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Irene Jansen

What did the Conservatives promise on health transfers? - Beyond The Commons, Capital R... - 0 views

  • The official Conservative election platform actually included no mention of the 6% escalator, but in a news release sent out 17 days later, the Conservative campaign referenced the promise three times.
  • A re-elected Conservative Government will build on our strong record of protecting Canada’s universal health-care system by increasing funding for health care by 6 per cent per year
  • Reelected on May 2, the Conservatives then wrote the 6% promise into the Speech from the Throne.
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  • maintain the six percent escalator for the Canada Health Transfer
  • the promise doesn’t necessarily extend beyond 2015–16
Irene Jansen

Yalnizyan, Armine. December 2011. Is Money Enough? The Meaning of 6% and Flaherty's Hea... - 1 views

  • the feds will put up $27 billion this year through the Canada Health Transfer. By 2017, when the deal ends, the annual transfer will have grown to $36 billion.
  • A six per cent escalator for the feds translates into an increase of just 0.8 per cent in Alberta and 1.4 per cent in Quebec for next year. That’s because the federal role in medicare has been dramatically scaled back over time.
  • Today the federal cash transfer for health covers 21 per cent of what the provinces and territories spend on public healthcare.  Across the provinces the federal share ranges from 12.6 per cent  (Alberta) to 23.8 per cent (Quebec).
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  • If sustainability means bending the cost curve for health care, we need more than what Flaherty’s Done Deal offers.  I’m not talking more money. The $26 billion over five years could buy important reforms if it’s harnessed to that purpose; like our governments agreed to do in 2004.
  • Wait times for cataract, knee and hip and cardiac surgery and screening for cancers have fallen dramatically across the country. That means that in every part of Canada more citizens are getting more care more quickly.
  • The Accord has shown that focus and commonality of political will, with a long-term financial guarantee, can bring about positive and meaningful change.
  • Canada’s most valued social program needs a plan.  A plan that tackles growing disparities in health outcomes and growing gaps in access to care.  A plan that brings our best minds together, working in concert, to bend the cost curve by focusing on improving health and improving care.  It’s possible, but it requires more than the blunt tool of cost control. It requires a shared strategy and focus on improvement. 
  • Widely perceived as a 50-50 bargain, the federal share of provincial and territorial health care expenditures peaked at 55 per cent of what was spent on doctors and hospitals in 1977-78
  • Federal cash only covered 25 per cent of what the provinces and territories spent on all health care that year.
  • Genuine cost sharing was most generous in the 1960s, when federal transfers for health care covered 33 per cent of provincial and territorial total health care expenditures.
  • By 2001-2, when negotiations for the 10-year Health Accord started, federal cash contributions covered 12 per cent of all provincial and territorial spending.  It had fallen even lower during the Troubled Times of the late 1990s
  • It may seem generous to put an accumulated $26 billion more into provincial and territorial coffers over the next five years.
  • But the deal pales in comparison with the over $220 billion dedicated to tax cuts since 2006, or the 20-year, $490 billion commitment to refurbishing military hardware.
Irene Jansen

Expenditure Need: Equalization's Other Half - 0 views

  • Expenditure Need: Equalization’s Other Half is the first paper in a Mowat Centre series exploring options for reforming the Canadian transfer system.
  • It argues that the current approach to Equalization turns a blind eye to the differences in expenditures that provinces must make to provide comparable levels of public services.
  • The paper shows that incorporating these differences can make Equalization fairer and less costly. It also highlights Ontario’s unique position—the province has both higher than average expenditure needs and lower than average revenue raising capacity. The paper demonstrates that adopting an expenditure need based approach to equalization would come closer to fulfilling the federal government’s Constitutional obligation to ensure that provinces have the fiscal capacity to provide their residents with comparable levels of services at comparable levels of taxation.
Irene Jansen

Equalization system unfair to some provinces: study - 0 views

  • The equalization program is redistributing $15.4 billion in federal tax dollars this year to every province but British Columbia, Alberta, Saskatchewan and Newfoundland.
  • The formula is based on the Trudeau-era constitutional amendment requiring that Canadians get ``reasonably comparable levels of public services'' funded by ``reasonably comparable levels'' of provincial taxation.
  • But the report from Peter Gusen, former director of federal-provincial relations at the federal Department of Finance, said the current system is flawed because it considers only a province's ``fiscal capacity'' to raise revenues.That means factors that have a huge influence on funding services - like wage costs or the relative age of a population - aren't considered.
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  • ``If equalization continues to ignore differences in expenditure need, it will not be treating provinces fairly and it will not be fulfilling its constitutional mandate,'' Gusen wrote.
  • Josh Hjartarson, policy director for the Mowat Centre for Policy Innovation, the think-tank that published Gusen's paper Monday, said the current program is particularly insensitive to health-care costs.
  • Quebec, with both a low fiscal capacity to raise revenue and low expenditures, is a ``notable'' example of a province that would be treated much differently under a fairer formula.
  • ``A fair equalization system, which reflected both the expenditure and revenue sides of the coin, would pay Quebec less.''
  • Quebec, rather than getting the $7.6 billion that year, would get $4.5 billion, based on Gusen's proposed formula. Ontario's share would rise to $4.5 billion from $3.7 billion.B.C., Alberta and Saskatchewan would continue to get no equalization transfers, though Newfoundland would receive $310 million rather than nothing.Hjartarson said under Gusen's plan, B.C. and Saskatchewan would be better placed to receive equalization funds than under the current arrangement if their economies turned sour.
Irene Jansen

Canadian Health Coalition 2010 forum on sustainability with Dr. Robert Evans - 0 views

  • MEDICARE SUSTAINABILITY:FACTS & MYTHS
  • M.P. Breakfast Briefing & Press ConferenceHouse of Commons, Ottawa, June 17, 2010
  • Canadians are being told that public health care financing is not sustainable, and that the solution is a shift to more private health insurance and private delivery of services. Canada’s pre-eminent health economist Robert G. Evans, O.C., Ph.D., presented the facts and debunked the myths, and renowned pollster Nik Nanos reviewed the numbers.
Irene Jansen

CUPE backgrounder on the Health Accord. Nov 2011. - 0 views

  • What is the health accord?  What is at risk when it ends in 2014?  What do Canadians need in the next accord, and what are CUPE and our allies doing to move us there?
Irene Jansen

Report says changes could stick provinces with big medical bills - 0 views

  • A new report from a federal spending watchdog concludes the Conservative government's changes to health funding will ultimately download billions of dollars in medical costs annually to the provinces
  • The office of the Parliamentary Budget Officer released a report Thursday highlighting the extent to which provincial governments will increasingly struggle to balance their books and pay for health care in the coming years, partly due to the federal Conservative government's decision to trim the growth in health transfers to the provinces.
  • will leave the provinces with a significant "fiscal gap" that will force them to either increase taxes or cut programs
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  • the country's premiers warned in a recent report that the new federal health accord will gut nearly $36 billion in funding from the provinces over the 10-year deal
Govind Rao

Health Edition Online - Print Article - 0 views

  • December 20, 2013   |   Volume 17 Issue 49 Canada Health Transfer formula shift angers Ontario
  • Ontario is crying foul over a change in the Canada Health Transfer (CHT) formula effective 2014-15 which allocates the money on a strict per capita basis.
Govind Rao

Medicare Is On the Road to Oblivion | National Newswatch - 0 views

  • Mar 12 2014
  • During the 2011 federal election, the federal Liberals ran a poll on their website asking Canadians to choose their favourite anti-medicare quote from Prime Minister Stephen Harper.
  • Although it’s the social program most cherished by Canadians, universal health care has been under attack from both Liberal and Conservative governments almost from its inception.
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  • In its 2012 budget, the Harper Conservatives made significant cuts to health care. Health Canada faced reductions of $200.6 million;  the Public Health Agency of Canada planned cuts of $68 million, a reduction of almost 11 per cent;  and the Canadian Institutes of Health Research faced a budget decrease of $45 million
  • The 2014 federal budget takes yet another run at Medicare. The Harper government is eliminating the equalization portion of the Canada Health Transfer (CHT) and replacing it with an equal per capita transfer.
  • “This means that less populous provinces with relatively larger and more isolated populations will have more and more difficulty delivering more expensive universal services,” McBane wrote in an article published in The Hill Times in February.
Doug Allan

New Health Minister says public health care must innovate to be sustainable - The Globe... - 1 views

  • In a striking about-face from her predecessor’s hands-off approach to medicare, the new federal Health Minister, Rona Ambrose, is promising an era of leadership and co-operation to ensure that the publicly funded health system is sustainable and affordable.
  • Ms. Ambrose said the way to improve the system is to make it more efficient and cost-effective by investing in innovation and research.
  • “Innovation is very important when it comes to the long-term sustainability of our health-care system,” she said.
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  • The speech, her first as Health Minister, was warmly received to the point where CMA president Anna Reid
  • She also expressed concern that Ms. Ambrose remained mum on the 2014 health accord. Ottawa has offered to increase transfer payments to the provinces by 6 per cent annually until 2017 and then 3 per cent subsequently, but otherwise has refused to negotiate.
  • Ms. Ambrose, for her part, said federal funding has reached unprecedented levels – $30.3-billion this year and growing. “Now that the funding is there, we need to have a conversation on what can be done to make the system more sustainable,” she said.
  • She said promoting health innovation is “worthy of federal leadership
  • The minister said she has already reached out to many of her counterparts, but discussions will begin in earnest at the federal-provincial-territorial meeting of health ministers in October.
  • She will also “reach out” to the working group on innovation that was created by the Council of the Federation.
  • She said another priority will be work with her provincial and territorial counterparts to improve health care for seniors,
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    In a striking about-face from her predecessor's hands-off approach to medicare, the new federal Health Minister, Rona Ambrose, is promising an era of leadership and co-operation to ensure that the publicly funded health system is sustainable and affordable.
Govind Rao

The end of a health accord: What's all the fuss about? - Infomart - 0 views

  • Stratford Beacon-Herald Thu Apr 24 2014
  • The 2004 federal-provincial health accord recently completed its 10-year run, and expired on schedule. Though heralded at the time of its signing as a landmark agreement that would solve many of the wait times issues plaguing Canada's health-care system, in retrospect it achieved very little and was very expensive to boot. And yet, some misguided news commentators, ex-premiers, and celebrities lamented its demise. These voices were reinforced by a series of nationwide protests, organized by groups like the Canadian Health Coalition, that were designed to scare Canadians into thinking that the expiration of the 2004 health accord will lead to a collapse of Canada's health-care system. Of course, it means nothing of the sort. The Canada Health Act remains fully intact and continues to set the terms and conditions that dictate transfer payments from the federal government to the provinces for health care, . i.e. public administration, comprehensiveness, universality, portability, and accessibility. The 2004 health accord simply specified that the Canada Health Transfer (CHT) -the major federal funding transfer to the provinces for health -would grow at 6%annually for 10 years until 2014.
Govind Rao

Why Wait Times For Healthcare Continue To Be Among the Longest For Canadians | Bacchus ... - 0 views

  • 04/17/2014
  • The 2004 federal-provincial health accord recently completed its 10-year run, and expired on schedule. Though heralded at the time of its signing as a landmark agreement that would solve many of the wait times issues plaguing Canada's healthcare system, in retrospect it achieved very little and was very expensive to boot. And yet, some misguided news commentators, ex-premiers, and celebrities lamented its demise. These voices were reinforced by a series of nationwide protests (organized by groups like the Canadian Health Coalition) that were designed to scare Canadians into thinking that the expiration of the 2004 health accord will lead to a collapse of Canada's healthcare system. Of course, it means nothing of the sort. The Canada Health Act remains fully intact and continues to set the terms and conditions that dictate transfer payments from the federal government to the provinces for health care, .i.e. public administration, comprehensiveness, universality, portability, and accessibility. The 2004 health accord simply specified that the Canada Health Transfer (CHT) -- the major federal funding transfer to the provinces for health -- would grow at six per cent annually for 10 years until 2014.
Doug Allan

Budget czar says provinces won't be able to afford reduced health-care transfers - Info... - 0 views

  • The independent office responsible for assessing the country's finances says limits imposed by the federal Conservative government on increases to health transfers will eventually make it impossible for provinces and territories to handle the costs of an aging population.
  • "Subnational governments cannot meet the challenges of population aging under current policy," the PBO said.
  • With an aging population requiring medical care, the PBO report says health-care costs will increase significantly as a share of the GDP and the lower levels of government will be forced to foot an increasing share of the bill.
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  • British Columbia Health Minister Terry Lake told The Globe and Mail on Tuesday that the current system, in which the federal money is allotted on a per-capita basis, ignores the fact that some provinces have much older populations than others.
  • That is about the point when the PBO says the provinces and territories will be in the best financial position, after which increasing health-care expenditures will force a long, steep slide toward deficits and, by 2034, their budgets will be chronically in the red.
  • "Provinces are responsible for health-care delivery," Melissa Lantsman, a spokeswoman for Finance Minister Joe Oliver, said in an e-mail. "Nevertheless, our government is increasing health funding at a higher rate than provinces are spending it.
  • "When an older province has higher health-care costs because we have older residents, that should be reflected in the Canada Health Transfer as a population-needs based approach," Mr. Lake said.
  • The universal child-care benefit, which was increased in this year's budget and resulted in the delivery of $3-billion in cheques to Canadians this week, will have only a minor impact on fiscal room because the cash transfers are not indexed to inflation, the report said.
  • The report also says the federal government is on track to eliminate its own net debt over the next 35 years.
  • Melissa Newitt, the national co-ordinator of the Canadian Health Coalition, an advocacy group for public health care, said the PBO report is more evidence that a new national health accord is needed. That accord, she said, should provide stable funding, set national standards and include a national drug plan and a national seniors plan.
Govind Rao

Funds should be better invested in Canada's public health care system - Infomart - 0 views

  • Campbell River Mirror Tue Sep 15 2015
  • It is extremely concerning that our provincial government is contracting up to 55,000 surgeries to a private surgery clinic Re: Deal with private contractor could reduce surgery wait times - J.R. Rardon. The above noted article was in the Aug. 26, Campbell River Mirror. Reading the headline I have to ask "but at what cost?"
  • It is extremely concerning that our provincial government is contracting up to 55,000 surgeries to a private, for profit, surgery clinic which is yet to be built. If this company is locating in Victoria they must have received assurance for long term commitments to enable them to locate there permanently. Surgical Centres Ltd. is "based" in Calgary, they have two private, for profit, surgery clinics in Calgary, two in B.C., two in Saskatchewan. Are the owners American?
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  • Dr. Brendon Carr (president and CEO of Island Health) when asked at the Island Health Board meeting here in June stated that there will be a premium in cost for the surgeries at the private clinic. We know private, for profit, health care is more expensive. He said they have the information and would provide it, but when I wrote and asked what the difference in cost for the taxpayers between surgeries in public or private, for profit, operating rooms, Mr. Peters declined to answer the question.
  • Our provincial government is seeking to change the BC Health Act to permit patient stays of up to three nights in private, for profit, surgery clinics so their plan into the future is to embrace private, for profit, surgery clinics. In the provincial government's own report it states the reason why our public hospital operating rooms sit idle quite often is due to lack of funding. The government and Island Health think it is okay to contract out these surgeries because the surgeries are still being publicly funded but our taxpayer dollars will be spending more for the profit margin.
  • I pointed out to Dr. Carr that we have a shortage of doctors in Canada and he agreed. He said it would be the same doctors doing the surgeries in the private, for profit, surgery clinics. I asked how they can usurp our doctors into the private system without straining our public system more. He just said they will be watching it. That doesn't bode well for our public operating rooms. I fear that our provincial government is seriously undermining our position in defending the Dr. Brian Day court case on behalf of all British Columbians. At the very least it looks like a huge conflict of interest when they are seeking to contract an enormous number of surgeries to private clinics.
  • Our provincial and federal governments seem determined to starve the public health care system in favour of private, for profit, health care. They have let the surgery wait lists increase substantially. Our federal government refused to renegotiate the Canada Health Accord and brought in a new funding formula. They are telling us they are "increasing"  funding of the transfer payments to the provinces by three per cent, tied to the cost of living. Currently they are paying six per cent annually so this actually is a massive cut to the provinces for public health care in the amount of $36 billion over the next 10 years. With the federal government's cuts to health care funding, the share of federal CHT cash payments in provincial-territorial health spending will decrease substantially from 20.4 per cent in 2010-11 to less than 12 per cent over the next 25 years. This, according to the Parliamentary Budget Office, will bring the level of federal cash support for health care to historical lows. National Medicare was implemented across Canada by provinces and territories on the understanding that the federal government would contribute roughly 50 percent of the spending on Medicare.
  • Canadians are vehemently opposed to private health care whether it is using our public tax dollars or not. Canadians should not have to suffer and wait a long time for surgery. Funds would be far better invested in the public health care system which is being starved by our governments. It is very difficult for Canadians to see our medicare in serious jeopardy. The Canadian Medical Assoc., Canadian Doctors for Medicare, Canadian Health Coalition, Council of Canadians, B.C. Health Coalition, HEU, CUPE, Citizens for Quality Health Care and many others are united to protect, strengthen and expand our public health care. Please check out their websites and get more information. Please vote in the next two elections and vote for health care for the benefit of all Canadians. Lois Jarvis Citizens for Quality Health Care Campbell River
Govind Rao

Penalties cut federal transfer payments to province; Extra billing costs B.C. $500,000 ... - 0 views

  • Vancouver Sun Thu Feb 19 2015
  • The federal government deducted a little more than $500,000 from transfer payments to B.C. over the last two years as a penalty for extra-billing charges patients paid at private or public hospitals and diagnostic clinics. User fees for medically necessary, government-insured treatments contravene the federal Canada Health Act and provincial statutes.
  • To discourage the extra charges, the federal government requires provinces to submit statements of the fees paid by patients. The latest annual Health Canada report (2012-13) shows $280,019 was deducted from B.C.'s Canada Health Transfer payments for that year.
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  • The penalties are assessed on a dollar-for-dollar basis, meaning they are equal to the amounts patients complained about paying for procedures. B.C. and Newfoundland were the only provinces assessed penalties for the last three years. When the 2013-14 annual report comes out soon, B.C. will once again be penalized, this time $224,000, said provincial Health Ministry spokesman Ryan Jabs.
  • Since 1994, the federal government has docked B.C. $3.2 million, slightly lower than the record-holder Alberta ($3.6 million). Since 1994, provinces have been assessed nearly $10 million in penalties for extra billing charges. A Health Canada spokesman could not explain why Quebec has never been penalized, even though it reportedly has a thriving private medicine sector. Ontario has also not faced any penalties.
  • The penalty to B.C. is paltry in relation to the province's $20-billion health budget announced Tuesday. It is also insignificant relative to the federal transfer payments B.C. will collect this year ($4.4 billion) and next ($4.7 billion). In 2006, the then-deputy health minister of B.C., Penny Ballem (now Vancouver city manager) questioned whether B.C. was really the only province where extra billing and private sector queue jumping was taking place. Jabs said Wednesday he can't comment on what happens elsewhere.
  • In 2005, the B.C. government did not submit a dollar value to the federal government for such extra billing, so Health Canada bureaucrats based the penalty sum on news releases from anti-privatization unions and newspaper clippings about patients who accessed the private system. The Sun learned about that through a Freedom of Information request. The story detailed how discretionary the penalties appear to be and that they are based on "guesstimates" of user fees. Provincial Health Ministry officials often base their reports submitted to the federal government on complaints from patients who go to private clinics for expedited care and then try to collect the fees paid from government. One such patient is Mariel Schoof, who had sinus surgery at a private clinic in 2003. She paid $6,150 for the "facility fee" and then tried to recover the fee from the provincial government or the clinic. She is now one of the interveners in a private versus public medicine trial starting March 2 between Dr. Brian Day and the provincial government. Timeline of Canada Health transfer compliance in B.C.
  • Early 1990s: As a result of a dispute between the British Columbia Medical Association and the B.C. government over compensation, several doctors opt out of the provincial health insurance plan and began billing their patients directly, some at a rate greater than the amount the patients could recover from the provincial health insurance plan. May 1994: Canada Health deductions began and continue until extra-billing by physicians is banned when changes to B.C.'s Medicare Protection Act come into effect in September 1995. In total, $2,025,000 was deducted from B.C.'s cash contribution for extra billing that occurred in the province between 1992-1993 and 1995-1996. These deductions were non-refundable, as were all subsequent deductions. January 2003: B.C. provides a financial statement in accordance with the Canada Health Act Extra-billing and User Charges Information Regulations, indicating aggregate amounts charged with respect to extra billing and user charges during fiscal 2000-2001 totalling $4,610.
  • Accordingly, a deduction of $4,610 was made to the March 2003 federal transfer payment. 2004: A $126,775 deduction was taken from B.C.'s March 2004 Canada Health Act payment, based on the amount of extra billing estimated to have been charged during the 2001-2002 fiscal year. Since 2005: $786,940 in cash transfer deductions have been taken from B.C.'s federal health transfer payments on the basis of charges reported by the province to Health Canada. January 2011: Vancouver General Hospital begins charging patients a fee when they elect to have robot-assisted surgery versus the conventional surgical alternative for certain medically necessary procedures. 2013: Deductions in the amount of $280,019 are taken from the March 2013 federal transfer payments of B.C. in respect to extra billing and user charges for insured health services at private clinics. Source: Canada Health Act Annual Report 2012-2013
  • The branch investigates about 30 cases a year of extra billing, usually related to private surgical facilities or expedited visits to specialists. The government is not sure whether it will be penalized in the future for allowing Vancouver General Hospital to charge patients fees for robotic surgery. VGH spokesman Gavin Wilson says since 2012 patients choosing to have surgeons remove their prostates using the robot have been charged on a partialcost-recovery basis. The B.C. government allows the extra billing because robotic surgery is discretionary, not medically necessary, and there are higher costs associated with it. In 2012, however, Health Canada began examining the Canada Health Act implications of patient charges for robotassisted surgeries. The process convinced the health minister that VGH should stop charging for robot-assisted surgeries as of Jan. 1, 2015. Vancouver Coastal Health collected $345,000 a year for the procedures; most recently, the patient fee was $5,700. Sun health issues reporter pfayerman@vancouversun.com
healthcare88

CUPE calls on federal Liberals to step up to ensure adequate health care funding | Cana... - 0 views

  • Oct 18, 2016
  • As health ministers from across Canada meet with the federal health minister to discuss a new Health Accord, CUPE calls on the federal Liberal government to step up and ensure adequate funding for hospitals and health care in Canada by boosting the Canada Health Transfer (CHT).
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