Opinion: Standard Time all year round is the healthy choice

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Households spend an average of $9,350 each year on health-care costs, which will make up about 11 per cent of their annual budget and get some of it back from budgets for debt repayment.
It’s hard to imagine, reading this, that a family would not want to spend money on health care. Yet health-care coverage for all Canadians is a major, and growing, political imperative. Indeed, Canadians are regularly asked when they plan to get health care coverage and the dates can vary. Can we have it all or can we have it always?


Early in my tenure as U.S. President Barack Obama’s secretary of health and human services, I championed access to long-term care for Canadians in need. I did so while also advocating for universal health coverage that would address the fiscal and social difficulties accompanying a high-cost health system.

What were the studies and trends? Increasing spending, a spiralling private-sector deficit and an ageing population – conditions that threaten the survival of our health-care system. The position is not necessarily favourably seen in the contemporary White House. I recently walked through the White House welcoming ceremony for the visiting prime minister and recalled how U.S. health-care advocacy had been extraordinarily successful at the White House and in Capitol Hill and at State level.

But why do we have an unsustainable health-care system that increasingly becomes unsustainable? Such an approach should be to provide existing, sufficient health-care coverage but to engage in innovative delivery of health care that addresses the needs of those suffering long-term care.

In fact, because our system is so expensive, it is only sensible that we take advantage of those who can afford the higher costs and make a quick transition.

Access to high-quality medical care that meets the most vulnerable members of society is essential. Yet the demand for high-quality care and access, particularly for those with serious chronic illnesses, continues to grow quickly. That shortage only increases cost pressures for both health care and other services.

While doing battle with the higher costs for health care, some researchers are noting that the private sector generates more revenues but the government loses out. This is not to say that the public or the private sector have anything to contribute to solving the problem.

Some argue that the government should charge the private sector and the individual little or nothing in order to generate more revenue and for a program like the Canada Health Transfer to exist. Others believe that the recent focus on that tax and business/income program has shifted our spending priorities away from health care and into social programs.

If money is fungible, then why do we require a publicly funded health-care system to care for everyone if we don’t want to fund the private sector?

Unfortunately, the challenge is not simply about financing a universal health care system. Today’s government approaches the problem in two distinct ways.

First, governments spend a lot of money on health care. They then implement policies that deal with both financing and patient care, which differ from one direction to the other. In other words, government measures and policies are fickle and subject to changing priorities and techniques that are unevenly enforced in the Internet World. For example, in the early 1990s, infrastructure spending focused on repairing and cleaning up crumbling infrastructure and spending on health care. While that was not always the norm, these investments were consistent.

The second way governments spend a lot of money is in direct delivery of health care. Public health care, specifically for the well-being of all Canadians, falls under the clinical care-oriented approach.

Governments provide the funding but the patient engagement is the key. This gives the care worker a greater influence over the health outcomes of the patient. When the patient responds to care offers by care people, that’s a powerful experience and a powerful cue to the care worker. It invites the patient to receive their interventions based on what they will need to achieve quality health outcomes.
We see this same type of relationship in pharmacare and in health-care systems. The trick is to facilitate all these interactions so that all know who they are working with, so patients trust the social workers working for them and so that the social workers are encouraged to connect with the patient as part of the interaction.

In the health-care system, we measure outcomes at the population level and then the care level. We don’t measure results at the clinical level. There, the public has access to high-quality care, even while those outcomes fall short of our expectations. This results in more than $14-billion of physician overtime and preventable service costs added to the health-care system each year.
If you were looking for an unsustainable health-care system, you would have to acknowledge that by moving to innovative model of care that gives Canadians high-quality health care and introduces taxes and fees to subsidize that

 

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