CHA’s ADVOCACY WATCH Presented by: Keith Denny, Director, Policy & Communications.
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Transcript of CHA’s ADVOCACY WATCH Presented by: Keith Denny, Director, Policy & Communications.
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CHA’s ADVOCACY WATCH
Presented by:Keith Denny, Director, Policy & Communications
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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
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“Today’s” Watch
1. Federal Funding and Aftermath
2. Provincial/Pan-Canadian Response
3. Federal Politics
4. What Are Canadians Saying?
5. Canadian Healthcare: A Brief Profile
6. Canadian Challenges
7. Ontario Update
8. International Perspectives
9. So What – Now What?
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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
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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.
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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
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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)
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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
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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
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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
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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
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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
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5. Canada’s Health System: A Brief Profile
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Health Expenditure Continues to Rise
15
Average Annual Growth Rates
Actual Spending Inflation-Adjusted
Spending1980s 10.8% 4.2%1990s 4.5% 2.5%2000–2009 7.1% 4.3%
SourceNational Health Expenditure Database, CIHI.
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What Are We Spending On?
Hospitals29.1%
Drugs16.2%
Physicians13.6%
Other Professionals
10.5%
Other Health Spending
6.3%
Public Health6.3%
Administration3.2%
Capital4.8%
Other Institutions10.0%
16
Note2009 actual data.SourceNational Health Expenditure Database, CIHI.
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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
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Health Care Spending Outpacing Inflation and Population Growth
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NoteAAG = average annual growth.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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More Health Professionals
19
2004 2008Percentage
ChangePopulation
Increase
Number of Physicians
60,612 65,4408.0%
4.2%Number of Regulated Nurses
315,135 341,4318.3%
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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
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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
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Rates of Hospitalization for Ambulatory Care Sensitive Conditions, Canada, 2009–2010
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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
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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)
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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
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17 York StreetOttawa, Ontario K1N 9J6Tel: (613) 241-8005Fax: (613) 241-5055
www.cha.ca
Presenter’s info:Keith DennyTel: (613) 241-8005E-mail: [email protected]
www.cha.ca