This document discusses healthcare spending and policy in Ontario. It notes that while Premier Wynne accuses the PC party of cutting healthcare, they actually spent a similar percentage of government dollars on healthcare as previous administrations. It also reports that agencies created by Wynne and McGuinty to improve efficiency, like LHINs and CCACs, have failed to significantly reduce costs or wait times. The document outlines rising costs of electricity and funding cuts that are squeezing hospital budgets and forcing job losses, while patient wait times have not improved.

1. Healthcare – Ontario – June
2017
PAUL YOUNG CPA, CGA
JUNE 25, 2017

2. Paul Young - Bio
• CPA, CGA
• Academia (PF1, FA4 and MS2)
• SME – Risk Management
• SME – Close, Consolidate and Reporting
• SME – Public Policy
• SME – Financial Solutions
• SME – Supply Chain Management
Contact information:
Paul_Young_CGA@Hotmail.com

3. Government Spending/Ontario
Source – Government of Ontario, Stats Canada and Federal Government of
Canada
% of Expenses /Spending
Analysis Commentary
• Harris spent close to 40% on healthcare as compare to McGuinty and
Wynne that spend approximately 38% on healthcare
• LHINs and CCAC were created but have done little in terms of improving
wait times and/or controlling of costs
• Education received more money, but we have more grads having hard
time finding jobs. Meanwhile. Ontario has significant skills gas that could
influence FDI
• Wynne pledge to bring the debt down to 26% of GDP. If Wynne were to
bring the debt down then should need to reduced the debt by $10B per
year.
• Drummond report was virtually ignored and it was succinct in terms of
Ontario has spending problem. Ontario is spending from 18.5 to 17.5%
of GDP of government and only taking in 16.8% in revenue. More
taxation is not the answer

4. Hydro Cost - Hospitals
Source - http://www.lfpress.com/2017/03/21/hydro-london-health-sciences-centre-electricity-use-falls-but-costs-up-30-per-cent
Add Ontario hospitals to the growing list of electricity users hit with soaring prices.
NDP Leader Andrea Horwath spelled out the pain London Health Sciences Centre and other hospitals
are feeling Tuesday in the Ontario Legislature.
Citing figures obtained through access to information requests, Horwath said LHSC’s electricity bill
ballooned by roughly $2 million in the last six years even though the hospital group cut usage by 13
per cent.
“Health care is at a tipping point in Ontario,” Horwath said. “There have already been frontline
workers laid off at many hospitals, and with skyrocketing hydro bills, hospitals are being squeezed
tighter.”

5. Funding Cuts - Sudbury
 https://www.sudbury.com/local-news/gelinas-demands-wynne-stop-cutting-health-care-631741
“Henri Chartrand, from my riding, spent his stay at HSN first in the ER waiting for a bed, just to be moved to a
TV room,” said Gélinas. “He told me it was a humiliating, embarrassing and demeaning experience he never
wants to have to go through again.
“Unfortunately, Mr. Chartrand is just one example of literally hundreds from across the province.”
According to Gélinas, Wynne's 2017 budget underfunded hospitals by at least $300 million, further damaging
already overcrowded hospitals where patients are coping with long waits and hallway medicine.
Gelinas said the painful shortfall is going to do even more damage to hospitals already struggling after years of
cuts and underfunding by Wynne – damage that patients like Chartrand can feel.

6. Cuts to Nursing
 http://rnao.ca/news/media-releases/2017/05/08/evidence-highlights-danger-cutting-rns-ontario

7. Funding
 Healthcare comments Wynne
 https://www.facebook.com/votepatrickbrown/?fref=ts
 https://www2.deloitte.com/ca/en/pages/tax/articles/2016-2017-ontario-budget-highlights.html
 Here are the facts:
 https://www.fin.gc.ca/fedprov/mtp-eng.asp#Ontario – The federal government has given Ontario $800M
more in healthcare funding or about 6% increase in funding
 Healthcare - http://www.slideshare.net/paulyoungcga/healthcare-and-education-for-canada-analysis-and-
impact
 Harris spent more government money as % of government spending on healthcare, but no comment from
Wynne, why? http://www.slideshare.net/paulyoungcga/ontario-government-spending
 http://www.slideshare.net/paulyoungcga/provincial-transfers-and-program-spending

8. Funding
 Government of Ontario increase spending by $1B, but that is only about 2% growth. It is easy to spin increase
funding, but the reality healthcare has huge issues with delivery.
 http://www.fin.gov.on.ca/en/budget/ontariobudgets/2016/ch3b.html#t3-23 – Healthcare received 2% additional
funding, so where did the 4% growth from federal government go in terms money allocation?
 Trillium Healthcare - http://trilliumhealthpartners.ca/newsroom/publications/Documents/publications/annual-
report/THP%20Annual%20Report%20Presentation%202014-2015.pdf -
https://www.rvh.on.ca/rvhagm/SiteAssets/SitePages/rvhagm/2014%20Audited%20financial%20statement%20Royal
%20Victoria%20Regional%20Health%20Centre%20final%20signed.pdf. Healthcare providers are under pressure to
control expense growth as such 2% rise in funding does not offset the costs for hospitals
 Healthcare premium – Patrick Brown and the media should be asking what has happened to healthcare premium
money - http://www.fin.gov.on.ca/en/budget/paccts/2015/15_ar.html#sec4 or
http://www.fin.gov.on.ca/en/budget/paccts/2015/15_cfs.html#sec2
 Federal new money $800M
 Healthcare premium is now 3.2B

9. Wait Times
 https://www.fraserinstitute.org/sites/default/files/private-cost-of-public-queues-for-
medically-necessary-care-2017.pdf

10. People Focus / Healthcare
 https://www.cma.ca/En/Lists/Medias/16th_Annual_National_Report_Card-on_Health_Care_en.pdf

11. Healthcare Ranking
 http://www.cbc.ca/news/health/canada-health-report-card-ranks-b-c-1st-nunavut-last-1.2954620

12. Summary
 Wynne will spin the PC cut healthcare when in fact they spent% of government
dollars on healthcare
 Wynne and McGuinty created LHINs and CCAC which have been a failure -
http://www.thestar.com/opinion/commentary/2014/02/26/kathleen_wynne_must_
clean_up_homecare_mess_hepburn.html
 Healthcare wait times have not improved.
 Many hospitals are struggling with costs as such jobs have been eliminated