Posts Tagged ‘budget’

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Five things to know about health-care talks Tuesday between Trudeau, premiers

Monday, February 6th, 2023

… some sort of federal health transfer dates from 1957, when Ottawa offered 50-50 funding for health care to provinces that agreed to provide public hospital services based on national standards. It has evolved and changed at least five times since then, including splitting the federal share between cash and a transfer of tax points — when the federal government cut its income tax rates and the provinces could raise their own in exchange.

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Posted in Health History | No Comments »


How Ottawa can help fix health care: first, send less money

Friday, January 27th, 2023

When one level of government is raising the money, while another spends it, it makes it hard for the public to know who to hold to account for any of the system’s ills. That, too, dulls any lingering incentive for reform…  without Ottawa to share the blame for underperformance, provincial governments would have a stronger incentive to organize the delivery of health care so as to achieve greater quality and public satisfaction per dollar spent.”

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Premier Doug Ford should explain why he underfunds public health care

Thursday, January 26th, 2023

If Ontario just spent the average of what the other provinces have spent on health care per capita over the past five years, we’d be spending an additional $7.2 billion this year — more than enough to properly pay our beleaguered nurses, lure thousands more nurses to Ontario and bring back into use countless hospital operating rooms all over the province idled by years of budget cuts.

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I was a victim of random violence on the TTC. Throwing money at the problem won’t make us safer

Wednesday, January 25th, 2023

My story is just one of many that reveals the systemic failure of our social infrastructure, and the ways in which we need to redirect our energies, efforts and money toward social programming and mental-health supports… to confront issues and traumas deeply rooted in our failure to meet the needs of marginalized people, and a system where a lack of support allows insecurity and mental illness to grow.

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Posted in Child & Family Delivery System | No Comments »


Doug Ford’s private surgery plan is driven by ideology not innovation 

Sunday, January 22nd, 2023

… the government will expect the private facilities to take it upon themselves to prevent the luring of medical professionals from the public system. The foxes will be charged with guarding the henhouse… When the auditor general can find widespread abuse in the current limited private surgery sector, we can only shudder at what she’s likely to see after the government implements its plan to vastly expand private, for-profit surgeries.

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Trusting the Ford government to get health reform right? That’s a big ask

Thursday, January 19th, 2023

… if you want doctors working overnight on-call shifts when you have a medical emergency, you want doctors to be associated with hospitals… public hospitals aren’t for-profit but they have budgets, and they make money on the easy procedures so that they can afford to handle the hard, necessary, more laborious ones… farming out easy surgeries without expanding public capacity needs to be considered carefully.

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Ontario does not need more for-profit surgery

Wednesday, January 18th, 2023

Repealing Bill 124, for example, would be a first step in attracting nurses back to hospital ORs, and moving surgeries to dedicated community facilities could increase volumes by 30 per cent for roughly the same cost. But investing more broadly in for-profit surgery providers – which has enormous risks for hospital staffing, and will increase the costs passed on to patients and taxpayers – should not be on the table.

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Our health-care system is broken. More of the same won’t fix it

Monday, January 16th, 2023

In fact, Canadian medicare is more costly than ever, and more expensive than in other countries with universal health care, yet less responsive to patient needs. What’s the remedy? … medicare has long relied on private operators who take payment from the government – not the patient – to deliver those services… voters will tire of the ideological rigidity that conflates medicare’s commendable values with a system that doesn’t always deliver measurable value for money.

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Public safety comes from curbing violence, not just reacting to it

Monday, January 9th, 2023

Smart investment in tackling the root causes of violence reduces the need for police responses after the fact… It is time to get upstream of the emergencies. Not only because it is the right thing to do, but also because it will alleviate the need for annual increases to policing that take away from so many other budget priorities.

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Posted in Child & Family Debates | No Comments »


What the rest of the country can learn from Ontario’s family doctor payment model

Tuesday, January 3rd, 2023

The Canadian Medical Association has named “expanding team-based care” as one of its top recommendations for solving the country’s health care crisis…  The most important lesson of Ontario’s primary-care reforms… is this: if a government is going to change the way it pays family doctors, and pay them more in the process, it needs to put clear and enforceable rules in its physician services agreement.

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