Transcript Big Ideas - HealthCareCAN

Presented by: Keith Denny,
Director, Research & Policy

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
Speaker: Keith Denny
- Presentations to House of Commons and Senate Committees
- Monitoring the work of the House and Senate
- Meetings with senior politicians and departmental officials
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2.
3.
4.
Canada: Federal & Provincial Politics
Canada’s Health System
International Perspectives
So What – Now What?
Speaker: Keith Denny
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Speaker: Keith Denny
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Rare diseases/orphan drugs
◦ Orphan drug framework for Canada
◦ Orphanet

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Canadian Epigenetics, Environment and
Health Research Consortium (CIHR): $41M
EI changes
◦ For parents with critically ill/injured children

U-turn on asbestos
◦ Canada will no longer oppose inclusion in global
list of hazardous substances
Speaker: Keith Denny
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
Response to:
◦ Senate review of 2004 10-year accord
◦ HESA chronic disease & aging report
◦ HESA drug supply report
Speaker: Keith Denny
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Abacus, September, 2012
Speaker: Keith Denny
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Nanos, September, 2012
Speaker: Keith Denny
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Nanos, October, 2012
Speaker: Keith Denny
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Jobs/Economy
23.7
18.7
Healthcare
24.5
8.7
9.4
Environment
7.6
7.9
Education
Most important issues:
Nanos Research, September
3.3
4.2
Debt/Deficit
12.2
11.6
Unsure
0
5
10
01-Sep
Speaker: Keith Denny
29.6
15
20
25
30
35
Percent
2012 July
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CONFIDENCE
Public Policy Importance & Confidence Map: Nanos August, 2012
Speaker: Keith Denny
IMPORTANCE
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
Council of the Federation
◦ Innovation and Fiscal Arrangements Working
Group reports released July 27, 2012
 12 recommendations for best practices
 New CHT escalator will cost P/T $36B by 2024

Ministers of Health
◦ September 27 meeting
Speaker: Keith Denny
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Speaker: Keith Denny
Macdonald-Laurier Institute, 2012
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Angus Reid, September 2012
Speaker: Keith Denny
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Speaker: Keith Denny
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
New CIHI data on the financial performance of
hospitals shows hospitals are barely staying afloat:
◦ 2010 -11 total revenues = 0.12% above expenses
◦ NL, NS, NB & QC in deficit position
◦ SK has best margin at 1.2%
Speaker: Keith Denny
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Ipsos Reid, July 2012

Ipsos Reid survey for CHSRF, CMA & IHE:
◦ 82% have supplementary health coverage
◦ 36% have gone without needed health care due to
insufficient coverage
 gap in care is highest among those in Atlantic Canada, lowerincome earners, women, self-employed, work part time workers
and unemployed
◦ 50% support a public supplementary health benefits
program funded by increased taxes
Speaker: Keith Denny
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Ipsos Reid

BC
◦ Margaret MacDiarmid appointed Minister of Health New
powers for nurse practitioners

Alberta
◦ New regulation under Health Professions Act creates
College of Naturopathic Doctors of Alberta

Ontario
◦ Stand off between government and OMA continues
◦ New powers for pharmacists
Speaker: Keith Denny
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Ipsos Reid

QC
◦ Dr. Rejean Hebert appointed Minister of Health

NB
◦ Hugh Flemming appointed Minister of Health
◦ New department: Healthy & Inclusive Communities (Minister:
Dorothy Shephard)

PEI
◦ Proposed umbrella legislation for health profession
regulation
◦ May open door to regulation for some of 16 professions
currently seeking it (e.g. midwives, MLTs, naturopaths)
◦ Health PEI CEO takes up new post in Saskatchewan
Speaker: Keith Denny
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
Ipsos Reid survey, July 2012:
◦ 53% of Canadians opt for mixed healthcare model: gov’t
pays, services delivered publicly but have option to seek
and pay for treatment in private sector
◦ 39% favour a “not-for-profit” model whereby the
government pays for the care delivered by the public
sector
◦ 7% favour a “for-profit” model where the gov’t and
individuals pay but services are delivered privately
Speaker: Keith Denny
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“Mixed model” health care: Ipsos Reid, July 2012
70
64
58
60
53
53
49
50
Percent
40
50
46
43
41
39
53
35
32
34
30
20
12
10
7
5
4
7
6
7
0
Canada
BC
AB
Mixed Model
SK/MB
Not-for-Profit
ON
QC
Atl
For-Profit
Source: Ipsos Reid. Majority (53%) of Canadians prefer mixed-model healthcare,
with services offered by both public and private sectors.
Media Release. June 28, 2012
Speaker: Keith Denny
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Speaker: Keith Denny
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
Canada-EU Trade Agreement
◦ Latest round of negotiations ongoing
◦ Ministers will meet in November
◦ Aim for final agreement by end of year

Drug patent issue not yet discussed
◦ Will be one of issues decided by ministers in
November
◦ Industry Canada/Health Canada estimate EU
proposal could add up to $1.9B in annual drug
costs
Speaker: Keith Denny
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
Affordable Care Act: Obamacare
◦ Insures 32m previously uninsured
◦ Could intensify brain drain for Canadian clinical
expertise
Speaker: Keith Denny
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Speaker: Keith Denny
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IoM report: US health
system wastes $750B pa
Speaker: Keith Denny
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OECD Top Ten Life Expectancy, 2010
Speaker: Keith Denny
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Doctors per 1000
population (OECD 2010)
Greece
6.1
Austria
4.8
Nurses per 1000
population (OECD 2010)
Luxembourg 16.3
Switzerland 16.0
Norway
Portugal
Sweden
4.1
3.8
3.8
Denmark
Belgium
Iceland
15.4
15.1
14.5
Switzerland
Canada
3.8
2.4
Ireland
Canada
13.1
9.3
OECD
3.1
OECD
8.7
Speaker: Keith Denny
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Council of the Federation: What next???
Follow up with Minister of Health and critics
Business Plan: Policy and advocacy platform
Partnerships: ACAHO, CCPH21, HEAL
Speaker: Keith Denny
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Presenter’s info:
Keith Denny
Tel: (613) 241-8005
E-mail: [email protected]
www.cha.ca
17 York Street
Ottawa, Ontario K1N 9J6
Tel: (613) 241-8005
Fax: (613) 241-5055
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