2. Paul Young - Bio
• CPA, CGA
• Financial Solutions
• SME – Risk Management
• SME – Close, Consolidate and Reporting
• SME – Public Policy
• SME – Financial Solutions
• SME – Supply Chain Management
• SME – Business Strategy and Restructuring
Contact information:
Paul_Young_CGA@Hotmail.com
3. Agenda
Global Healthcare spending
Efficient Healthcare Countries
OECD and Healthcare
USA – Healthcare Waste
Canada and Healthcare Waste
Global Healthcare Delivery and Cost
4. Introduction
Healthcare is key area for government as it
is large government expenditures
Too many people do not grasp there are
issues with healthcare delivery
8. USA Waste and
Healthcare
Source - https://www.cfo.com/health-
benefits/2019/10/annual-waste-in-u-s-healthcare-
system-nears-1-
trillion/?utm_campaign=CFODailyAlert&utm_nooverri
de=1&utm_source=CFO-
email&utm_medium=email&utm_content=CFODailyAl
ert_Tuesday_2019-10-22&utm_term=health-benefits
9. Canada and Healthcare
Source - https://www.cihi.ca/en/canadas-drug-spending-growth-outpaces-that-for-hospitals-and-doctors or
https://www.cbc.ca/news/canada/london/ontario-hallway-healthcare-1.4923954 or https://theconversation.com/how-healthy-is-the-
canadian-health-care-system-82674 or https://www.conferenceboard.ca/CASHC/research/2012/inconvenient_truths.aspx
• Canada needs to review its drug programs. Drug
Costs continues to rise - In 2018, $14.4 billion
(42.7%) of prescribed drug spending is expected to
be financed by the public sector, while the
remainder will be financed by private insurance and
individuals paying out of pocket. Drug spending is
just part of the expected $253.5 billion in total
health spending in Canada this year.
• Hospitals (28.3%), drugs (15.7%) and physician
services (15.1%) are expected to continue to
account for the largest shares of health dollars
(close to 60% of total health spending). The
remaining 41% will be spent on other health care
goods and services, including long-term care
facilities and allied health professionals.
• Fraud or about 12B per year
https://www.claimsecure.com/en/whats-new-
blog/2019/march/11/fighting-fraud-waste-and-
abuse-for-a-healthy-business/
• Miss management and waste – Let’s say about 5% to
10% is waste (est.) then the value could be $11B to
25B per year. Could you imagine how dollars could
be stretched?
10. Global Delivery of Healthcare
Source - https://globalnews.ca/news/3599458/canadas-health-care-system-lower-performing-compared-to-its-peers-study/ or
https://www.theguardian.com/commentisfree/2018/feb/05/americans-uk-health-system-trump-nhs or
https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/ukhealthaccounts/2017
• United Kingdom has many programs that are used to
reign in costs of healthcare, i.e. prescriptions drug
caps - https://theconversation.com/why-the-us-has-
higher-drug-prices-than-other-countries-111256
• Australia has one of the most efficient
healthcare system -
https://theconversation.com/australias-health-
system-is-enviable-but-theres-room-for-
improvement-81332
12. Member Countries
Source - https://www.who.int/countries/en/
No Taiwan
WHO praises China, but refuses to discuss
Taiwan
https://www.who.int/bulletin/volumes/85/07-
100107/en/index1.html
14. Oversight and Performance Audits
Source – WHO
• Internal audits in the past have show
issues with effectiveness of programs
and/or oversight
• All donors should be asking for more
performance audits as part of
assessing the effectiveness of WHO
programs
• An annual audited risk management
report should be provided including
assessing global risk, crisis
management, etc.
• More work needs to be done in terms
of using data sciences and analytics as
part of managing various programs
with WHO
15. Training and Development
If you like to learn more
about trade and/or other
subjects as part of your
professional learning and
development then feel free
to review my material on
https://www.udemy.com/
(search Paul Young CPA
CGA)
These subjects address
how to fixed issues with
housing and/or systemic
issues related to economy
including government
policies
16. Summary
Too many governments are throwing
money at they symptoms which never fixed
the root cause when it comes to poor
delivery of healthcare
The rise of drug costs is becoming an issue.
Government need to look at all aspects of
drugs including procurement, approval,
private insurance vs public funding, etc.
National Pharmacare should never be based
on the proper business cases
All governments around the world need to
put more focus on front-line services and
less emphasis on administration
Governments are not getting value for
money for healthcare.
Waste, fraud and other miss management
need to be reduced.