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Trudeau and two-tier health-care system - Infomart - 0 views

www.fpinfomart.ca/doc/doc_display.php?key=pr|242663|otct|20150926|230091181 from heather federal election private clinics privatization
shared by Govind Rao on 28 Sep 15 - No Cached
  • Ottawa Citizen Sat Sep 26 2015
  • Liberal Leader Justin Trudeau wasted no time to brandish the Canadian Charter of Rights and Freedoms in support of a covering one's face during a citizenship ceremony. Is he as keen to put an end to a two-tier health-care system?
  • During his recent visit to Ottawa, Trudeau answered without hesitation "Absolutely not" to my question, "Should public funds be used to subsidized two-tier health-care services and benefits?" In his view, this would contravene the Charter, which guarantees equal treatment for all Canadians. However, he refused to answer the second part of my question, no doubt for fear of alienating some of his supporters.
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  • It is a fact that public sector employees, MPPs, MPs and senators can access health-care services and benefits above and beyond what is available through their provincial health plans. In his words, a form of two-tier health care plan. Premiums to these complementary health plans are subsidized in part by government, in other words by public funds. My question to the Liberal leader is simple: "If you form the next government, will you maintain the present two-tier health-care system for public sector employees including MPs and senators, or will you direct Treasury Board to stop the partial payment of the premiums and direct participants to absorb the full cost of the plan, or will you subsidize access to such plans for all Canadians?"
  • A reminder for Trudeau, the Charter is not a buffet where one chooses the articles that suit his or her agenda. Canadians, public sector employees and non public sector employees, deserve equal treatment. In his own words, it is a question of rights. Pierre Drouin Ottawa
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'Health taxes' just a cash grab in disguise - Infomart - 0 views

www.fpinfomart.ca/doc/doc_display.php?key=pr|246243|kldn|20150408|218067796 from heather costs
shared by Govind Rao on 08 Apr 15 - No Cached
  • The Kirkland Lake Northern News Wed Apr 8 2015
  • Q When is a tax in Canada not for health care? Almost never. When do governments resort to special health taxes? When they're running for budget cover. Why do we put up with it?
  • Because governments know they can get away with cowardly cash grabs dressed up for health care, even if they bear no resemblance to health care's true costs and may not even be used to help pay for it. Better to shake down taxpayers in the name of the one program sacrosanct to them, than to outright raise regular taxes or do the dirty work of cutting spending. Ontarians should know this better than most -- they were hit with a massive tax increase, the largest in their history, when the Liberals brought in a personal health tax of up to $900 in 2004 when they were trying to climb out of a budget hole inherited from the previous Tory government. Dalton McGuinty, premier at the time, had only months earlier vowed during an election not to increase taxes. A decade on, with McGuinty long gone, Liberal-ruled Ontario is still in hock up to its eyeballs, with no prospect of whipping its books into shape until at least two years from now. Now, with the collapse in oil prices that have greased its treasury, Alberta is hitting up taxpayers with a special health tax of up to $1,000 on those with taxable incomes above $50,000 a year. Ironically, just four years after Ontario imposed its health tax, then-buoyant Alberta -- oil was trading at $118 a barrel, more than double today's price -- waved a magic wand and made health insurance charges go away. Neither province calls its health charge a tax, of course. That would be too honest.
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  • In tax-hating Alberta, which has no sales tax, it's called a "health-care contribution levy." Ontarians know it as a "health-care premium," an odd choice of words since their OHIP premiums were already paid through a health payroll tax that an earlier Liberal government, sensing opportunity at the polls, saddled entirely onto employers after years of companies and employees sharing the tab. But semantics aren't the only problem with these political taxes. Worse, they create the idea for those who don't know better that healthcare budgets are balanced or largely covered off with the fees, which -- bottom line -- amount to about what you'd pay for a late-night hospital ER visit if you had no coverage. In fact, these hidden taxes generate only pennies on the health-care dollar.
  • Ontario is spending $50 billion on health care this year, or 38% of its total budget. Its two nominal health taxes, the personal and payroll, will bring in $8.9 billion. That's 18 cents on every health-care dollar. Health spending in Ontario is so high, it takes every dollar of personal income tax and sales tax the province collects to cover the tab, with about $1 billion left over. And that's in a province that has managed to rein in runaway growth in health spending. In Alberta, where spending will actually fall by nearly 1% this year, health care will consume almost 40% of its 2015 budget. And that new "health-care contribution levy"? It will bring in a mere $400 million in a $19-billion healthcare system that costs more than Alberta rakes in from personal, corporate income tax and resource revenue combined. Canadians spend an estimated $215 billion a year on health care. About 30% of that is out of their own pockets or private insurance. Governments pay the rest. The total is more than the federal government's annual take from all personal and corporate income taxes. Apologies to Alberta and Ontario, but all taxes are for health care.
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Commonwealth - Workers paying more but getting less | Physicians for a National Health ... - 0 views

www.pnhp.org/...s-paying-more-but-getting-less from heather US medicare ally
shared by Govind Rao on 09 Jan 15 - No Cached
  • By Cathy Schoen, David Radley, and Sara R. CollinsThe Commonwealth Fund, January 8, 2015
  • From 2010 to 2013—the years following the implementation of the Affordable Care Act—there has been a marked slowdown in premium growth in 31 states and the District of Columbia. Yet, the costs employees and their families pay out-of-pocket for deductibles and their share of premiums continued to rise, consuming a greater share of incomes across the country. In all but a handful of states, average deductibles more than doubled over the past decade for employees working in large and small firms. Workers are paying more but getting less protective benefits. Costs are particularly high, compared with median income, in Southern and South Central states, where incomes are below the national average. Based on recent forecasts that predict an uptick in private insurance growth rates starting in 2015, securing slow cost growth for workers, families, and employers will likely require action to address rising costs of medical care services.
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Friends of Medicare - Promoting and protection public health care in Alberta - 0 views

www.friendsofmedicare.org/default.asp from heather Alberta coalition campaign user fees
shared by Govind Rao on 12 Mar 15 - No Cached
  • Friday, March 06, 2015 Friends of Medicare launched petition in opposition to health care premiums
  • Today Friends of Medicare launched both an online petition and a physical petition to the Legislative Assembly to urge the Government of Alberta to not introduce health care premiums.
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Friends of Medicare - Promoting and protection public health care in Alberta - 0 views

www.friendsofmedicare.org/default.asp from heather Alberta cuts user fees coalition
shared by Govind Rao on 20 Feb 15 - No Cached
  • Thursday, February 19, 2015 Premiums and cuts both wrong for Alberta health care
  • Yesterday Finance Minister Robin Campbell said the government is "keen" on the idea of bringing back health care premiums.
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Prentice lays out new strategy for Alberta; Health-care premiums, tax hikes on the way ... - 0 views

www.fpinfomart.ca/doc/doc_display.php?key=pr|246200|ntnp|20150325|217107943 from heather Alberta user fees
shared by Govind Rao on 25 Mar 15 - No Cached
  • National Post Wed Mar 25 2015
  • After four months of warning of a coming fiscal doomsday, Premier Jim Prentice unveiled his plan to wean Alberta off volatile oil and gas royalties on Tuesday: healthcare premiums and tax hikes. In a televised address ahead of his Thursday budget, Mr. Prentice hinted at the new fees needed to make the province financially sustainable. "When we present our new budget, we will be asking Albertans to begin to contribute directly to the costs of the health system. This revenue will start small but it will grow over three years," he said during the 15-minute address broadcast Tuesday evening. "If we stick to this plan, we will be back to a balanced budget by 2017, even if oil prices do not recover as much as forecast. And if they do, Alberta will be in an even stronger position."
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Hospital professionals reach Ontario-wide agreement | Canadian Labour Reporter - 0 views

www.labour-reporter.com/...s-reach-ontario-wide-agreement Ontario union bargaining hospital
shared by Heather Farrow on 06 Jun 16 - No Cached
  • Jun 3, 2016
  • Tentative deal includes improvements to wages, vacations
  • More than 12,000 hospital professional across Ontario reached a new collective agreement with the Ontario Hospital Association (OHA). The three-year agreement was signed following a marathon bargaining session and includes improvements to wages, vacation entitlements and shift premiums.
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  • According to the Ontario Public Service Employees’ Union (OPSEU) this agreement is the first central contract in a decade to be settled at the bargaining table. Previous central contracts were reached through arbitration. Ratification votes on the deal will be held on a local basis throughout June.
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Why the Demand for 'Medicare for All' Won't Go Away | Common Dreams | Breaking News & V... - 0 views

www.commondreams.org/...mand-medicare-all-wont-go-away us medicare campaign
shared by Heather Farrow on 27 Jul 16 - No Cached
  • Tuesday, July 26, 2016
  • And why these days of injustice must come to an end
  • byClaudia Fegan
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  • As the chief medical officer of Chicago’s historic public hospital, I confront on a daily basis the reality of our country’s failure to provide universal access to health care: the steady flow of patients turned away from other hospitals because they are uninsured or have Medicaid, which pays too little; and the legion of insured patients who come to us too late because they couldn’t afford $50 co-payments or $3,500 deductibles.
  • That’s what drove me and thousands of other doctors to propose a sweeping single-payer, improved-Medicare-for-all reform in the June issue of the American Journal of Public Health. The reform we propose would cover all Americans for all needed care, eliminate premiums, co-payments and deductibles, and be paid for through taxes.
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Americans are shouldering more and more of their health care costs - The Washington Post - 0 views

www.washingtonpost.com/...th-spending-didnt-feel-like-it us privatization costs
shared by Heather Farrow on 27 Jun 16 - No Cached
  • By Carolyn Y. Johnson WonkblogJune 27 at 8:10 A
  • For years, economists have been talking about a historic slowdown in the growth of health spending, which they say was triggered largely by the recession. To people feeling the financial crush of rising deductibles and premiums, blaming the economy can feel totally wrong, and a new study of the out-of-pocket costs shouldered by patients with private insurance who end up in the hospital helps explain why.
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Romney Medicare Plan Draws Stark Contrast With Obama's - NYTimes.com - 0 views

www.nytimes.com/...tark-contrast-with-obamas.html us federal medicare reforms election
shared by Irene Jansen on 15 May 12 - No Cached
  • President Obama illustrated the importance he is placing on Medicare when, in a slap at Mr. Romney, he vowed this month: “I will never allow Medicare to be turned into a voucher that would end the program as we know it. We’re not going to go back to the days when our citizens spent their golden years at the mercy of private insurance companies.”
  • Under the Romney proposal, the government would contribute a fixed amount of money on behalf of each beneficiary, and future beneficiaries could use the money to buy private insurance or to help pay for traditional Medicare.
  • Mr. Obama is testing new ways of delivering care, notably by encouraging doctors and hospitals to team up to coordinate care, to see if they save money and keep patients healthier. In his latest budget, Mr. Obama proposed $300 billion of further savings in Medicare, most of it from providers.
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  • Of the 49 million Medicare beneficiaries, one-fourth already receive comprehensive care through H.M.O.s and other private plans run by companies like UnitedHealth, WellPoint and Humana. The number could rise significantly under Mr. Romney’s proposals.
  • The type of competition Mr. Romney wants to see in Medicare is strikingly similar to the competition that is supposed to drive down commercial insurance prices under Mr. Obama’s health care law. Under the law, people under 65 could choose among competing health plans offered through an insurance exchange in each state, and the government would subsidize premiums for lower- and middle-income people.
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Affordable Care Act evens playing field for women - South Florida Sun-Sentinel.com - 0 views

www.sun-sentinel.com/...0330-20120330,0,3078792.column aca us women
shared by Irene Jansen on 02 Apr 12 - No Cached
  • According to a report from the National Women's Law Center, "Florida is one of 39 states that allow insurers to charge different rates based on gender." As a result, "[h]ealth insurance costs Florida women as much as 52 percent more than men — up to $1,141 more on average each year
  • And that whopping differential doesn't even include the extra cost of maternity coverage.
  • The Affordable Care Act:
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  • 1. Bans insurance companies from dropping women when they get sick or become pregnant
  • 2. Bans insurance companies from requiring women to obtain a pre-authorization or referral for access to ob-gyn care3. Improves the care of millions of older women with chronic conditions4. For women in new private plans, provides free coverage of mammograms and colonoscopies, one or more of which 20 million women have already received5. Beginning this summer, provides that free coverage will also include additional, comprehensive women's preventive services, including contraception in new plans6. Bans insurance companies from denying coverage for "pre-existing conditions," beginning in 2014. Currently, many women are denied coverage or charged more for such "pre-existing conditions" as breast or cervical cancer, pregnancy, having had a C-section, or having been a victim of domestic violence7. Ends the common practice of "gender rating," charging women substantially higher premiums than men for the same coverage, beginning in 20148. Provides greater access to affordable health coverage for women, with the establishment of new Health Insurance Exchanges for the millions who do not have health insurance through an employer, beginning in 2014. Currently, less than half of America's women can obtain affordable insurance through a job
  • After all is said and done, it appears that the relentless war on the Affordable Care Act by those who call it socialism has actually been, in large part, a war on women
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Arnold Relman. Why the US healthcare system is failing, and what might rescue it. BMJ - 1 views

www.bmj.com/bmj.e3052 us
shared by Irene Jansen on 17 May 12 - No Cached
  • The US healthcare system is by far the most expensive in the world, but it now leaves about 50 million of its citizens totally without coverage and fails to provide adequate protection for millions more. And the quality of care is on average inferior to that of countries that spend much less.
  • No other country is as dependent on relatively unregulated private for-profit insurance plans as is the US. Other advanced countries, such as France and Switzerland, include private insurance plans as a central part of their health system, but these plans are not-for-profit and are much more tightly regulated by government than in the US.
  • About a quarter of all US practitioners are now employed in such groups, which are being formed by independent physician organisations and by hospitals.
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  • In the US medical care has become a huge, competitive industry with many private investors, but with relatively little government regulation. Involving more than $2.7 trillion (£1.7 trillion; €2 trillion), the US healthcare industry now constitutes nearly 18% of our entire economy and it continues to expand.
  • No more than half of the US health economy involves investor owned organisations and institutions, but most of the others (so called not-for-profits) also see themselves as businesses competing for market share, so they act very much like their for-profit, investor owned competitors. Virtually all organisations and many physicians seek to maximise their income.
  • dependence of the US system on private for-profit insurance plans. Numbering in the hundreds, but increasingly being consolidated within a relatively few giant corporations
  • about a quarter of those over 65 have opted to have Medicare pay for their care through private plans
  • private insurance plans comprise a huge and growing industry, with a gross income of more than $800bn. Their profits and business overheads vary considerably but average between 15% and 25% of their premiums.
  • private insurance plans added over $150bn to the cost of healthcare in 2011.6 (The overhead expenses of Medicare are less than 5% of total expenditures.)
  • The recent movement of US physicians into large multispecialty groups suggests that this reorganisation of medical care may already be under way. If this trend continues, it could not only facilitate the enactment of legislation, but also help to make our medical care much more affordable and efficient.
  • bill, the Affordable Care Act (ACA) was passed by the Democratic controlled Congress in March of 2010
  • many liberals, like me, have reservations.9
  • The law does contain major advances but, despite its name, it has no provisions that will reliably control rising costs.
  • group practices can deliver care more efficiently than unorganised physicians in solo or small, single specialty partnership practices who compete for income and depend on fee for service payment.11
  • substantial savings, as well as improved care, can be anticipated when primary care physicians collaborate with specialists in well organised groups
  • With so many physicians employed in multispecialty practices it would be much easier to institute new payment methods that replace insurance based reimbursement for itemised services with tax supported prepaid access to comprehensive care.
  • ↵Angell ME. The epidemic of mental illness: Why? The New York Review, June 23, 2011:20-2.
  • ↵Relman AS. In dire health. The American Prospect2012;23:34-7.
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telegraphjournal.com - Home-care agencies accept 'take-it-or-leave it' deal | John Chil... - 0 views

telegraphjournal.canadaeast.com/...1444553 wages home care nb
shared by Irene Jansen on 23 Jan 12 - No Cached
  • Bob Price, the president of the New Brunswick Home Support Association, said Friday he had already sent a message to the members that they should sign the government's "take-it-or-leave-it" contract.
  • Premier David Alward said Friday the Tories election promise last year was to increase the workers' wages.
  • We've committed as part of our platform to see the wages of those working within the home-support sector increase. We're doing that. And we believe we have the dollars focused where they need to be."
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  • Earlier this summer, the province announced it would provide a new contract to home-care agencies that would compel them to pay workers a minimum of $11 an hour, up from a minimum of $9.50. It also said it would provide the agencies $16 an hour, up from $15, to run the service. This angered the agencies, both non-profit and for-profit, because they said it wasn't enough to help them make ends meet.
  • Under the old contract, the province covered 60 per cent of the workers' wages, so the association argued that to maintain that level, the agencies should be paid $18.33 an hour. Following an association meeting in Fredericton last week, about 20 of the 57 home care agencies decided to reject the contract, which the province says must be signed by Oct. 7.
  • But Hood said the wage hike wouldn't help the workers much. The government's offer to provide the agencies an extra dollar an hour would cover the wage increase, but along with the hike comes an increase in benefits - CPP and EI premiums, statutory holiday hours and vacation pay will all go up, adding to the agency's costs.Her board, she said, would likely claw back the amount they pay the workers for mileage on their cars. Price said many of the other agencies would do the same.
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Still No Relief in Sight for Long-Term Needs | HeraldTribune.com - 0 views

www.heraldtribune.com/...news03 insurance ltc us
shared by Irene Jansen on 23 Jan 12 - No Cached
  • the cost of nursing home care averages $72,000 a year
  • an attempt by President Ronald Reagan and a Democratic Congress to protect the elderly from catastrophic medical expenses and provide a modest prescription drug benefit and somewhat improved nursing home care
  • That law, the Medicare Catastrophic Coverage Act of 1988, was repealed within months of enactment after a furious response by elderly voters angry that they had to pay for the benefits themselves through a tax mostly paid by the wealthy.
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  • The repeal legislation created a commission to examine the issue of long-term care, but it ended the appetite of many in Congress to resolve the issue. The Clinton health plan made another attempt at improving long-term care, but the bill failed.
  • The program’s end is a blow to middle-class hopes, though its modest benefit would have covered only about a quarter of nursing home care.
  • Senator Judd Gregg, Republican of New Hampshire, succeeded in adding an amendment requiring the administration to certify that the program would be self-sustaining for 75 years before enacting it. The administration concluded that it could not make that certification, killing the program.
  • Less than 3 percent of Americans now buy private long-term care insurance. The government’s version of long-term care insurance shared a basic flaw with commercial options: It was voluntary, with benefits to be paid entirely by premiums.
  • Senator Edward M. Kennedy made passing the Class Act one of his last priorities
  • “I was middle class, but I’ll be impoverished eventually,” he said.
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Behind the Class Act, a Numbers Game - NYTimes.com - 0 views

newoldage.blogs.nytimes.com/...d-the-class-act-a-numbers-game insurance ltc us
shared by Irene Jansen on 23 Jan 12 - No Cached
  • But was it really unsound? Was it impossible to offer to those who needed help with the activities of daily living a $50 a day benefit ($18,000 a year) that would help ease the huge financial burden of long-term care? The insurance industry veteran hired to serve as the program’s chief actuary, Robert Yee, begs to differ — or at least, he begs to defer judgment.
  • Private insurers rely on underwriting. You can’t get long-term care insurance if you’re already sick, and the rates get awfully high if you’re already old.
  • The Class program could not have resorted to such remedies, but Mr. Yee proposed other modifications, such as as “phased enrollment,” in which large employers offer the plan first before individuals can sign up. Or benefits and premiums that increased over time on a fixed schedule, so younger workers could pay less initially, then more as their income increased. Or “temporary exclusion”: no benefits for 15 years if the need for help arises from a serious medical condition that already existed when someone enrolled. Or some combination thereof.
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  • “If people believe a long-term care insurance program is a good thing, it’s easy,”
  • Most developed nations have mandatory long-term care insurance
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timestranscript.com - Draconian changes to N.B. drug program | Times & Transcript - Bre... - 0 views

timestranscript.canadaeast.com/...1457663 drugs seniors nb
shared by Irene Jansen on 23 Jan 12 - No Cached
  • The conservative government has recently proposed changes to the prescription drug program that will affect the low income seniors who are receiving annual income of $17,198 or less, and couples living with a combined income of $26,955. A couple eligible for the prescription drug program currently pays the co-pay amount of $250. For a total of $500. In a household.Seniors living in a special care home retain $135 per month from their pension and having to pay an average of nine prescriptions per month at a cost of $9.05 per dispensing fee only leaves them $53.55 for personal necessities.In Nova Scotia, seniors have their premium waived entirely if they receive the Guaranteed Income Supplement. Quebec and Alberta provide free prescription coverage for seniors 65 and over and Ontario provides a $2 fee per prescription.
  • The Coalition for the Rights of Seniors in nursing homes denounces these draconic changes to the drug program. The Steelworkers' Organization of Active Retirees, SOAR, which represents over 700 retirees from Brunswick Mines and the Smelter plus their spouses, totally agree with the coalition. It's time the federal and provincial governments provide universal pharmacare to seniors with low incomes.
  • Phil Best,President,SOAR, Chapter SA-1
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timestranscript.com - Seniors group to meet with health minister | by eric lewis - Brea... - 0 views

timestranscript.canadaeast.com/...1457830 drugs pharma nb
shared by Irene Jansen on 23 Jan 12 - No Cached
  • The Coalition for Seniors and Nursing Home Residents' Rights hopes to sway New Brunswick's health minister on a plan to increase the cost of prescription drugs for seniors with low incomes.
  • the Coalition for Seniors, along with the New Brunswick Common Front for Social Justice, the New Brunswick Senior Citizens Federation and the Association acadiennes et francophones des ainés du N-B held a news conference at the Moncton Lions Community Centre. The four groups have united on this cause, hoping to stop government from making the proposed change.
  • Earlier this month, the New Brunswick government posted draft regulations for public comment that would require seniors to pay up to $500 annually for their prescription drugs, doubling the current $250 maximum under the co-pay program. Currently, seniors pay $9.05 per prescription until they reach the $250 ceiling. After that, the province pays for all prescriptions.
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  • They said seniors living in special care homes are left with $135 per month from their pensions and pay for an average of nine prescriptions per month at a cost of $9.05 per dispensing fee. Those seniors are left with only $53.55 for personal expenses.According to the groups, in 2010, 119,000 citizens in New Brunswick were ages 65 and up, representing 16 per cent of the population. Of that number, 55,000 seniors received the Guaranteed Income Supplement, with 48,000 participating in the prescription drug program.
  • The four groups called for Dubé to cancel the proposed changes, identify why the cost of drugs in the province has increased so much and examine how other provinces have dealt with the issue.Seniors in Nova Scotia have prescription premiums waived if they receive Guaranteed Income Supplements, while Quebec and Alberta provide free prescription coverage for anyone age 65 and up.The four groups said yesterday that the province should come up with a drug cost reduction strategy in consultation with various stakeholders and consider the New Brunswick Pharmacists' Association's proposal to speed up the approval of generic drugs that the association says would save the province millions.Another option floated was the implementation of a provincial public auto insurance plan, which would create jobs and provide revenue to the province, the groups said.Finally, a study that said Canada could save billions by creating a universal pharmacare plan rather than the assortment of public and private plans available across the country was also cited.
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Economic Club of Canada Healthcare Sustainability and the Pharmaceutical Industry Dec 7... - 0 views

www.ecot.ca/...nd_the_Pharmaceutical_Industry conference pharma
shared by Irene Jansen on 23 Jan 12 - No Cached
  • The federal-provincial-territorial Health Accord is set to expire in 2014 and the debate on the future of Canadian health care is heating up
  • building a new partnership between provincial payors and pharmaceutical companies.
  • Paul Lucas, President & CEO of GlaxoSmithKline Inc., believes the current system is unsustainable
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  • Premium-positioned Table Seating 10: $890.00 (+HST $115.70) Regular Tables Seating 10: $790.00 (+HST $102.70) Individual Seats: $79.00 (+HST $10.27)
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Economic Club of Canada Healthcare Outlook 2012 Toronto Nov 29 2011 - 0 views

www.ecot.ca/...Annual_Healthcare_Outlook_2012 health policy conference
shared by Irene Jansen on 23 Jan 12 - No Cached
  • Join this expert panel, as they discuss and debate the desire to uphold the monumental principle of universally accessible healthcare and the staggering financial burden of delivering on that promise.  The discussion will go beyond the current ideological standoff that has gripped the debate to this point and zero in on the difficult policy choices required as costs quickly careen out of control. Ticket Pricing Premium-positioned Table Seating 10: $890.00 (+HST $115.70) Regular Tables Seating 10: $790.00 (+HST $102.70) Individual Seats: $79.00 (+HST $10.27)
  • Irene Jansen on 23 Jan 12
     
    November 29 2011 11:45am to 1:30pm
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