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Home Policy Articles: Health Care: Page 8

The administration, funding and management of Canada’s health care system are hugely controversial areas of public policy. Much of the controversy is centred on the responsibilities of the federal and provincial governments to provide funding for the system; other debates focus on privatization, accountability, prescription drug policy, and how to measure the effectiveness of the system. The future of our country’s health care system will rely on sustainable investments and sound policy.

This section of policy.ca will keep you informed on the latest debates in health care policy in Canada.


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Waiting Your Turn: Hospital Waiting Lists in Canada (12th Edition)

This article by Nadeem Esmail and Michael Walker contains several graphs and data tables analyzing the current state of hospital waiting lists in Canada. The authors underscore that although data is more easily available than in the past, the data that is provided by the federal and provincial governments is still largely incomplete. By comparing government data with that of other sources they have gathered, the authors believe they generate the only available comprehensive evaluation of the state of waiting lists in Canada.
http://www.fraserinstitute.ca/shared/readmore.asp?sNav=pb&id...

Waiting Your Turn: Hospital Waiting Lists in Canada (13th Edition)

This article documents the extent to which waitlists for medical specialists, and for diagnostic and surgical procedures, are being used to control health care expenses. The authors, Nadeem Esmail and Michael Walker, argue that measuring waiting times is crucial because it contributes to a better understanding of how the health care system works, and where its problems lie. The Fraser Institute has been measuring waiting times since 1988; this edition of the survey finds that waiting times for surgical and other therapeutic treatments grew in 2003.
http://www.fraserinstitute.ca/shared/readmore.asp?sNav=pb&id...

Waiting Your Turn: Hospital Waiting Lists in Canada (14th Edition)

This article documents the extent to which queues to visits to specialists, and for diagnostic and surgical procedures, are being used to control health care expenses.
http://www.fraserinstitute.ca/admin/books/chapterfiles/wyt20...

We Can't Go On Like This: What an ageing population, the consumer revolution and accelerating globalisation mean for the future of health care

This paper, based on a speech given by Brian Lee Crowley to the Annual Meeting of the Canada-Sweden Business Association, touches on the subjects of health, wealth, and power, especially in the context of an aging population. Crowley’s analysis begins with the basic statement that those who have wealth and power will succeed in getting the health care they want.
http://www.aims.ca/library/CSBA(1).pdf

What Are Policy-Makers Saying about Respite?

This paper discusses the findings of a set of interviews revolving around the issue respite for caregivers. Sherri Torjman explains the concerns that have been raised and makes recommendations for how respite for caregivers might be improved.
http://www.caledoninst.org/Publications/PDF/369ENG%2Epdf

What Does the Increased Federal Funding for Health Care Mean for Medicare Advocates?

In this brief report, Sheila Black examines the federal-provincial-territorial health care funding landscape over four years. According to the author, this landscape has changed dramatically, as federal funding has increased in proportion to provincial and territorial funding since 2000, and will continue to rise.
http://www.policyalternatives.ca/documents/National_Office_P...

What Happened to Health-Care Reform?

Paul Boothe and Mary Carson argue that access to health care and the sustainability of the system will remain problematic until governments and the public are willing to address the changes that need to be made to properly balance the mismatch between rising costs and the fiscal resources available. In their study, the authors compare the recommendations made by four major health care commissions, and then evaluate the responses of the Saskatchewan and Alberta governments, as well as the federal government.
http://www.cdhowe.org/pdf/commentary_193.pdf

What is In and Out of Medicare? Who Decides?

Flood, Tuohy and Stabile’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada. This series was undertaken to examine how decisions are made about what is covered by publicly funded health care, and if decisions about what is covered should be revisited.
http://www.irpp.org/miscpubs/archive/medicare_basket/wp2004-...

What Is the Best Public-Private Model for Canadian Health Care?

This article by Kieke G.H. Okma examines the reforms to health-care governance of members of the Organisation for Economic Co-operation and Development (OECD) concerning funding and delivery issues vis-à-vis proposals for Canadian health reform.
http://www.irpp.org/pm/archive/pmvol3no6.pdf

When the Employees Take Over: Employee Ownership Creeps into Sweden's Health System

Beginning in the early 1990s, Sweden began instituting changes that moved its traditional health care structure from a public monopoly to one with a multitude of diverse health care producers. In this Frontier Centre article Johan Hjertqvist explores how these changes allowed a degree of privatization and co-ownership by Swedish health care providers.
http://www.fcpp.org/pdf/when_employees_take_over.pdf

Where Does the Money Go? A Study of Worker Pay in Ontario's Hospitals

This brief Fraser Alert, written by Mark Mullins, examines the issue of how Ontario’s dollars are spent within the health care system.
http://www.fraserinstitute.ca/admin/books/files/WhereTheMone...

Why Competition is Essential in the Delivery of Publicly Funded Health Care Services

In this report, Kirby and Keon argue the most important structural weakness in Canada’s health care system is its lack of incentive to increase productivity.
http://www.irpp.org/pm/archive/pmvol5no8.pdf

Why Not "Europeanize" Healthcare?

Brian Lee Crowley and Johan Hjertqvist advocate the imitation of one aspect of European healthcare in Canada. This change would see a patient being given the ability to choose which province to have a procedure doe in while their home province picks up the tab.
http://www.prairiecentre.com/pdf/2004/2004-03-15.pdf

Why Wait? Public Solutions to Cure Surgical Waitlists

Alicia Priest, Michael Rachlis, and Marcy Cohen highlight the success of new public management initiatives in reducing wait times in British Columbia.
http://policyalternatives.ca/documents/BC_Office_Pubs/bc_200...

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