Posts Tagged ‘jurisdiction’

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A courageous plan required for primary care reform

Monday, February 6th, 2023

… two essential building blocks of the people-centred health reform we favour are timely access to primary care and the use of data. Data is a key tool to empower the users of the system and to support health care workers who need to care for people as they move through the system, from primary care office to hospital to home care and back… Even more than money, we need… Courage to make transformative changes. That starts with the foundation of the health system, which is primary care.

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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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Quebec basic income program begins, but advocates say many low-income people excluded

Sunday, January 29th, 2023

The program, aimed at 84,000 Quebecers with a “severely limited capacity for employment” such as a chronic illness or mental health condition, will provide an increase of more than 28 per cent for a single person, the government says… they will also have the ability to earn about $14,500 a year in wages – up from $200 a month – and have up to $20,000 in savings, all without losing benefits.

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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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Taking Back Health Care: How to Accelerate People-Centred Reform Now

Wednesday, January 25th, 2023

A set of public policies aimed at not just treating illness, but also promoting health and providing the infrastructure to support health resilience, will lead to a more affordable system in the long run and ultimately a greater public good… health is fundamental to the economic and social resiliency of our country and the well-being of its population. These expectations provide the road map for modernizing our health system.

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Our health-care leaders wilfully ignored the benefits of virtual walk-in medical care

Sunday, January 22nd, 2023

Conflating an association between virtual walk-in clinic visits and added ER visits with causation perpetuates the thinking of our health-care leaders’ that virtual walk-in clinics are subpar… How will our leaders explain all this to the 1.8 million Ontarians without a doctor, and to the millions more who cannot access their doctor in a timely fashion, who have had virtual care — their health care lifeline — mercilessly taken away from them?

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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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