Private And Public Health Care in Canada

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Private And Public Health Care in Canada

  1. 1. Private and Public Health CareOverview of Canadian PracticesDr. Asaad Qaddori
  2. 2. Discussion Plan• Health Care Funding/ Delivery: Private…………………Public• The Canadian Version• Changes: Proposals; Why now?• Consequences of changes
  3. 3. Health Care Continuum Funding Delivery Public (governments : federal, Private(out-of-pocket, extended health provincial, and municipal level) insurance, donations, capital and research) Public -Hospital services - Charitable foundations and -Rehabilitation services fundraising (sometimes) - Out-of-pocket payments for cosmetic surgery Private -Physician services - Pharmaceuticals (not-for-profit and for profit) (generally) - Dental care
  4. 4. How Canada ComparesHealth Spending in Canada & Comparable Countries/2009 United Canada France New Zealand United States KingdomPrivate /Public 70% public 87% public 76% public 78% public 47% publicSplit 30% private 13% private 24% private 22% private 53% privateTotal healthcare costs per $4363 $3487 $3978 $2983 $7960capita
  5. 5. Cons of Status Quo• Wait times• Restrictions on privately funded health care• Cross-border health care Canadians visiting the US to receive health care and vice versa• Funding
  6. 6. Private-For-Profit Health Care• Politics• Claims of Increased Public Health Spending• Claims to improve care• Claims to decrease waiting times
  7. 7. Privatization :• Passive• Proactive
  8. 8. Private Care Examples• Shouldice Clinic : for out of ON patients• CT and MRI Clinics• P3 Hospitals : Public-Private Partnership (Private profits-Public pays) !!
  9. 9. Opponents of Privatization• Increase wait times• Queue jumping /violations of the Canada Health Act• Draw health care workers away from the public system• Higher death rates and lower quality of care• Cost more• Offer unnecessary and potentially harmful treatments• “Cream skim” healthier patients requiring less costly care• Heighten inequalities• Undermine Canada’s public health care system
  10. 10. Conclusions• Privatization is not the answer• Privatization change who is waiting rather than the waiting time• Health Care is a social service, and sick patients can not be treated as ordinary consumers in commercial transactions• Canada should not follow the failing US example
  11. 11. Questions
  12. 12. Thank You

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