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Private and Public Health Care
Overview of Canadian Practices



Dr. Asaad Qaddori
Discussion Plan

• Health Care Funding/ Delivery:
  Private…………………Public
• The Canadian Version
• Changes: Proposals; Why now?
• Consequences of changes
Health Care Continuum
                                                          Funding

 Delivery              Public (governments : federal,        Private(out-of-pocket, extended health
                       provincial, and municipal level)      insurance, donations, capital and research)


 Public                -Hospital services                    - Charitable foundations and
                       -Rehabilitation services              fundraising
                       (sometimes)                           - Out-of-pocket payments for
                                                             cosmetic surgery

 Private               -Physician services                   - Pharmaceuticals
 (not-for-profit and
 for profit)
                       (generally)                           - Dental care
How Canada Compares

Health Spending in Canada & Comparable Countries/2009


                           United
               Canada                     France        New Zealand United States
                           Kingdom


Private /Public 70% public 87% public     76% public    78% public    47% public
Split           30% private 13% private   24% private   22% private   53% private

Total health
care costs per $4363       $3487          $3978         $2983         $7960
capita
Cons of Status Quo

• Wait times
• Restrictions on privately funded health care
• Cross-border health care Canadians visiting the US to receive health
  care and vice versa

• Funding
Private-For-Profit Health Care

•   Politics
•   Claims of Increased Public Health Spending
•   Claims to improve care
•   Claims to decrease waiting times
Privatization :

• Passive



• Proactive
Private Care Examples


• Shouldice Clinic : for out of ON patients
• CT and MRI Clinics
• P3 Hospitals : Public-Private Partnership (Private
  profits-Public pays) !!
Opponents of Privatization
•   Increase wait times
•   Queue jumping /violations of the Canada Health Act
•   Draw health care workers away from the public system
•   Higher death rates and lower quality of care
•   Cost more
•   Offer unnecessary and potentially harmful treatments
•   “Cream skim” healthier patients requiring less costly care
•   Heighten inequalities
•   Undermine Canada’s public health care system
Conclusions
• Privatization is not the answer
• Privatization change who is waiting
  rather than the waiting time
• Health Care is a social service, and
   sick patients can not be treated as
  ordinary consumers in commercial
  transactions
• Canada should not follow the failing
  US example
Questions
Thank You

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Private And Public Health Care in Canada

  • 1. Private and Public Health Care Overview of Canadian Practices Dr. Asaad Qaddori
  • 2. Discussion Plan • Health Care Funding/ Delivery: Private…………………Public • The Canadian Version • Changes: Proposals; Why now? • Consequences of changes
  • 3. Health Care Continuum Funding Delivery Public (governments : federal, Private(out-of-pocket, extended health provincial, and municipal level) insurance, donations, capital and research) Public -Hospital services - Charitable foundations and -Rehabilitation services fundraising (sometimes) - Out-of-pocket payments for cosmetic surgery Private -Physician services - Pharmaceuticals (not-for-profit and for profit) (generally) - Dental care
  • 4. How Canada Compares Health Spending in Canada & Comparable Countries/2009 United Canada France New Zealand United States Kingdom Private /Public 70% public 87% public 76% public 78% public 47% public Split 30% private 13% private 24% private 22% private 53% private Total health care costs per $4363 $3487 $3978 $2983 $7960 capita
  • 5. Cons of Status Quo • Wait times • Restrictions on privately funded health care • Cross-border health care Canadians visiting the US to receive health care and vice versa • Funding
  • 6. Private-For-Profit Health Care • Politics • Claims of Increased Public Health Spending • Claims to improve care • Claims to decrease waiting times
  • 8. Private Care Examples • Shouldice Clinic : for out of ON patients • CT and MRI Clinics • P3 Hospitals : Public-Private Partnership (Private profits-Public pays) !!
  • 9. Opponents of Privatization • Increase wait times • Queue jumping /violations of the Canada Health Act • Draw health care workers away from the public system • Higher death rates and lower quality of care • Cost more • Offer unnecessary and potentially harmful treatments • “Cream skim” healthier patients requiring less costly care • Heighten inequalities • Undermine Canada’s public health care system
  • 10. Conclusions • Privatization is not the answer • Privatization change who is waiting rather than the waiting time • Health Care is a social service, and sick patients can not be treated as ordinary consumers in commercial transactions • Canada should not follow the failing US example