake in the cost of drugs and secondary care their patients use – a healthcare system likely functions better when each patient has a “medical home,” with a provider who manages the overall care the patient receives.

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Wealth Tax A Flawed Idea With New Life: C.D. Howe Institute

Friday, June 21st, 2019

They find that wealth taxes add relatively little to what taxes on capital income can achieve, and that concerns about the social consequences of wealth concentration are better addressed by reform of existing capital income taxes and by considering wealth transfer (inheritance) taxation… In those few nations that continue to have a wealth tax, its proceeds have decreased over time.

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Fiscal Accountability: The Path Forward

Thursday, June 20th, 2019

Public Accounts Should Reflect Public Sector Accounting Standards… Budgets Should Match Financial Statements… Budgets Should Precede the Start of the Fiscal Year… Estimates Should Be Timely and Reconcile with Budgets… Key Numbers Should Be Accessible and Recognizable… Year-End Results Should Be Timely

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Universal Pharmacare Within Reach: C.D. Howe Institute

Friday, June 7th, 2019

In “Filling the Gaps: A Prescription for Universal Pharmacare,” Policy Analyst Rosalie Wyonch finds there are ways to close the gaps in prescription drug coverage and protect households from excessive costs when in acute need through the expansion of public insurance… The report investigates current prescription drug insurance in Canadian provinces, evaluates options for achieving universal coverage and estimates their cost.

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Closing the Biggest Money Laundering Loophole

Friday, May 31st, 2019

Unfortunately, Canada’s anti-money-laundering laws are among the weakest of Western liberal democracies. We have no public registry of beneficial ownership and we generally don’t require any beneficial ownership disclosure whatsoever. That makes us doubly attractive to international money launderers… as more countries implement public registries of beneficial ownership, more of the world’s dirty money will be redirected to Canada.

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Needed: A New Pension Paradigm For Canadians

Thursday, May 23rd, 2019

… the pension industry must go beyond the tired defined-benefit versus defined-contribution pension debate and focus on the model pension of the future… the authors explain a new pension paradigm that lies between the Classic DB and Classic DC… The common ground would include: Pooling: across multiple employers to reduce risk… Target Benefits: to share risks between sponsors and members… Scale: The optimum asset size would be $1 billion and up… Independent Management Boards

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The Fallacy of Federal Advantage in Delivering Pharmacare

Friday, May 17th, 2019

… the 2019 federal budget proposed the creation of a new Canadian Drug Agency to conduct health technology assessments, negotiate prices and listing terms… That is, the new agency could substantially lower the national drug budget even if the federal and provincial/territorial governments are not able to agree on a single-payer government plan… Prescription drugs are an increasingly large component of total healthcare costs, and should be integrated with other areas of health spending and policies to control it.

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