Transcript Advocacy-Watch-Feb-2012

CHA’s ADVOCACY WATCH
Presented by:
Keith Denny, Director, Policy & Communications
Cycle of Activities –
Advocating for Equitable Health Care for Canadians
The typical advocacy year for CHA begins in July and continues until
recess of Parliament in June of the following year.
 July/August – Preparation of CHA’s pre-budget Brief to the Finance
Committee
 August – Submission of pre-budget Brief
 September/October – Response to the Speech from the Throne (if
required)
 September-November – Presentation of Pre-Budget Brief to the Finance
Committee
 February/March – Response to the Federal Budget
 All year
- Presentations to House of Commons and Senate
Committees
- Monitoring the work of the House and Senate
- Meetings with senior politicians and departmental officials
“Today’s” Watch
1.
2.
3.
4.
5.
6.
7.
8.
9.
Federal Funding and Aftermath
Provincial/Pan-Canadian Response
Federal Politics
What Are Canadians Saying?
Canadian Healthcare: A Brief Profile
Canadian Challenges
Ontario Update
International Perspectives
So What – Now What?
1. Federal Funding and Aftermath
Federal funding announcement
From 2017-18, CHT will grow with nominal GDP,
expected to be approx 4% a year. Although it could
be higher, it will not be allowed to drop below 3%. Dec, 2012
1. Federal Funding and Aftermath
Parliamentary Budget Officer Report – The loss in
revenue (from the new CHT escalator) will add to
the financial burden of the provinces and
territories. - Jan, 2012
P/T will need to institute measures amounting to 2.4
per cent of GDP to raise revenue, reduce program
spending, or both, in order to create sustainable
financial conditions.
1. Federal Funding and Aftermath
Health Minister’s follow-up
“I will continue to work with my provincial and territorial
colleagues to make sure that Canada's health
system is more sustainable, and to improve
accountability and deliver better services to
Canadians.” - Feb 2012
1. Federal Funding and Aftermath
Ongoing Federal Engagement:
• Internationally Educated Health Professionals
Initiative ($2.6M)
• Personalized health care ($67.5M)
• National Diabetes Strategy ($6M)
• Home care planning and evaluation tool ($150K)
2. Provincial/Pan-Canadian Response
Ministers of Health – “… agreed that continued stable,
predictable funding is crucial to supporting better
care and outcomes...” - Nov, 2012
Council of the Federation – Health Care Innovation
Working Group & Working Group on Fiscal
Arrangements. - Jan, 2012
3. Federal Politics
Senate – Committee on Social Affairs, Science and
Technology: Examining the progress in
implementing the 2004 10-Year Plan to Strengthen
Health Care
HESA – Study: Health Promotion and Disease
Prevention
3. Federal Politics
Finance – Pre-budget consultations, 2011
Report: Staying focused on Canadian Jobs and
Growth – Dec, 2011
Expectations:
- Budget likely end of March
- $4-8 billion in cuts
3. Federal Politics
NDP Health Critic, Libby Davies (meeting requested):
“the federal government has a key role to play in
providing proper leadership.” – Feb, 2012
NDP leadership a key issue…
Liberal Health Critic, Hon. Hedy Fry (meeting
requested): “Evidence tells us that there’s the need
for transformative change in the system.” – Jan,
2012
4. What are Canadians saying?
Ipsos:
• Feds have strong role to play in healthcare
• Obesity biggest health issue for children & youth
Environics:
• Feds should be an equal partner in HC discussions
• Strong attachment to public funding
• Efficiency more critical than funds
5. Canada’s Health System: A Brief Profile
Health Expenditure Continues to Rise
Average Annual Growth Rates
1980s
1990s
2000–2009
Source
National Health Expenditure Database, CIHI.
Inflation-Adjusted
Actual Spending
Spending
10.8%
4.2%
4.5%
2.5%
7.1%
4.3%
15
What Are We Spending On?
Other Institutions
10.0%
Capital
4.8%
Administration
3.2%
Hospitals
29.1%
Public Health
6.3%
Other Health
Spending
6.3%
Other
Professionals
10.5%
Note
2009 actual data.
Source
National Health Expenditure Database, CIHI.
Drugs
16.2%
Physicians
13.6%
16
2011 Health Spending Forecasts
• Spending on health care by governments
and Canadians is projected to be
– $200.5 billion, a 4.0% increase
– 11.6% of GDP (versus 11.9% in 2010)
– $5,811 per person
– 0.6% above inflation and population growth in
2011 (lowest rate in 15 years)
17
Health Care Spending Outpacing Inflation
and Population Growth
Note
AAG = average annual growth.
Sources
National Health Expenditure Database, CIHI; Statistics Canada.
18
More Health Professionals
Number of
Physicians
Number of
Regulated Nurses
2004
2008
60,612
65,440
Percentage
Change
Population
Increase
8.0%
315,135
4.2%
341,431
8.3%
19
6. Canadian Challenges…
Aboriginal Health and its determinants
• First Nations face “cardiovascular crisis”
• Diabetes prevalence 1.5 to 3 times Canadian rate
• Housing crises (Attawapiskat)
• Boil water advisories in I in 5 First Nations
• Suicide rates for Inuit = 11 times Canadian avg
6. Canadian challenges…
Canada’s aging population:
• 2011 census: 14.4 of Canadians over 65
• Seniors = 40% of hospital services use
• 45% of all P/T government health spending
BUT…
• More than age, multiple chronic conditions are
associated with high use of the health care system
• Prevention, PHC, community care = fewer
admissions
Rates of Hospitalization for Ambulatory Care
Sensitive Conditions, Canada, 2009–2010
7. Ontario update
• Excellent Care for All, 2010
• Drummond Report
– 105 recommendations specific to health
•
•
•
•
Action Plan for Health Care
CEO pay & OHA
OMA negotiations
OMA and salt
8. International Perspectives
• Standard & Poor’s warning to G20 nations
– Healthcare related credit downgrades within 3 years
• OECD: Canada doing well…
– Some cancer survival rates
– Avoidable hospitalization for asthma
• OECD: Canada doing less well…
– Wait times (highest of 11 countries)
– Certain in-hospital adverse events
– Income inequality (rising since mid-90s)
9. So what? Now what?
• Federal leadership?
– Meeting with Minister of Health requested
• Council of the Federation: New player
• NDP and Liberal leadership
– Meetings with health critics held fall, 2011
– Follow up meetings requested
• Senate Report due “soon”
• Budget
• CHA’s strategic plan
17 York Street
Ottawa, Ontario K1N 9J6
Tel: (613) 241-8005
Fax: (613) 241-5055
www.cha.ca
Presenter’s info:
Keith Denny
Tel: (613) 241-8005
E-mail: [email protected]
www.cha.ca