Isn't this the appropriate time to intrude the determinants of health discourse
into the conversation on health policy? (as you've done in your editorial)
Sadly, neither the public or private sector appears accountable for the results
they acheive with the dollars dedicated to health. Generaly, we don't bother to
measure results. So, most of us are left with opinions based on ideological
beliefs or self-interest.
I believe that the public sector is better at delivering some goods and
services, the private sector others. Unfortunately, I just don't know which are
better delivered publicly and which privately.
I know there is huge waste and that we pay for many services that offer no
opportunity for benefit and often create hurt not health. The money would be
better spent elsewhere-for example in areas that influence the determinants of
health.
Perhaps, governments should expect some estimate of the results that will be
obtained when they contract with either public or private sector providers.
David Zitner
Quoting Dennis Raphael <[log in to unmask]>:
> This is a tricky issue. On one hand health care spending is not
> particularly out of control, on the other hand it is increasingly being
> given to private firms with little accountability across the entire system.
> I am sympathic to the message put out by the Ontario Health Coalition:
> [right below]. I am more immediately concerned about the health care
> discourse crowding out the broader "health policy" conversation that
> includes the social determinants of health.
>
> ------------------------
> Save Public Medicare!
> Information
> First Minister Negotiations
> Ontario Action Item:
> To ensure that the Ontario government hears our key messages, please take a
> minute to contact Dalton McGuinty at his office (contact information
> below).
>
> Key messages:
> - we are disappointed that he is breaking his election promise to stop
> for-profit health care. We want him to live up to that promise.
> - we want him to support strings and standards attached to funding of
> healthcare
> - we want the principles of the Canada Health Act to be enforced and to
> cover any new homecare & pharmacare programs
> - we want him to ensure home support services are covered publicly in
> Ontario
> - we want to see meaningful cost controls for drugs
>
>
> Dalton J. P. McGuinty ( Ottawa South / Ottawa-Sud )
> Liberal Party of Ontario
> Premier
> Minister of Intergovernmental Affairs
> Leader, Liberal Party of Ontario
>
> Contact Information
> Queen's Park
> Rm 281, Main Legislative Building
> Toronto ON M7A 1A4
> Tel / Tél : 416-325-1941
> Fax / Téléc : 416-325-7578
>
> _
>
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David Zitner M.D.
Director Medical Informatics
Dalhousie University Faculty of Medicine
5849 University Avenue #2L 16
Halifax, Nova Scotia B3H 4H7
902-494-3802 Fax 902-494-1642
Admin Support: Deirdre Harvey
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