Summary: The focus on all levels of government should be on how best to deliver healthcare. The delivery model for healthcare should include homecare and private clinics. OECD countries need to work together on reducing drug costs including how best to protect IP related to drug IP Both the private and public sector need to embrace more health and wellness programs. Provincial government need to bring in more performance and operational review of all hospitals and clinics including mandatory monthly report of key metrics related to healthcare like wait times, treatments, average stay, etc. More emphasis needs to homecare solutions as part of assisted living. All levels of government need to develop global standards for assisted living including annual reporting and audits by various levels government All healthcare systems need to have audited crisis and emergency management reports as part of their reporting cycle. Education systems needs to be revamp including more spots at medical and nursing schools. It is critical for healthcare to move their model towards a digital model through IoT. The key will be how best to protect information including having strong policies related to mitigation of cybersecurity.

1. Global Healthcare Crisis -
Funding
PAUL YOUNG CPA CGA
JUNE 19, 2022

2. Paul Young - Bio
• CPA, CGA (1996)
• Academia (PF1, FA4, FN2, MU1. and MS2)
• SME – Customer Success Management
• SME – Risk Management
• SME – Close, Consolidate and Reporting
• SME – Public Policy
• SME – Emerging Technology
• SME – Business Process Change
• SME – Financial Solutions
• SME – Macro/Micro Indicators
• SME – Supply Chain Management
• SME – Data, AI, Security, and Platform
• SME – Internal Controls and Auditing
Contact information email: Paul_Young_CGA@hotmail.com
LinkedIn: https://www.linkedin.com/in/paul-young-055632b/
SlideShare - https://www.slideshare.net/paulyoungcga
Twitter: https://twitter.com/paulyoungcpa
YouTube - https://www.youtube.com/user/youngercga1968/videos

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

5. Global
Healthcare
Spending
SOURCE - DELOITTE

6. Healthcare spending per capita

7. Efficient Healthcare Country Ranking
Source - http://worldpopulationreview.com/countries/best-healthcare-in-the-world/

8. Most Efficient Healthcare System
Source - https://fr.april-international.com/en/healthcare-expatriates/which-countries-have-
best-healthcare-systems

9. OECD and
Healthcare
Funding
SOURCE – FRASER INSTITUTE

10. 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

11. 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?

12. 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

13. Blog – Reforming Healthcare
https://twitter.com/waterloosuze/status/15381
36454366478337
@KatharineSmart
The focus on healthcare should be homecare
just like the Drummond Report stated years
ago.
Waste in healthcare needs to be eliminated
like LHINs
Better drug deals to reduce cost of drugs
More digital adoption by healthcare
https://www.slideshare.net/paulyoungcga/hea
lthcare-crisis-canada-august-2019

14. Drug and Dental Care
You do realize how expensive these programs are right? You do realize that many Cdns have private insurance,
right? The focus should be the consolidation of different programs.
Pharmacare - https://www.slideshare.net/paulyoungcga/canada-and-drug-costs-pharmacare-how-to-reform-drug-
policy
Dental https://www.smilecaredental.ca/blog/ohip-dental-coverage-free-dental-care-ontario-2021
Fiscal - https://www.slideshare.net/paulyoungcga/fiscal-management-public-sector-canada

15. 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.
1. Global drug Costs - https://globalnews.ca/news/8920631/new-drug-price-rule-could-
save-canada-billions-parliamentary-budget-officer-reports/
2. Elimination the waste and miss management -
https://www.thehealthy.com/healthcare/doctors/hospital-safety-secrets/
3. Homecare - https://www.forbes.com/health/healthy-aging/what-is-home-health-care/
4. France - https://www.connexionfrance.com/article/Practical/Health/A-guide-for-
residents-and-second-homeowners-to-the-French-healthcare-system-in-2021
5. Innovative - https://www.beckershospitalreview.com/innovation/24-hospitals-health-
systems-that-launched-innovation-centers-in-2021.html or
https://immigrantinvest.com/insider/the-best-healthcare-countries-en/ or
https://inveritasoft.com/article-6-countries%E2%80%8B-that-are-transforming-
healthcare-sector
6. Digital healthcare - https://www.emedhealthtech.com/digital-health-helps-developing-
countries-advancing-healthcare/
7. Wait times - https://collective-news.com/14-ways-to-reduce-long-patient-wait-
times/?amp=1
8. Fixing the cost to serve model -
https://healthmanagement.org/c/healthmanagement/issuearticle/identifying-controlling-
and-reducing-overhead-costs
9. Healthcare staff shortages - https://www.healthleadersmedia.com/nursing/stop-
workforce-shortages-3-ways
10. Medical school - https://www.med.mun.ca/Medicine/Communications/News-at-
Medicine/June-2022/Increased-capacity.aspx
Aug/19 - https://www.slideshare.net/paulyoungcga/healthcare-crisis-canada-august-2019
6-20230331_hospcent
ralagreement-draft.pdf
47 Secrets Hospitals
Don't Want to Tell You The Healthy.pdf
How Does Home
Health Care Work – Forbes Health.pdf
An overview of the
French healthcare system in 2021.pdf
24 hospitals, health
systems that launched innovation centers in 2021 .pdf
Where Is the Best
Medicine in the World Top 10 Countries in Terms of Healthcare.pdf
6 Countries​ That Are
Transforming Healthcare Sector.pdf
How Digital Health
Helps Developing Countries in Advancing Healthcare .pdf
14 Ways to Reduce
Long Patient Wait Times - collective-news.com.pdf
Stop Workforce
Shortages 3 Ways HealthLeaders Media.pdf
TOP 10 Countries
with the best healthcare system Health Blog Cigna Europe.pdf
Ranking Best Health
Care Systems in the World by Country.pdf
Know About Top 10
Countries With Best Health Care System In The World WHO Releases A List Of The Top 10 Countries With The Best Health Care System, This Is The Complete List..pdf
How does Canada’s
health spending compare CIHI.pdf
Which countries have
the best healthcare systems .pdf
Inflation Feds'
'affordability plan' not new, says economist CTV News.pdf
Drummond Report to
Ontario cut costs, improve healthcare - CARP.pdf
New drug price rule
could save Canada billions, parliamentary budget officer reports - National Globalnews. - Pharmacare.pdf
Did you think wait times started and ended with @fordnation ? Nope!
It is time to focus on the delivery model including more homecare and private clinics.
https://www.slideshare.net/paulyoungcga/healthcare-crisis-canada-august-2019