Tutorial Denny Vrandečić, Markus Krötzsch {denny, mak}@aifb.uni-karlsruhe.de
Presented by: Keith Denny, Director, Research & Policy.
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Transcript of Presented by: Keith Denny, Director, Research & Policy.
Speaker: Keith Denny 2
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
Cycle of Activities – Advocating for Equitable Health Care for Canadians
Speaker: Keith Denny 3
1. Canada: Federal & Provincial Politics2. Canada’s Health System3. International Perspectives4. So What – Now What?
“Today’s” Perspective
Speaker: Keith Denny 5
Rare diseases/orphan drugs◦ Orphan drug framework for Canada◦ Orphanet
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
1. 1 Federal Policy
Speaker: Keith Denny 6
Response to:◦ Senate review of 2004 10-year accord◦ HESA chronic disease & aging report◦ HESA drug supply report
1.1 Federal Policy
Speaker: Keith Denny 10
1.3 Public Opinion: Policy Priorities
Unsure
Debt/Deficit
Education
Environment
Healthcare
Jobs/Economy
0 5 10 15 20 25 30 35
11.6
4.2
7.9
9.4
24.5
23.7
12.2
3.3
7.6
8.7
18.7
29.6
01-Sep 2012 July
Percent
Most important issues:Nanos Research, September 2012
Speaker: Keith Denny 11
1.3 Public Opinion: Policy Priorities
Public Policy Importance & Confidence Map: Nanos August, 2012
IMPORTANCECO
NFI
DEN
CE
Speaker: Keith Denny 12
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
1.4 Provincial/Pan-Canadian
Speaker: Keith Denny 16
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%
2.1 Finances
Speaker: Keith Denny 17
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, lower-
income earners, women, self-employed, work part time workers and unemployed
◦ 50% support a public supplementary health benefits program funded by increased taxes
2.1 FinancesIpsos Reid, July 2012
Speaker: Keith Denny 18
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
2.3 Health System Changes
Ipsos Reid
Speaker: Keith Denny 19
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
2.2 Health System Changes
Ipsos Reid
Speaker: Keith Denny 20
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
2.3 Health System: Public Opinion
Speaker: Keith Denny 21
Canada BC AB SK/MB ON QC Atl0
10
20
30
40
50
60
70
53
64
4953
5053
58
39
32
46
4143
35 34
74 5 6 7
12
7
Mixed Model Not-for-Profit For-Profit
Pe
rce
nt
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
“Mixed model” health care: Ipsos Reid, July 2012
Speaker: Keith Denny 23
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
3. International Perspectives
Speaker: Keith Denny 24
Affordable Care Act: Obamacare◦ Insures 32m previously uninsured◦ Could intensify brain drain for Canadian clinical
expertise
3. International Perspectives
Speaker: Keith Denny 28
3. International PerspectivesDoctors per 1000 population (OECD 2010)
Nurses per 1000 population (OECD 2010)
Greece 6.1 Luxembourg
16.3
Austria 4.8 Switzerland 16.0
Norway 4.1 Denmark 15.4
Portugal 3.8 Belgium 15.1
Sweden 3.8 Iceland 14.5
Switzerland 3.8 Ireland 13.1
Canada 2.4 Canada 9.3
OECD 3.1 OECD 8.7
Speaker: Keith Denny 29
Council of the Federation: What next??? Follow up with Minister of Health and
critics Business Plan: Policy and advocacy
platform Partnerships: ACAHO, CCPH21, HEAL
4. So what? Now what?
30
Presenter’s info:Keith Denny
Tel: (613) 241-8005E-mail: [email protected]
www.cha.ca17 York Street
Ottawa, Ontario K1N 9J6Tel: (613) 241-8005
Fax: (613) 241-5055