Questions On Primary Health Care

Health care spending equates to approximately 40% of all provincial/territorial budgets, making health care the single largest expenditure (CIHI, 2015). Of this, Hospital, drug and physician expenditure

Consequently, it become a financial problem where physician sees no improvement in their revenue/profit, and the cost of treatments continue to rise as reimbursement challenges the physician’s charges. There is always a cost to a better health care and coverage, and vast of it comes from taxation. Hospital and physicians function on funding to keep the door open and operating, and majority of the funding are from taxation. For

Primary care: primary care is the kind of a health services that is designed to provide care over time to a individual when it is first needed, this type of care in the sense that only rare or unusual cases of ill health are referred to a facility that is more equipped to handle critical to severe life threatening illness.

Primary health care is the first level of care in the community, patients can visit the general practitioner at the clinic. At some of the modern super clinics they provide other services that cover a range of Allied health professionals. These can include, but not limited to: Nurse, Pharmacist, Dentist (not usually covered by Medicare), physiotherapistand dieticians

Looking forward, another interesting option for Canada would be the Group-based profit sharing programs. However their applicability in the short to medium term is unlikely because profit-sharing programs allow hospitals to provide bonuses to physicians based on hospital savings created when physicians coordinate their use of drugs and devices (quantity and market share discounts). That is, the more that a hospital purchases of a particular drug or device from a particular vendor/manufacturer, the more they benefit from quantity and market share discounts. Therefore, adding profit sharing programs to the current FFS system may provide a powerful way to align physician incentives with those of the hospital and of policy-makers. However, little is known about the effect of these programs on patient outcomes, as current regulation in Canada does not allow hospitals to pay physicians in such a manner. (1,2)

In another hand, Canada offer Health Care services totally free for any citizen without problem. Everyone is covered automatically at the moment of birth. The Canadian Health care program offer not limit in services, it offer to everyone and you keep for lifetime. This give to the Canadian, the freedom to select any doctor and any hospital. It is why the level of death is lower, in comparison with the United State when come to this matter.

Under Canada’s healthcare system, citizens are provided with primary care and medical treatments, as well as easy access to hospitals, clinics, and any other additional medical services. Regardless of annual income, this system allows all Canadian citizens access to medical services without immediate pay. Canada is fortunate to have a free healthcare plan since this necessity comes at a substantial expense for people living in the United States of America. For instance, the Commonwealth Fund's Health Insurance Survey mentions that “80 million people, around 43% of America's working-age adults, did not go to the doctor or access other medical services because of the cost” (Luhby). Evidently, Canada’s healthcare system is notorious in supporting the demands of the population, and creating a healthy and happy society at a manageable cost.

Although the Canadian system might be more effective than the United States health care but it’s not perfect. One of the many issue that was brought up by many people living in Canada is the long wait time. Your wait time might depend of the province you live in since each territory administrate its own program (Goran Ridic, Suzanne Gleason, and Ognjen Ridic). Recent studies found Canadian deficits in several areas including angioplasty, cardiac catheterization and intensive care because of the lack of technological machine. Nationwide, the average wait for treatment is 13.3 weeks. The average waiting time in more than 80% of the procedures is one third longer than Canadian physicians consider clinically reasonable. This timing issue might not sound as problematic as not having insurance until it becomes a life or death situation.in the other hand the united states technology are far more advance, the spending of the united states is so high because its believe to be spent on the technology for better care. Thus, patient is expected to have a better chance of survival. It is not the case, the infant mortality rate in the United States 6per 1000 birth but Canada has a rate of 4.8per 1000 birth. In other word 5,400 fewer babies are save in Canada, and they save about $1.3 trillion dollars in healthcare spending (Olga Khazan). Life expectancy at birth in Canada is 81.7when life expectancy is the United States is at

Accessibility and quality are being threatened due to cutbacks coupled with a lack of funding. There is a consensus now between medical professionals, the public, and the government that the health care system is deteriorating. It is failing to provide the quality of care promised in the CHA and prided by so many Canadians.

Another issue for fee-for-service system is that the providers set the prices for services. Patients were free to seek any type of healthcare services that they thought they required, while providers set the costs for each service that was billed to indemnity insurance companies (Shi & Singh, 2015). Insurance companies had little control on the types of services that the patient received and prices billed for each service. The fee-for-service model encourages excessive and unwarranted procedures and offers no incentives to utilize economical services (Smith, 2010). While the patients enjoy the freedom of being able to seek out their own services, over-utilization of expensive services on unnecessary and highly technical services increased healthcare costs.

The health care system in Ontario has been subjected to a lot of criticism and investigation since its introduction midway through the twentieth century. In the past decade, there has been a significant increase in the demand of healthcare, due to increase in the population from immigration and also, an increase in the chronic diseases among the residents of Ontario, which in turn has affected the overall quality of the provision of healthcare. Due to its availability to wide range of people it has become evident that the health care system has been restricted by incorporation of various strict time-consuming policies, which may cause the current healthcare system to be unsustainable in the future. Therefore, healthcare industry has added resources to accommodate increase in demands and the needs of the Ontarians, but this does not eliminate the problem that Ontario lacks a system-wide and sustained approach to improve quality of primary healthcare, which will be further discussed in the paper.

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

Since many Canadians do not have access to anesthesiologists which causes waste of hundreds of millions of taxpayer dollars. Approximately five million Canadians do not have access health care professionals, or they often face long waits to see specialists (Ouellet, Doig, & Fritz et al., Health Care Transformation in Canada, 2010). Unavailability of anesthesiologists and resources is costing Canadian's money without delivering care. Dartmouth Atlas Project (2010) reported that in the last five years alone, the difficulty of recruitment and retention of anesthesiologists has reduced productivity by 5.3% costing taxpayers over $100 million annually. Each year, BC taxpayers

The effectiveness of a health system varies upon populations and the differences in cultural, socioeconomic and behavioral factors. Canadians live two to three years longer than Americans, but because they live healthier. In the U.S. there is a relatively high incidence of obesity and this leads to poor health outcomes. There is greater success of survival rate in the U.S. due to the availability of innovative technology and better screenings and treatments (O'Neill & O'Neill, 2007). When care is free there are longer waiting times for medical services and needs are not being met on time. Over the years Canada has seen an issue with controlling health expenditures because of the services that are provided and are free of charge due to their universal plan. In the U.S costs are cited as a source of unmet needs (O'Neill & O'Neill, 2007). In the U.S. there lower wait times to see a specialists and get surgery. In the U.S. unmet needs were because of costs

This is, however, a misconception, as there are many flaws in our healthcare. Every Canadian has experienced the long delays, longer than most countries as shown in this graph, that result in you reflecting on why this is the case, when you are paying a significant amount of money to ensure that this does not happen. The reasoning behind these long delays is the fact that Canadian hospitals are understaffed. All of the doctors that graduate from Canadian schools, end up moving to the United States to practice medicine because they will receive a higher pay due to the competitive market.