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Contents contributed and discussions participated by Govind Rao

Govind Rao

Why aren't we doing more about superbugs & over-prescribing? - 0 views

  • Bryan ThomasColleen Flood March 29, 2016 
  • The trouble is that bacteria and other pathogens are constantly evolving into ‘superbugs,’ capable of resisting our current cache of antimicrobials, which include antibiotics like penicillin as well as antifungals, antiparasitics and antivirals.  The WHO warns that “a post-antibiotic era — in which common infections and minor injuries can kill — is a very real possibility for the 21st century.”
Govind Rao

HEU urges Ottawa to honour commitments on public health care | Hospital Employees' Union - 0 views

  • Since 2014, B.C. has lost half billion dollars in federal health care transfers March 31, 2016
  • The Hospital Employees Union (HEU) is calling on the federal Liberal government to honour its 2015 election commitments to bring back a national Health Accord in partnership with British Columbia and the other provinces.
Govind Rao

BloodWatch.org - 0 views

  • Why we need to ban paid plasma blood donations. Our story. Our Blood.
  • The Petition is open for signature until May 17, 2016
  • Petition to the Government of Canada Whereas: Over 30,000 Canadians were infected with HIV and Hepatitis C via tainted blood in Canada, resulting in the deaths of thousands of Canadians and harming countless families; Canada spent $17 million dollars on a publicly-funded federal inquiry which revealed that the paid-donor system was a key factor contributing to Canadians receiving tainted blood; Billions of dollars in compensation have been given to those who received tainted blood and their families due, in part, to Canada's former reliance on blood from paid donors; The Krever Inquiry recommended an end to a private, for-profit blood donor system in Canada, citing these five basic principles regarding how the blood system should be governed: 1. Blood is a public resource; 2. Donors should not be paid; 3. Sufficient blood should be collected so that importation from other countries is unnecessary; 4. Access to blood and blood products should be free and universal; and 5. Safety of the blood supply system is paramount; Our blood plasma is not meant to be a commodity that is bought and sold, we must protect our voluntary blood system in Canada and ensure we have one national operator, the Canadian Blood Services, to oversee blood collection and plasma collection in our country.
Govind Rao

Time for feds to enforce Canada Health Act as extra billing, user fees on rise | - 0 views

  • By RYAN MEILI
  • Wednesday, March 30, 2016
  • Extra billing in Ontario, private MRIs in Saskatchewan and user fees in Quebec: violations of the Canada Health Act are on the rise across the country. Canadian doctors are concerned about the impact of this trend not only on their patients, but on our public health care system as well.
Govind Rao

Time to Care - Mobilization Training 2016 - CUPE Ontario - 0 views

  • March 8, 2016 – March 11, 2016
  • Following the success of the Time to Care campaign training retreat in 2015, CUPE Ontario is pleased to offer a similar member training this coming March (2016). The training is focused on how to plan, organize and carryout Time to Care related activities in your local community. Like the session last year, the 2016 mobilization training is intended for CUPE locals (and members) able to commit to work on the campaign, share and build organizing skills among members, and join in coordinated provincial actions throughout the year to achieve a 4 hour legislated care standard for long-term care residents
Govind Rao

Basic income guarantee: What's the BIG idea? | Canadian Union of Public Employees - 0 views

  • Mar 21, 2016
  • There’s new interest in an old idea: a basic income guarantee (BIG), also known as a guaranteed minimum income (GMI) or a universal basic income (UBI). 
Govind Rao

On anniversary of the Health Accord, it's time for new commitments from the federal gov... - 0 views

  • Mar 31, 2016
  • March 31 marks the second anniversary of the expiry of the federal-provincial Health Accord. CUPE joins the Canadian Health Coalition in calling on the new federal government to enforce the Canada Health Act and to adopt a new Health Accord.
Govind Rao

Summit Overview-Healthy Canada: Future Care for Canadian Seniors - 0 views

  • Thursday May 12 2016 • InterContinental Toronto Centre • Toronto, ON
  • May 12, 2016—Future Care for Canadian Seniors
  • Understanding the pressure points from the aging of baby boomers
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  • Planning and providing care for the boomer generation
  • Learn about Innovative Solutions
Govind Rao

French workers, youth defy state of emergency to protest austerity policies - World Soc... - 0 views

  • By Anthony Torres
  • 1 April 2016
  • Masses of workers and youth, 1.2 million according to union sources and 390,000 according to police, protested Thursday across France against the labour law reform of Labour Minister Myriam El Khomri. Defying the anti-democratic state of emergency imposed by President François Hollande and a large deployment of heavily armed riot police, high school and university students and growing layers of workers are demonstrating against the Socialist Party’s (PS) austerity policies.
Govind Rao

CACO Paramedic Lobby Day At Queen's Park - CUPE Ontario - 0 views

  • April 13, 2016
  • The CUPE Ontario — CACO 2016 MPP paramedic lobby day at Queen’s Park is scheduled for Wednesday, April 13. We encourage participation from across the province. We’re optimistic that your local will be sending representatives/paramedics and joining us for the lobby that includes meetings with MPPs and an MPP-paramedics’ breakfast on April 13. There is also a special training session happening at the Sheraton Hotel downtown Toronto on the evening of April 12 from 19:00 (7 p.m.) to 22:00 (10 p.m.).
Govind Rao

Super hospital won't replace deteriorating Victoria General: McNeil | The Chronicle Herald - 0 views

  • March 24, 2016
  • There will be no super hospital to replace the Victoria General Hospital in Halifax, Premier Stephen McNeil said Thursday. Speaking with reporters following a cabinet meeting, McNeil said the province is considering an approach that would use the province’s existing healthcare facilities in conjunction with new structures to meet the health needs of Nova Scotians for decades to come.
Govind Rao

N.L. doctors recommend changes to avoid harmful health care cuts - Newfoundland & Labra... - 0 views

  • Province has asked departments to identify ways to reduce spending by 30 per cent — that's $900M from health
  • Mar 24, 2016
  • While Newfoundland and Labrador doctors say reducing departmental spending would dramatically harm the quality of health care services in the province, the physicians' association has recommendations on how to save millions and improve patient care.  Those recommendations include greater centralization of services in fewer facilities, reducing unnecessary medical testing and expanding the use of technology like telemedicine to give patients access to specialists without travel.
Govind Rao

Changes in Social Inequalities Sask April 2016 - 0 views

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    A University of Saskatchewan study showed large and increasing social and health inequalities in the province between 2001 and 2013. Among the biggest gaps: people living in the most deprived areas were nearly twice as likely to have chronic obstructive pulmonary disease compared to those in the least deprived areas.
  •  
    A University of Saskatchewan study showed large and increasing social and health inequalities in the province between 2001 and 2013. Among the biggest gaps: people living in the most deprived areas were nearly twice as likely to have chronic obstructive pulmonary disease compared to those in the least deprived areas.
Govind Rao

Alberta Health Services tackles increased suicide rate | Metro News - 0 views

  • Suicides increase 30 per cent in Alberta in the first six months of 2015
  • As part of changes, following an increase in suicides in 2015, crisis teams can now respond in person when someone calls for help.
  • Wed Mar 30 2016
Govind Rao

Blood for money debate takes off in B.C. after Health Minister fails to reject the idea - 0 views

  • March 29, 2016
  • For Andrew Cumming, news that B.C. may someday be home to a pay-for-plasma clinic brought back painful memories of friends and associates whose lives were also turned upside down by Canada’s tainted-blood scandal in the 1980s.
  • Cumming, 56, a Toronto-based investment professional, contracted HIV and hepatitis C from a transfusion, and spent decades in clinics and camps growing close to a cohort of 100 hemophiliacs who were also infected.“They’re all dead,” he said. “I lost the last one in 2012.”
Govind Rao

Canadian drug companies agree to divulge how much they pay doctors, health groups | Nat... - 0 views

  • March 28, 2016
  • Amid ongoing controversy over the fees pharmaceutical companies pay doctors, 10 Canadian-based firms have agreed to divulge how much cash they hand over to physicians and health organizations every year. They say the voluntary program should make the financial ties between pharma and medicine more visible – and help “neutralize” charges of conflict of interest.
Govind Rao

Alberta plans change in doctor compensation - 0 views

  • CMAJ April 5, 2016 vol. 188 no. 6 First published March 7, 2016, doi: 10.1503/cmaj.109-5240
  • Zoe Chong
  • Alberta plans to change how doctors are paid in a bid to curb spiraling costs and improve quality of care.
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  • The current model for paying physicians is “expensive, outdated and doesn’t support the efforts of doctors to provide the best care possible,” said Health Minister Sarah Hoffman at a Feb. 8 policy forum in Edmonton on the health system’s fiscal sustainability.
  • In 2014, Alberta spent $1060 per capita on physician services — the third highest in the country. More than 80% of payments are through fee-for-service, where doctors bill the government for each medical service provided. Proponents of fee-for-service say it gives doctors the incentive to see as many patients and provide as many services as possible. Hoffman wants some of the doctors on fee-for-service to adopt Alternative Relationship Plans (ARP), which she said are not only less expensive, but also reward doctors for the quality of care they provide.
  • Under clinical ARPs, doctors are paid for providing a set of services at a facility to a target population. There are several types. The annualized ARP, the most common in Alberta, provides compensation based on a formula that determines the number of full-time equivalents (hours per year or days per year) required to deliver services.
  • In Ontario, the most common ARP is the capitation model, under which physicians are paid a fixed fee per month for each patient registered with their practices, regardless of services received.
  • The Alberta Medical Association (AMA), which represents the province’s 8921 licensed physicians, supports the change. President Dr. Carl Nohr told CMAJ that ARPs are part of the move toward modernizing the health care system, which now deals with more chronic illness. They give doctors more flexibility, he said.
  • “They’ll be able to vary the amount of time they spend with individual patients, define how frequently they see patients — all in the context of what’s good for the patients and not necessarily from the business perspective.”
  • Neither the AMA nor Hoffman could specify the number of doctors they want to adopt this model. Nohr said compensation under an ARP will remain optional, but “our goal is to make it as attractive as possible and make changes to the model as we go, and hopefully over time see a substantial uptake.”
  • Alberta’s total health budget is $19.7 billion for 2015–16 — the second highest per capita ($4800) among the provinces. But, Hoffman said, “Given how much money is spent on health care in Alberta, the health outcomes in our province can and should be better.”
  • Hoffman said health care accounts for 45% of the government’s overall budget, and continues to grow faster than both inflation and the population, which grew 2.17% in 2015. If health care spending continues to rise by an average of 6% annually, it will account for 60% of the province’s budget in 20 years. Hoffman wants to decrease growth in health care spending to 2% annually in the next few years, but stressed this does not mean cutting funding; it means curbing spending growth.
  • Hoffman doesn’t know how much will be saved by changing the physician compensation system, but said “changing the way we pay doctors will have a ripple effect on the entire health system.”
  • The government’s contract with t
  • e AMA expires in 2018, and both parties are discussing redirecting funds and developing alternative compensation models. Nohr said they’re looking into a blend of ARP and fee-for-service among primary-care physicians.
  • One of the very good things that gives me hope for the future is that the profession and the government have a very good relationship,” Nohr said. “So there’s a collaborative, positive relationship between the Alberta Medical Association and the Ministry of Health and that creates the possibility for productive, useful change.”
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