Our health care system is in shambles, and it isn’t
hard to figure out why – political interference.
We need health care professionals to set out
reasonable standards for public health care procedures and services. We need to
have their plans peer reviewed, and when we are satisfied, write the standards
into regulations and then get out of the road.
Let the people delivering services decide how to
best do it.
We are wrong to avoid allowing private enterprise
delivery of health care … and that is why standards of service delivery and
patient care are important. Private delivery does not mean lower standards. We
already have a complex schedule of costs for medical procedures. We allow money
“X” amount of money for a hip replacement. Some will be easy, others
complicated but we fund them at an average. Private clinics would receive the
same funding.
The fly in the ointment is infrastructure.
Currently, taxpayers fund all of the facilities, equipment, supplies and
services such as cleaning, food and laundry. We need to establish what those
costs are and make allowance to compensate a private sector facility for part
of its investments in infrastructure. Over time, we shift part of the
unfractured costs to the private sector and use private sector infrastructure
development costs as a template to keep public sector investment costs down.
The objective is not to make entrepreneurs rich -- or
to give preference to people with money. We have to greatly enhance medical
care efficiency, and service delivery, to all Canadians, irrespective of
domicile.
History shows
that governments have no incentive to do more with less. There is no government
enterprise that is efficient and effective. Bureaucracy and operating costs
increase annually whether services delivered stay the same or shrink.
We need the innovations that private enterprise and
non-profits bring to the table. An outstanding example is the STARS air
ambulance service operating in the three prairie provinces. It was not a
government imitative. The original aircraft and crew was funded by Lions
International, and its expansion was funded by the petroleum industry. Big bad
oil helped to bring ambulance services to remote areas those of us who live out
here are most grateful for.
Provinces can’t allow private health care delivery
because Ottawa won’t let them. Ottawa insist that would violate terms of the
Canada Health Act and if provinces offend, they will not receive federal health
care funding.
No one has ever explained how that is in the best
interests of Canadians needing health care.
We must end this ridiculous federal - provincial power
struggle and focus on what is best for our society. It is not autocratic health
care rule by our federal government. Provinces deliver our health care. Federal
health care responsibilities for aboriginals, prison inmates and military
personnel have all been farmed out to the provinces.
The federal government contends that because it
provides a health care fund transfer to provinces, it has the right to dictate
equality of services across the nation. It is not about equality of services;
it is about retaining government control over health care.
Here is what I believe we need to have done:
- get the federal government out of health care -- stop health care transfers – and transfer tax points to the provinces instead so they collect the entire tax to fund health care
- reduce federal taxes accordingly
- allow private enterprise and non-profits to provide health care services that meet health care and patient care standards
- improve efficiencies to deliver more services for the same or less money.
Governments are failing to keep up with the demand
for health care services. We must innovate or see more people unable to access
the care they need.
John Feldsted
Political Consultant
& Strategist
Winnipeg, Manitoba
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