Coordinating Healthcare : Moving Away From A Silos

The federal government is responsible for the delivery of primary health care services on-reserve as well as for funding the province for programs and services (Lavoie, 2013). Conversely, the province is responsible for primary health care services off-reserve, as well as hospital and physician services. While these jurisdictional boundaries seem to be clear in theory, in practice, they have been proven to be ambiguous and complex, and at times even self-serving (Lavoie, 2013; Kelly, 2011). This has contributed in an alarming burden of illness among First Nations communities that have economic, political and social implications for all Canadians. A study of these ambiguities and complexities as well as their consequences first requires a scan of the historical policies that have led to the current state of affairs in the healthcare of First Nations people.

Health care expenditure accounted for an estimated 11% (214.9 billion) of Canada’s GDP in 2014 (CIHI, 2014). Canada boasts a universal, cost-effective and fair health care system to its citizens (Picard, 2010). However, despite great claims and large expenses incurred Canada’s health care system has been reported inefficient in it’s delivery to the population (Davis, Schoen, & Stremikis, 2010; Picard, 2010). As inconsistencies exist in health care delivery across the country, choosing priorities for the health of the Canadian people becomes of vital importance. In Ontario, progress toward a better health care system has been stated to be moving forward by putting the needs of the “patient’s first” (Ministry of Health and Long-Term Care [MOHLTC], 2015). This policy brief will give a background of health care issues in Canada related to Ontario. Three evidence-based priorities will be suggested for Ontario’s health policy agenda for the next three to five years. Furthermore, through a critical analysis of these issues a recommendation of the top priority issue for the agenda will be presented.

This paper will discuss the Canadian healthcare system compared to the United States healthcare system. Although they’re close in proximity, these two nations have very different health care systems. Each healthcare system has its own difficulties, and is currently trying to find ways to improve. Canada currently uses the Universal Health Care system; which provides healthcare coverage to all Canadian citizens (Canadian Health Care, 2007). The services are executed on both a territorial and provincial basis, by staying within the guidelines that have been enforced by the federal government (Canadian Health Care, 2007).

When asked to describe what makes Canada unique compared to other countries, many outsiders might yell out “Hockey!” “Cold Weather!” or “Free Health Care!.” Health care is definitely one of Canada’s most noticeable trademarks when compared to the United States, but the reality is that our health care services are not what they are made out to be. Canadians tend to take pride in the fact that they have a Government funded health care system, but the system is failing at a rapid pace. One can gage the quality of health care in our country while at the emergency ward in any hospital, where most Canadians realize its downsides. The Government spends most of its budget towards health care but Canadians are not feeling an improvement. Waiting

Canada’s healthcare cost constitutes a large share of GDP. Although this may be a good thing as it reflects on a country’s increased wealth and ability to pay for valued care, however in the case of Canada, there is a strongly held belief that the growth rate in Canada is not sustainable nor is it necessarily improving our outcomes.

Most Canadians are very proud of their health care because it provides citizens universal coverage on the basis of need. However, in the recent decade, Canadians have observed obvious deterioration in the quality of the system in regards to waiting times, availability of the best technology, and adequate numbers of doctors and nurses. The apparent decline within the system has made many Canadians more open to a variety of options than they were a decade ago, provided that the core elements of the system are preserved and that these changes lead to tangible improvements in quality without damaging accessibility. In the article Canadians’ Thoughts on Their Health Care System: Preserving the Canadian Model through Innovation by Matthew Mendelsohn, he stated that 1/3 of Canadians support the two-tiered healthcare system, which offers its citizens an option of public or private health care. Canada will benefit from a two-tier health care system because it will shorten waiting times, other countries with two-tier healthcare have proven to be successful, will encourage doctors to return and stay in Canada, introduce competition and give citizens freedom to choose.

Health care is an essential service needed by citizens. As a result, the government plays an important role by designing an appropriate health care system for its citizens. In this paper, a comparison between the health care system in the U.S. and Canada has been made. Using various literary sources, the comparison has been done considering the four components of health care services delivery; financing, insurance, delivery, and payment. The findings indicate that the health care system in the U.S. is expensive but more efficient than the single-payer health care system in Canada.

     In the past, Canada’s government-funded, universally accessible, health care system has been praised and admired both at home and abroad as one of the finest in the world. A great source of pride and comfort for many Canadians is that it is based on five fundamental principles. Principles that are a reflection of the values held by Canadian citizens since the formation of Medicare in 1966. These principles were reinforced in the Canada Health Act, (CHA), of 1984 and state that the Canadian system is universal, accessible, portable, comprehensive and non-profit.

Canadians often find a great source of pride in our health care system because it is “free”. When living next to a country that loudly boasts about its freedom and other such aspects, it is hard to stand out on a global level. That is why most citizens are misguided when they try to compare our health system to that of the United States. Indeed, if you look at the facts, we do have a better system but it is quite irrelevant to compare the two since we are both organized and financed differently. The United States spends more money on their system but does not reap the benefits that more money should offer. Often, the only gain from the comparison is a political one. The federal government’s as well as the provincial governments’ funding has lead to the provinces being too hospital heavy, meaning that there aren 't enough low cost/more efficient facilities in existence such as long-term care facilities, which causes more patients to go to the hospital, which in turn causes more money to be spent than if the patient had been able to go elsewhere. Two key reasons why our health care system is so expensive are the cost of the drugs and the compensation that doctors receive. In order to keep up with the rising cost of our health care, Dalton McGuinty privatized services like physiotherapy and optometry and, “…Also froze the budgets of twelve departments other than health. There was the classic health-care spending trifecta: higher

In this paper, there will be a comparative analysis to the United States (U.S.) healthcare system and Canadians healthcare system highlighting the advantages and disadvantages of both.

Neighboring countries, United States and Canada have close ties to one another, share the same language and have many of the same fundamental and religious beliefs. It is an interesting debt as to which provides a superior healthcare system. In order to better understand the strengths and weakness of the two systems, this paper will review four important structural and functional elements of each system.

Canada’s health care system “can be described as a publicly-funded, privately-provided, universal, comprehensive, affordable, single-payer, provincially administered national health care system” (Bernard, 1992, p.103). Health care in Canada is provincial responsibility, with the Canada Health act being a federal legislation (Bernard, 1992, p. 102). Federal budget cuts, has caused various problems within Medicare such as increased waiting times and lack of new technology. Another problem with Medicare is that The Canada Heath Act does not cover expenditures for prescriptions drugs. All these issue has caused individuals to suggest making Medicare privatized. Although, Canada’s health care system consists of shortcomings, our universal

In this paper, the USA healthcare system is being compared to the Canadian healthcare system. The U.S. health system has been described as the most competitive, heterogeneous, and inefficient, fragmented, and advanced system of care in the

At some point in time, we all must have had a chance of sitting in a waiting room of a hospital. I had a chance to visit the doctor last week and it was horrible, I had to wait to meet the doctor for around 4 hours While I was dying of pain. That made me to curse the whole hospital system in Canada and that 's the main reason that lead me to prepare this essay . British Columbia health care system with emphasis on " Providing " patient-centred care". which is defined as "Shifting the culture of health care from being disease-centred and provider-focused to being patient centered". This represents a great polished political language which they use to make people feel content and confident by confusing without them knowing that they are being confused.

Given the fact that the United states of America and Canada are linked together sharing a border which is open basically to and from both sides, their health care systems are highly different from each other and how the services are financed, organized and given to the citizens.