Skip header and navigation
CMA PolicyBase

Policies that advocate for the medical profession and Canadians


476 records – page 1 of 24.

The Lancet Countdown on Health and Climate Change - Policy brief for Canada, Dec 2020

https://policybase.cma.ca/en/permalink/policy14382
Date
2020-12-02
Topics
Population health/ health equity/ public health
  1 document  
Policy Type
Policy endorsement
Date
2020-12-02
Topics
Population health/ health equity/ public health
Text
The Lancet Countdown on Health and Climate Change Policy Brief for Canada DECEMBER 2020 Introduction Previously described as “the greatest threat to health of the 21st century”, climate change is compounding existing health disparities in Canada. Given this, addressing the current climate crisis offers what is perhaps our biggest opportunity to improve the health outcomes of Canadians. We see wildfires exacerbating respiratory illnesses and leading to community displacement in Western Canada; heat-related illness in urban areas; changes in the availability of traditional foods in the Arctic region; mental health stresses; extreme weather events such as floods and droughts; progression of infectious diseases such as Lyme disease and emergence1. Moreover, climate change drives inequities: older persons, those of low socioeconomic status, and racialized people living in Canada face a greater burden of the impacts of climate change on their health. In particular, climate change disproportionately impacts Indigenous peoples’ wellbeing. Colonialism has altered the ecological systems that support Indigenous peoples’ health, economies, cultural practices and self-determination. For First Nations, Métis and Inuit communities, the current climate crisis is understood and experienced as an intensification of the environmental changes imposed on Indigenous people by historic and ongoing colonial processes. Their remarkable and demonstrable resilience through these changes, however, reinforce the opportunity for learning and collaborating on solutions that draw on the ecological traditional knowledge, social and environmental adaptability of Indigenous peoples in Canada. This brief, written in collaboration with medical and public health experts, as well as Indigenous and allied scholars, outlines opportunities to address climate change. Based on data from the global Lancet Countdown report, it looks at the impacts of extreme heat and air pollution on the health of all people living in Canada. It also explores how, by applying a justice lens to all policies, Canada’s leaders can promote a healthy transition to a sustainable society in the dual crises era of climate change and COVID-19, including developing a more sustainable healthcare system and prioritizing health equity. This policy brief presents updated information and recommendations on two major clusters of indicators of climate-related health impacts in Canada: extreme heat and air pollution. It provides six evidence-based policy recommendations for a healthy response to climate change through enhancing resilience and adaptability. We offer recommendations that aim to reap co-benefits for physical, social, economic, and environmental well-being. Additionally, as economies are slowly recovering from the COVID-19 pandemic, this brief acknowledges the unique opportunity to shift toward a carbon-neutral society, and these policy recommendations enable progress towards this goal.* *Additional recommendations can be found in the 2017, 2018 and 2019 briefs. 2 1 Retrofit existing built infrastructure, improve current social and natural infrastructure, and better design novel urban and suburban communities to improve resilience to heat, especially for groups at risk. Turn down the heat Clean our air The way forward: healthy recovery Promote and be guided by the resilience of land-based Indigenous-led approaches that foster adaptation to rapid warming in Indigenous communities, particularly in the north. Recommendations Increase support for sustainable housing, including flexible strategies that financially and logistically support low emissions design and deployment of technologies for improved insulation and energy efficiency at the community and neighbourhood level. Prioritise funding for low emissions transport and affordable public and active transport initiatives, targeting communities who could benefit most from access to healthy transportation and identifying examples of successful community initiatives. Ensure a recovery from COVID-19 that is aligned with a just transition to a carbon-neutral society, considering health and equity impacts of all proposed policies to address the climate and COVID-19 dual crises, directly including and prioritizing the disproportionately affected, including Indigenous peoples, older persons, women, racialized people, and those with low income. Strengthen health system resilience in the face of climate change and other current and future health threats, prioritising decarbonisation, energy efficiency, and improved waste management and supply chains, aiming at a nation-wide “net-zero health service”. Turn down the heat Canada is warming at double the global average rate, and even more rapidly in northern regions.2 The number, intensity and duration of heatwaves are likely to increase, especially in southern Canada where most of the population lives. Extreme heat is associated with increases in all-cause mortality; risks of being hospitalized for cardiovascular and respiratory diseases;3 and congenital and birth complications.4,5 High temperatures also affect psychological and emotional health.6 During extremely hot periods, interpersonal and group violence tend to increase, especially in underprivileged neighbourhoods. Domestic violence rises, impacting the well-being of women.†,7 Additionally, extreme heat has been linked to insomnia;8 higher suicide rates;9 and an increase in mental health-related emergency department visits.10. Canada’s aging population‡ is at higher risk of suffering from extreme heat because of frequent social isolation, less access to energy-efficient and heat-resilient housing, decreased ability to regulate body temperature, and higher prevalence of pre-existing chronic conditions such as hypertension, diabetes and heart disease. Between 2014-2018, rapid warming in Canada led to a 58.4% increase in average annual heat-related mortality for the over 65 population, compared to the 2000-2004 baseline, exceeding the global average of 53.7%.13 A record high of over 2700 heat-related deaths in the over-65 population occurred across the country in 2018.13 In the summer of 2018, two heat waves affected Quebec, with 86 excess deaths resulting from the first of these two heatwaves alone.14 Heat exposure also affects outdoor workers, including those in the construction, service, manufacturing, and agriculture sectors. In Canada, the work hours lost due to exposure to extreme heat was 81% higher on average in 2015-2019 than in 1990-1994, with an average of 7.1 million extra work hours lost per year.§,13 In 2018, the monetised value of global heat-related mortality was equivalent to 0.7% of Canada’s gross national income, compared to 0.2% in 2000.13 These costs are comparable to the average income of 263, 400 Canadians, or roughly the population of Gatineau, Québec’s 4th biggest city, or Saskatoon, Saskatchewan’s biggest city. Physical, social and economic structures contribute to heat-related death in people at risk. Older persons, outdoor workers, and those living in low income neighbourhoods often have less access to green spaces, public transport and proper insulation, or are more likely to be socially isolated or to live on a low household income. For Indigenous peoples, rising temperatures further exacerbate disparities attributable to colonialism, such as food security, access to clean water, land use, ice safety and housing stability.15 Addressing these inequitable structures will support individuals’ and communities’ resilience and productivity and decrease preventable health consequences as temperatures rise. More sustainable infrastructure at community and household levels, such as trees and urban vegetation (including parks, on streets and ‘green walls’), water features, and cooler buildings (which are lighter in colour or better insulated to reduce heat absorption), can better equip Canada to prevent these health consequences.16 However, infrastructure changes to mitigate the above mentioned health impacts, if only focused on design of new structures, may not be sufficient and new buildings also can incur significant costs in resources and energy demands. Retrofit of existing buildings offers an additional significant opportunity to increase energy efficiency, reduce cooling costs, and mitigate health risks, and has been studied in other countries.17,18,19 Policy responses to extreme heat can be tailored to the most effective scales and be flexible to local realities, including scope for design of new structures, greening, and improving ventilation and insulation of existing ones. † Gender-based violence increases in times of acute disaster and crisis, including climate-related events such as flooding and wildfires, while at the same time, the services available to women, such as shelters and safehouses, decrease. ‡ According to Statistics Canada, the proportion of the population over 65 is 17.% and increasing to up to 30% in the next 50 years. § This data is calculated with the conservative assumption of work being undertaken in the shade. FIGURE 1: THE HEALTH IMPACTS OF HEAT3,5,6,7,10,11,12 Clean our air Air pollution has significant impacts on health, including exacerbating respiratory conditions like asthma and chronic obstructive pulmonary disease, and increasing risks of lung cancer, respiratory infections, stroke and heart disease. However, the burden of air pollution is not equally distributed across the population. Marginalized groups include children, older persons, people with pre-existing conditions, outdoor workers, racialized groups and low-income populations who are more likely to live in neighborhoods near busy roads or industrial sites.20,21 In 2018 in Canada, there were a total of 8400 premature deaths related to PM2.5 air pollution, of which 7200 were due to anthropogenic sources.13 Total PM2.5 air pollution related deaths were more than 4.5 times higher than the number of deaths from transport accidents, and almost double the number of deaths from all infectious diseases.22 While concerning, this number represents an opportunity to save over 8000 lives annually, and benefit the health of many others in Canada. Transitioning rapidly to renewable, low-emissions energy can help achieve this. The largest portion, over 30% of deaths from anthropogenic air pollution, occurred due to emissions from households (e.g. burning fuel for heating). 13,23 Notably, 17% of anthropogenic PM2.5 air pollution related deaths were attributable to land-based transport,13 which in 2018 also accounted for 25% of Canada’s greenhouse gas emissions (an increase of 53% since 1990).24 By reducing use of fossilfuel based transport and home energy systems, including adapting existing systems to incorporate energy-efficient technologies, it is possible to decrease air pollution and improve health. Total use of electricity for road transport increased 40% between 1990 and 2017.13 However, while Canada’s per capita use of electricity for road transport remains the highest use worldwide, it has increased only by 6.5% since 1990.13 Furthermore, electricity only accounts for 0.2% of road transport energy in Canada, whereas fossil fuels still account for over 95%.13 There remains large scope to increase uptake of sustainable transport and by doing so, save health and economic costs Active transportation has significant health co-benefits, including due to physical activity, improvements in air quality, and social connection. Studies have found reductions of approximately 20-30% in premature mortality rates in those who regularly cycle or exercise for transportation. 25 Both active travel and public transit are associated with increased physical activity and reduced rates of obesity compared to car use, and when supported by infrastructures that prioritise safety and access, can benefit the well-being of those with limited access to private vehicles.26 Transitioning to sustainable transport can avoid preventable transport-related emissions and deaths, and modelling has shown a cost-benefit ratio of more than 10 times in favour of integrating active travel for health and emissions benefits.27 FIGURE 2: MORTALITY DUE TO PM2.5 AIR POLLUTION IN CANADA13,22 The way forward: healthy recovery** The COVID-19 pandemic, subsequent crash in global energy prices, and overall global economic downturn have cast doubt on the world’s ability to prevent catastrophic and deadly effects of climate change. While rates of emissions stalled early in 2020 due to COVID-19 lockdowns, the total concentrations of major greenhouse gases have continued to rise. This is in stark contrast to the 7.6% annual decrease in GHG emissions necessary to limit global temperature increases to less than 1.5oC .28 An urgent transition to an environmentally sustainable, just and healthy society is an essential part of recovery that Canada and other countries must undergo. A just transition must include and prioritise groups most affected by the current crises, including low-income groups, migrant workers, older persons, and Indigenous peoples. Furthermore, the COVID-19 pandemic has put immense strain on Canada’s already overburdened healthcare system. Data from several sources indicates that Canada’s healthcare sector was already responsible for approximately 5%13,29,30 of annual greenhouse gas emissions prior to the pandemic. Per capita, Canada’s healthcare is consistently shown to have one of the largest carbon footprints in the world. In England, the National Health Service has pledged to deliver a net zero health service by 2040. Similarly, hospitals and health clinics in Canada could realise health and financial gains by committing to and implementing low-carbon, energy-efficient, reduced-waste health services. Canada’s political and economic choices as it emerges from this pandemic will determine whether it meets its commitment under the Paris Agreement to contribute to limiting global temperature rise well below 2oC. The country should lead by ambitiously updating its Nationally Determined Contribution (NDC) to the Paris Agreement††. Ultimately, governments and all sectors of society must make choices that put human, environmental and economic well-being at the centre of a sustainable recovery from COVID-19. These objectives are not only mutually reinforcing, but mutually dependent. Crucially, Canada must build resilience, equity and solidarity across groups, prioritising Indigenous peoples and other communities most at risk. Above all, through the pandemic, it is essential to prioritise a just recovery: an equity lens must be applied to all policies. Those most affected by climate change’s health impacts are those who currently lack power and representation in economic and social hierarchies. For Indigenous communities, addressing climate change is intimately tied to the renewal of traditional knowledge systems, reconciliation, and decolonizing approaches. All groups benefit when public and private sector leaders work with Indigenous people and other disproportionately impacted communities to ensure that historically underrepresented groups are meaningfully engaged in all policy development and recovery plans. Working together, the lessons learned in responding to COVID-19 and the increasing confidence in the power of collective action to care for one another can be integrated into a collective response to the climate emergency. This is an unprecedented opportunity to learn and act together. ** There is a lack of data specific to impacts on health equity and on disproportionately affected groups, including Indigenous peoples. Furthermore, conventional scientific data collection and reporting methods do not align with traditional ways of accumulating and sharing knowledge, thus it is difficult to use current indicators to capture the complex health impacts of climate change on Indigenous peoples. †† As of October 2020, according to Climate Action Tracker, Canada’s NDC is consistent with a global temperature rise above 2oC and near 3oC. This is not compatible with the 1.5oC of the Paris Agreement. Despite several promises to exceed the 2030 NDCs target (of 30% below 2005 emissions levels by 2030) and achieve net zero emissions by 2050, the federal government hasn’t adopted yet the policies required to respect these promises and has continued to financially support the oil and gas industries. Source: https://climateactiontracker.org/countries/canada/. 1. Howard, C et al. Lancet Countdown 2019 Policy brief for Canada. Lancet Countdown, Canadian Medical Association, and Canadian Public Health Association. November 2019. Available: https:// www.lancetcountdown.org/resources/ 2. Bush, E. and Lemmen, D.S., editors (2019) Canada’s Changing Climate Report, Government of Canada, Ottawa, ON. 444 p. 3. Lin S, Luo M, Walker RJ, Liu X, Hwang S-A, Chinery R. Extreme High Temperatures and Hospital Admissions for Respiratory and Cardiovascular Diseases. Epidemiology 2009; 20(5): 738-46. 4. Konkel L. Hot Days in Early Pregnancy: A Potential Risk Factor for Congenital Heart Defects. Environ Health Perspect 2017; 125(1): A25. 5. Chersich MF, Pham MD, Areal A, et al. Associations between high temperatures in pregnancy and risk of preterm birth, low birth weight, and stillbirths: systematic review and meta-analysis. BMJ 2020; 371: m3811. 6. Mon climat, ma santé. Online: Vagues de chaleur, Institut national de santé publique du Québec. http://www.monclimatmasante. qc.ca/vagues-de-chaleur.aspx 7. Burke M, Hsiang SM, Miguel E. Climate and conflict. Ann Rev Econom. 2015; 7:577-817 8. Obradovich N, et al. (2019). Nighttime temperature and human sleep loss in a changing climate. Science Adv. 2017. 9. Burke M, et al. Higher temperatures increase suicide rates in the United States and Mexico. Nature Climate Change. 2018;8:723- 729. 10. Wang X, et al. Acute impacts of extreme temperature exposure on emergency room admission related to mental and behavior disorders in Toronto, Canada. J Affect Disord. 2014;155:154-161 11. Xu Z, Crooks JL, Davies JM, Khan AF, Hu W, Tong S. The association between ambient temperature and childhood asthma: a systematic review. Int J Biometeorol 2018; 62(3): 471-81 12. de Lorenzo A, Liaño F. High temperatures and nephrology: The climate change problem. Nefrologia. 2017;37:492–500 13. Watts N, et al. The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. Lancet 2020; XXX: XXXX–XX 14. Institut national de santé publique du Québec. Surveillance des impacts des vagues de chaleur extrême sur la santé au Québec à l’été 2018. INSPQ. Available online: https://www.inspq.qc.ca/ bise/surveillance-des-impacts-des-vagues-de-chaleur-extremesur- la-sante-au-quebec-l-ete-2018 15. Ford, JD (2012) Indigenous Health and Climate Change, Am J Public Health, 2012 July; 102(7): 1260-1266. 16. C40. How to adapt your city to extreme heat. C40 Implementation Guides, August 2019. Available online: https:// www.c40knowledgehub.org/s/article/How-to-adapt-your-cityto- extreme-heat?language=en_US 17. Williams, K et al (2013) Retrofitting England’s suburbs to adapt to climate change, Building Research & Information, 41:5, 517-531. 18. Castleton H.F. et al (2010) Green roofs; building energy savings and the potential for retrofit, Energy and Buildings, 42:10, 1582- 1591. 19. Ren, Z et al (2011) Climate change adaptation pathways for Australian residential buildings, Building and Environment, 46:11, 2398-2412. 20. World Health Organization. Online: Ambient air pollution: health impacts. https://www.who.int/airpollution/ambient/healthimpacts/ en/ 21. Abelsohn, A and D.M. Stieb. 2011. Health effects of outdoor air pollution. Can Fam Physician 2011 Aug; 57(8): 881–887. 22. Statistics Canada. Table 13-10-0156-01 Deaths, by cause, Chapter XX: External causes of morbidity and mortality (V01 to Y89). 23. National Resources Canada. 2015 Survey of Household Energy Use (SHEU-2015) Data Tables. Available online: https://oee. nrcan.gc.ca/corporate/statistics/neud/dpa/menus/sheu/2015/ tables.cfm 24. Environment and Climate Change Canada (2020) National Inventory Report 1990-2018: Greenhouse Gas Sources and Sinks in Canada. 25. Giles-Corti et al (2010) The co-benefits for health of investing in active transport, N S W Public Health Bull, 21:5-6, 122-1277. 26. World Health Organization (2012) Health in the green economy : health co-benefits of climate change mitigation - transport sector, WHO, 144p., 27. Chapman et al (2018) A Cost Benefit Analysis of an Active Travel Intervention with Health and Carbon Emission Reduction Benefits, Int J Environ Res Public Health, 15(5): 962. 28. World Meteorological Organization (2020) Online: United in Science 2020: Greenhouse Gas Concentrations in the Atmosphere - Global Atmosphere Watch (GAW). Available: https://public.wmo.int/en/resources/united_in_science 29. Pichler P-P, Jaccard IS, Weisz U, Weisz H. International comparison of health care carbon footprints. Environmental Research Letters 2019; 14(6): 064004. 30. Eckelman MJ, Sherman JD, MacNeill AJ. Life cycle environmental emissions and health damages from the Canadian healthcare system: An economic-environmental-epidemiological analysis. PLoS Med 2018;15(7):e1002623. References Organisations and acknowledgements The concept of this brief was developed by the Lancet Countdown on Health and Climate Change. This brief was written by Dr. Claudel P-Desrosiers, MD; Dr. Finola Hackett, MD; Dr. Deborah McGregor, PhD; and Dr. Krista Banasiak, PhD. Guidance was provided by Dr. Céline Campagna, PhD, and Dr Robert Woollard, MD, CCFP, FCFP, LM. Review on behalf of the Canadian Medical Association was provided by Dr. Owen Adams, PhD, Dr. Jeff Blackmer, MD, MHSc, FRCPC, CCPE, and Ashley Chisholm, MSc. Contributions and review on behalf of the Lancet Countdown were provided by Jessica Beagley and Dr Marina Romanello, PhD. THE LANCET COUNTDOWN The Lancet Countdown: Tracking Progress on Health and Climate Change is an international, multi-disciplinary collaboration that exists to monitor the links between public health and climate change. It brings together 38 academic institutions and UN agencies from every continent, drawing on the expertise of climate scientists, engineers, economists, political scientists, public health professionals, and doctors. Each year, the Lancet Countdown publishes an annual assessment of the state of climate change and human health, seeking to provide decision-makers with access to high-quality evidence-based policy guidance. For the full 2020 assessment, visit www.lancet countdown. org/2020-report. n.
Documents
Less detail

Recommendations for Canada’s long-term recovery plan - open letter

https://policybase.cma.ca/en/permalink/policy14262
Date
2020-08-27
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
  1 document  
Policy Type
Parliamentary submission
Date
2020-08-27
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Text
Re: Recommendations for Canada’s long-term recovery plan Dear Prime Minister Trudeau, We would like first to thank and commend you for your leadership throughout this pandemic. Your government’s efforts have helped many people in Canada during this unprecedented time and have prevented Canada from facing outcomes similar to those seen in other countries experiencing significant pandemic-related hardship and suffering. We are writing to you with recommendations as you develop a plan for Canada’s long-term recovery and the upcoming Speech from the Throne on September 23rd. The COVID-19 pandemic has further exposed and amplified many healthcare shortfalls in Canada such as care for older adults and mental health-care. Added to that, the economic fallout is impacting employment, housing, and access to education. These social determinants of health contribute to and perpetuate inequality, which we see the pandemic has already exacerbated for vulnerable groups. Action is needed now to address these challenges and improve the health-care system to ensure Canada can chart a path toward an equitable economic recovery. To establish a foundation for a stronger middle class, Canada must invest in a healthier and fairer society by addressing health-care system gaps that were unmasked by COVID-19. We firmly believe that the measures we are recommending below are critical and should be part of your government’s long-term recovery plan: 1. Ensure pandemic emergency preparedness 2. Invest in virtual care to support vulnerable groups 3. Improve supports for Canada’s aging population 4. Strengthen Canada’s National Anti-Racism Strategy 5. Improve access to primary care 6. Implement a universal single-payer pharmacare program 7. Increase mental health funding for health-care professionals We know the months ahead will be challenging and that COVID-19 is far from over. As a nation, we have an opportunity now, with the lessons from COVID-19 still unfolding, to bring about essential transformations to our health-care system and create a safer and more equitable society. 1. Ensure pandemic emergency preparedness We commend you for your work with the provinces and territories to deliver the $19 billion Safe Restart Agreement as it will help, in the next six to eight months, to increase measures to protect frontline health-care workers and increase testing and contact tracing to protect Canadians against future outbreaks. Moving forward, as you develop a plan for Canada’s long-term recovery, we strongly recommend the focus remains in fighting the pandemic. Beyond the six to eight months rollout of the Safe Restart Agreement, it is critical that a long-term recovery plan includes provisions to ensure a consistent and reliable availability of personal protective equipment (PPE) and large-scale capacity to conduct viral testing and contact tracing. 2.Invest in virtual care to support vulnerable groups The sudden acceleration in virtual care from home is a silver lining of the pandemic as it has enabled increased access to care, especially for many vulnerable groups. While barriers still exist, the role of virtual care should continue to be dramatically scaled up after COVID-19 and Canada must be cautious not to move backwards. Even before the pandemic, Canadians supported virtual care tools. In 2018, a study found that two out of three people would use virtual care options if available.i During the pandemic, 91% of Canadians who used virtual care reported being satisfied.ii We welcome your government’s $240 million investment in virtual health-care and we encourage that a focus be given to deploying technology and ensuring health human resources receive appropriate training in culturally competent virtual care. We also strongly recommend accelerating the current 2030 target to ensure every person in Canada has access to reliable, high-speed internet access, especially for those living in rural, remote, northern and Indigenous communities. 3.Improve supports for Canada’s aging population Develop pan-Canadian standards for the long-term care sector The pandemic has exposed our lack of preparation for managing infectious diseases anywhere, especially in the longterm care sector. The result is while just 20% of COVID-19 cases in Canada are in long-term care settings, they account for 80% of deaths — the worst outcome globally. Moreover, with no national standards for long-term care, there are many variations across Canada in the availability and quality of service.iii We recommend that you lead the development of pan-Canadian standards for equal access, consistent quality, and necessary staffing, training and protocols for the long-term care sector, so it can be delivered safely in home, community, and institutional settings, with proper accountability measures. Meet the health-care needs of our aging population Population aging will drive 20% of increases in health-care spending over the next years, which amounts to an additional $93 billion in spending.iv More funding will be needed to cover the federal share of health-care costs to meet the needs of older adults. This is supported by 88% of Canadians who believe new federal funding measures are necessary.v That is why we are calling on the federal government to address the rising costs of population aging by introducing a demographic top-up to the Canada Health Transfer. This would enhance the ability of provinces and territories to meet the needs of Canada’s older adults and invest in long-term care, palliative care, and community and home care. 4.Strengthen Canada’s National Anti-Racism Strategy Anti-Black racism exists in social structures across Canada. Longstanding, negative impacts of these structural determinants of health have created and continue to reinforce serious health and social inequities for racialized communities in Canada. The absence of race and ethnicity health-related data in Canada prevents identification of further gaps in care and health outcomes. But where these statistics are collected, the COVID-19 pandemic has exploited age-old disparities and led to a stark over-representation of Black people among its victims. We are calling for enhanced collection and analysis of race and ethnicity data as well as providing more funding under Canada’s National Anti-Racism Strategy to address identified health disparities and combat racism via community-led projects. 5. Improve access to primary care Primary care is the backbone of our health-care system. However, according to a 2019 Statistics Canada surveyvi, almost five million Canadians do not have a regular health care provider. Strengthening primary care through a teambased, interprofessional approach is integral to improving the health of all people living in Canada and the effectiveness of health service delivery. We recommend creating a one-time fund of $1.2 billion over four years to Page 3 of 4 expand the establishment of primary care teams in each province and territory, with a special focus in remote and underserved communities, based on the Patient’s Medical Home visionvii. 6. Implement a universal single-payer pharmacare program People across Canada, especially those who are vulnerable, require affordable access to prescription medications that are vital for preventing, treating and curing diseases, reducing hospitalization and improving quality of life. Unfortunately, more than 1 in 5 Canadians reported not taking medication because of cost concerns, which can lead to exacerbation of illness and additional health-care costs. We recommend a comprehensive, universal, public system offering affordable medication coverage that ensures access based on need, not the ability to pay. 7.Increase mental health funding for health-care professionals During the first wave of COVID-19, 47% of health-care workers reported the need for psychological support. They described feeling anxious, unsafe, overwhelmed, helpless, sleep-deprived and discouraged.viii Even before COVID- 19, nurses, for instance, were suffering from high rates of fatigue and mental health issues, including PTSD.ix Furthermore, health-care workers are at high risk for significant work-related stress that will persist long after the pandemic due to the backlog of delayed care. Immediate long-term investment in multifaceted mental health supports for health-care professionals is needed. We look forward to continuing to work with you and your caucus colleagues on transforming the health of people in Canada and the health system. Sincerely, Tim Guest, M.B.A., B.Sc.N., RN President Canadian Nurses Association (CNA) president@cna-aiic.ca Tracy Thiele, RPN, BScPN, MN, PhD(c) President Canadian Federation of Mental Health Nurses (CFMHN) tthiele@wrha.mb.ca Lori Schindel Martin, RN, PhD, GNC(C) President Canadian Gerontological Nursing Association (CGNA) lori.schindelmartin@ryerson.ca E. Ann Collins, BSc, MD President Canadian Medical Association (CMA) Ann.collins@cma.ca Miranda Ferrier President Canadian Support Workers Association (CANSWA) mferrier@opswa.com Dr. Cheryl L. Cusack RN, PhD President Community Health Nurses of Canada (CHNC) president@chnc.ca Lenora Brace, MN, NP President Nurse Practitioner Association of Canada (NPAC) president@npac-aiipc.org ~ r. Cheryl Cusack, RN PhD CC.: Hon. Chrystia Freeland, Minister of Finance Hon. Patty Hajdu, Minister of Health Hon. Deb Schulte, Minister of Seniors Hon. Navdeep Bains, Minister of Innovation, Science and Industry Ian Shugart, Clerk of the Privy Council and Secretary to Cabinet Dr. Stephen Lucas, Deputy Minister of Health Dr. Theresa Tam, Chief Public Health Officer of Canada
Documents
Less detail

CMA Pre-budget Submission

https://policybase.cma.ca/en/permalink/policy14259
Date
2020-08-07
Topics
Physician practice/ compensation/ forms
Health information and e-health
Health care and patient safety
Health systems, system funding and performance
  1 document  
Policy Type
Parliamentary submission
Date
2020-08-07
Topics
Physician practice/ compensation/ forms
Health information and e-health
Health care and patient safety
Health systems, system funding and performance
Text
RECOMMENDATION 1 That the government create a one-time Health Care and Innovation Fund to resume health care services, bolster public health capacity and expand primary care teams, allowing Canadians wide-ranging access to health care. RECOMMENDATION 2 That the government recognize and support the continued adoption of virtual care and address the inequitable access to digital health services by creating a Digi-Health Knowledge Bank and by expediting broadband access to all Canadians. RECOMMENDATION 3 That the government act on our collective learned lessons regarding our approach to seniors care and create a national demographic top-up to the Canada Health Transfer and establish a Seniors Care Benefit. RECOMMENDATION 4 That the government recognize the unique risks and financial burden experienced by physicians and front line health care workers by implementing the Frontline Gratitude Tax Deduction, by extending eligibility of the Memorial Grant and by addressing remaining administrative barriers to physician practices accessing critical federal economic relief programs. RECOMMENDATIONS 3 Five months ago COVID-19 hit our shores. We were unprepared and unprotected. We were fallible and vulnerable. But, we responded swiftly.
The federal government initiated Canadians into a new routine rooted in public health guidance.
It struggled to outfit the front line workers. It anchored quick measures to ensure some financial stability.
Canadians tuned in to daily updates on the health crisis and the battle against its wrath.
Together, we flattened the curve… For now. We have experienced the impact of the first wave of the pandemic. The initial wake has left Canadians, and those who care for them, feeling the insecurities in our health care system. While the economy is opening in varied phases – an exhaustive list including patios, stores, office spaces, and schools – the health care system that struggled to care for those most impacted by the pandemic remains feeble, susceptible not only to the insurgence of the virus, but ill-prepared to equally defend the daily health needs of our citizens. The window to maintain momentum and to accelerate solutions to existing systemic ailments that have challenged us for years is short. We cannot allow it to pass. The urgency is written on the faces of tomorrow’s patients. Before the onset of the pandemic, the government announced intentions to ensure all Canadians would be able to access a primary care family doctor. We knew then that the health care system was failing. The pandemic has highlighted the criticality of these recommendations brought forward by the Canadian Medical Association. They bolster our collective efforts to ensure that Canadians get timely access to the care and services they need. Too many patients are succumbing to the gaps in our abilities to care for them. Patients have signaled their thirst for a model of virtual care. The magnitude of our failure to meet the needs of our aging population is now blindingly obvious. Many of the front line health care workers, the very individuals who put themselves and their families at risk to care for the nation, are being stretched to the breaking point to compensate for a crumbling system. The health of the country’s economy cannot exist without the health of Canadians. INTRODUCTION 4 Long wait times have strangled our nation’s health care system for too long. It was chronic before COVID-19. Now, for far too many, it has turned tragic. At the beginning of the pandemic, a significant proportion of health care services came to a halt. As health services are resuming, health care systems are left to grapple with a significant spike in wait times. Facilities will need to adopt new guidance to adhere to physical distancing, increasing staff levels, and planning and executing infrastructure changes. Canada’s already financially atrophied health systems will face significant funding challenges at a time when provincial/territorial governments are concerned with resuscitating economies. The CMA is strongly supportive of new federal funding to ensure Canada’s health systems are resourced to meet the care needs of Canadians as the pandemic and life continues. We need to invigorate our health care system’s fitness to ensure that all Canadians are confident that it can and will serve them. Creating a new Health Care and Innovation Fund would focus on resuming the health care system, addressing the backlog, and bringing primary care, the backbone of our health care system, back to centre stage. The CMA will provide the budget costing in follow-up as an addendum to this submission. RECOMMENDATION 1 Creating a one-time Health Care and Innovation Fund 5 It took a global pandemic to accelerate a digital economy and spark a digital health revolution in Canada. In our efforts to seek medical advice while in isolation, Canadians prompted a punctuated shift in how we can access care, regardless of our location or socio-economic situation. We redefined the need for virtual care. During the pandemic, nearly half of Canadians have used virtual care. An incredible 91% were satisfied with their experience. The CMA has learned that 43% of Canadians would prefer that their first point of medical contact be virtual. The CMA welcomes the $240 million federal investment in virtual care and encourages the government to ensure it is linked to a model that ensures equitable access. A gaping deficit remains in using virtual care. Recently the CMA, the Royal College of Physicians and Surgeons of Canada and the College of Family Physicians of Canada established a Virtual Care Task Force to identify digital opportunities to improve health care delivery, including what regulatory changes are required across provincial/territorial boundaries. To take full advantage of digital health capabilities, it will be essential for the entire population, to have a functional level of digital health literacy and access to the internet. The continued adoption of virtual care is reliant on our ability to educate patients on how to access it. It will be further contingent on consistent and equitable access to broadband internet service. Create a Digi-Health Knowledge Bank Virtual care can’t just happen. It requires knowledge on how to access and effectively deliver it, from patients and health care providers respectively. It is crucial to understand and promote digital health literacy across Canada. What the federal government has done for financial literacy, with the appointment of the Financial Literacy Leader within the Financial Consumer Agency of Canada, can serve as a template for digital health literacy. We recommend that the federal government establish a Digi-Health Knowledge Bank to develop indicators and measure the digital health of Canadians, create tools patients and health care providers can use to enhance digital health literacy, continually monitor the changing digital divide that exists among some population segments. Pan-Canadian broadband expansion It is critical to bridge the broadband divide by ensuring all those in Canada have equitable access to affordable, reliable and sustainable internet connectivity. Those in rural, remote, Northern and Indigenous communities are presently seriously disadvantaged in this way. With the rise in virtual care, a lack of access to broadband exacerbates inequalities in access to care. This issue needs to be expedited before we can have pride in any other achievement. RECOMMENDATION 2 Embedding virtual care in our nation’s health care system 6 Some groups have been disproportionately affected by the COVID-19 crisis. Woefully inadequate care of seniors and residents of long-term care homes has left a shameful and intensely painful mark on our record. Our health care system has failed to meet the needs of our aging population for too long. The following two recommendations, combined with a focus on improving access to health care services, will make a critical difference for Canadian seniors. A demographic top-up to the Canada Health Transfer The Canada Health Transfer (CHT) is the single largest federal transfer to the provinces and territories. It is critical in supporting provincial and territorial health programs in Canada. As an equal per-capita-based transfer, it does not currently address the imbalance in population segments like seniors. The CMA, hand-in-hand with the Organizations for Health Action (HEAL), recommends that a demographic top-up be transferred to provinces and territories based on the projected increase in health care spending associated with an aging population, with the federal contribution set to the current share of the CHT as a percentage of provincial-territorial health spending. A top-up has been calculated at 1.7 billion for 2021. Additional funding would be worth a total of $21.1 billion to the provinces and territories over the next decade. Seniors care benefit Rising out-of-pocket expenses associated with seniors care could extend from 9 billion to 23 billion by 2035. A Seniors Care Benefits program would directly support seniors and those who care for them. Like the Child Care Benefit program, it would offset the high out-of-pocket health costs that burden caregivers and patients. RECOMMENDATION 3 Ensuring that better care is secured for our seniors 7 The federal government has made great strides to mitigate the health and economic impacts of COVID-19. Amidst the task of providing stability, there has been a grand oversight: measures to support our front line health care workers and their financial burden have fallen short. The CMA recommends the following measures: 1. Despite the significant contribution of physicians’ offices to Canada’s GDP, many physician practices have not been eligible for critical economic programs. The CMA welcomes the remedies implemented by Bill C-20 and recommends the federal government address remaining administrative barriers to physicians accessing federal economic relief program. 2. We recommend that the government implement the Frontline Gratitude Tax Deduction, an income tax deduction for frontline health care workers put at risk during the COVID-19 pandemic. In person patient care providers would be eligible to deduct a predetermined amount against income earned during the pandemic. The Canadian Armed Forces already employs this model for its members serving in hazardous missions. 3. It is a devastating reality that front line health care workers have died as a result of COVID-19. Extending eligibility for the Memorial Grant to families of front line health care workers who mourn the loss of a family member because of COVID-19, as a direct result of responding to the pandemic or as a result of an occupational illness or psychological impairment related to their work will relieve any unnecessary additional hardship experienced. The same grant should extend to cases in which their work contributes to the death of a family member. RECOMMENDATION 4 Cementing financial stabilization measures for our front line health care workers 8 Those impacted by COVID-19 deserve our care. The health of our nation’s economy is contingent on the health standards for its people. We must assert the right to decent quality of life for those who are most vulnerable: those whose incomes have been dramatically impacted by the pandemic, those living in poverty, those living in marginalized communities, and those doubly plagued by experiencing racism and the pandemic. We are not speaking solely for physicians. This is about equitable care for every Canadian impacted by the pandemic. Public awareness and support have never been stronger. We are not facing the end of the pandemic; we are confronting an ebb in our journey. Hope and optimism will remain elusive until we can be confident in our health care system. CONCLUSION
Documents
Less detail

Improving Long-term Care for People in Canada

https://policybase.cma.ca/en/permalink/policy14246
Date
2020-06-01
Topics
Population health/ health equity/ public health
  1 document  
Policy Type
Parliamentary submission
Date
2020-06-01
Topics
Population health/ health equity/ public health
Text
Subject: Improving Long-term Care for People in Canada Dear Minister Hajdu and Minister Schulte, We are writing to you with recommendations for responding to the staggering effects COVID-19 has had on our health-care system, particularly in long-term care (LTC) homes across Canada. These recommendations were recently unveiled by the Canadian Nurses Association (CNA) on May 27 through a report entitled 2020 Vision: Improving Long-term Care for People in Canada (attached to this letter). We invite you to read it and consider the proposals we are bringing forward. As you know, Canada has had unacceptable rates of COVID-19-related deaths in LTC; by late April, 79% of the country’s deaths due to COVID-19 were linked to outbreaks in these homes. These tragic numbers are in part a result of decades of neglect of the LTC sector and a growing mismatch between the level of care required by people living in those settings, and the level of care available. Furthermore, the recent reports from the military deployed to Ontario and Quebec’s long-term care homes have emphasized the shocking and horrific conditions that exist in some nursing homes in Canada. We applaud the Prime Minster’s recent commitment to work closely and support the province’s efforts to improve standards of care for older people in long-term care 2 homes across the country. Moreover, further decisive action needs to be undertaken. To address the flaws COVID-19 has revealed in the support and care systems available to Canada’s older people, we recommend that your Government take immediate action on three important fronts:
The Government of Canada should immediately appoint a commission of inquiry on aging;
Federal public health leaders must work with provincial, territorial and Indigenous governments and public health leaders to review the country’s COVID-19 response and organize preparations for the next pandemic;
Federal, provincial and territorial governments must increase investments in community, home and residential care to meet the needs of our aging population. As the Prime Minister indicated last week, providing support in the short term and having broader discussions in the long term is critical. We believe many solutions can be put in place now in some long-term care homes if they had better funding, for example. In the long term, a deeper look to identify the best models for delivering better health and social services will support safe and dignified aging for every person in Canada. We recognize the challenges involved to address the issues in the support and care systems for older people in Canada. The benefits of redesigning how we provide care for older people (Canada’s largest growing demographic) and others with complex continuing care needs will go beyond improving their lives and health. A good long-term care system, in tandem with effective, well-organized community and home care, will ease pressure on the acute-care system and eliminate many of the gaps in the continuum of care that too often result in previously independent older people landing in the hospital or long-term care. Acting on these three recommendations will help to provide a solid foundation on which to build a safe and dignified future for Canada’s older people. Canada is known 3 for its humanitarian work around the world. It’s time we brought those values home, to care for the people to whom this country and each one of us owes so much. We look forward to discussing these proposals with you and your staff as soon as possible. Sincerely, Claire Betker, RN, MN, PhD, CCHN(C) President Canadian Nurses Association Michelle Pavloff, RN, BSN, MN, PhD(c) President, Canadian Association for Rural and Remote Nursing Jan Christianson-Wood, MCSW President Canadian Association of Social Workers Trina Klassen, RN, BN, ASMH, Med President Canadian Family Practice Nurses Association Tracy Thiele, RPN, MN, PhD(c)President, Florence Budden, Lori Schindel Martin, RN, PHD President Canadian Gerontological Nursing Association BN, RN, CPMHN(C) Past President Canadian Federation of Mental Health Nurses Lea Bill, RN, BScN, President Canadian Indigenous Nurses Association Sandy Buchman MD CCFP (PC) FCFP President Canadian Medical Association Ian Culbert Executive Director Canadian Public Health Association Miranda R Ferrier Francine Lemire, MD CM, CCFP, FCFP, CAE, ICD. D Executive Director & Chief Executive Officer College of Family Physicians of Canada National President Ontario Personal Support Workers Association Canadian Support Workers Association Jen Calver, RPN-GPNC(C), BAHSc (Hons), MHSc(c) Professional Advocacy Director Gerontological Nursing Association Ontario Lenora Brace, MN, NP, President NPAC-AIIPC Nurse Practitioner Association of Canada
Documents
Less detail

Promotion of healthy childhood

https://policybase.cma.ca/en/permalink/policy374
Last Reviewed
2020-02-29
Date
1999-08-25
Topics
Population health/ health equity/ public health
Resolution
GC99-42
That the Canadian Medical Association promote both medical and social interventions to ensure an optimal start to life and a physically, mentally and socially healthy childhood.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1999-08-25
Topics
Population health/ health equity/ public health
Resolution
GC99-42
That the Canadian Medical Association promote both medical and social interventions to ensure an optimal start to life and a physically, mentally and socially healthy childhood.
Text
That the Canadian Medical Association promote both medical and social interventions to ensure an optimal start to life and a physically, mentally and socially healthy childhood.
Less detail

Access by the elderly to medical and supportive health care

https://policybase.cma.ca/en/permalink/policy377
Last Reviewed
2020-02-29
Date
1999-08-25
Topics
Population health/ health equity/ public health
Resolution
GC99-78
That the Canadian Medical Association adopt as policy the following principle: Access in old age. Older citizens in all parts of Canada should have timely access to medical and supportive health care services that are clinically appropriate. This includes: a) rapid access to primary medical care, b) access to a full range of medical, surgical, diagnostic, treatment and rehabilitative services, and c) access to specialized programs designed to address the physical and mental problems of old age. Access to clinically appropriate services should not be denied on the basis of age or disability.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1999-08-25
Topics
Population health/ health equity/ public health
Resolution
GC99-78
That the Canadian Medical Association adopt as policy the following principle: Access in old age. Older citizens in all parts of Canada should have timely access to medical and supportive health care services that are clinically appropriate. This includes: a) rapid access to primary medical care, b) access to a full range of medical, surgical, diagnostic, treatment and rehabilitative services, and c) access to specialized programs designed to address the physical and mental problems of old age. Access to clinically appropriate services should not be denied on the basis of age or disability.
Text
That the Canadian Medical Association adopt as policy the following principle: Access in old age. Older citizens in all parts of Canada should have timely access to medical and supportive health care services that are clinically appropriate. This includes: a) rapid access to primary medical care, b) access to a full range of medical, surgical, diagnostic, treatment and rehabilitative services, and c) access to specialized programs designed to address the physical and mental problems of old age. Access to clinically appropriate services should not be denied on the basis of age or disability.
Less detail

Information program for Canadians on genetically modified organisms

https://policybase.cma.ca/en/permalink/policy379
Last Reviewed
2020-02-29
Date
1999-08-25
Topics
Health information and e-health
Resolution
GC99-81
That the Canadian Medical Association urge the federal government to create an information program for Canadians on genetically modified organisms.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1999-08-25
Topics
Health information and e-health
Resolution
GC99-81
That the Canadian Medical Association urge the federal government to create an information program for Canadians on genetically modified organisms.
Text
That the Canadian Medical Association urge the federal government to create an information program for Canadians on genetically modified organisms.
Less detail

Legislation of drinking water

https://policybase.cma.ca/en/permalink/policy429
Last Reviewed
2020-02-29
Date
2001-08-15
Topics
Population health/ health equity/ public health
Resolution
GC01-50
That Canadian Medical Association recommend all levels of government across Canada urgently review legislation governing all aspects of drinking water from source to consumption to ensure that comprehensive programs are in place and being properly implemented, with effective linkages to local, provincial and territorial public health officials and Ministries of Health.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
2001-08-15
Topics
Population health/ health equity/ public health
Resolution
GC01-50
That Canadian Medical Association recommend all levels of government across Canada urgently review legislation governing all aspects of drinking water from source to consumption to ensure that comprehensive programs are in place and being properly implemented, with effective linkages to local, provincial and territorial public health officials and Ministries of Health.
Text
That Canadian Medical Association recommend all levels of government across Canada urgently review legislation governing all aspects of drinking water from source to consumption to ensure that comprehensive programs are in place and being properly implemented, with effective linkages to local, provincial and territorial public health officials and Ministries of Health.
Less detail

Cell phones and driving

https://policybase.cma.ca/en/permalink/policy433
Last Reviewed
2020-02-29
Date
2001-08-15
Topics
Population health/ health equity/ public health
Resolution
GC01-54
That Canadian Medical Association supports legislation prohibiting the use of phones when driving a motor vehicle
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
2001-08-15
Topics
Population health/ health equity/ public health
Resolution
GC01-54
That Canadian Medical Association supports legislation prohibiting the use of phones when driving a motor vehicle
Text
That Canadian Medical Association supports legislation prohibiting the use of phones when driving a motor vehicle
Less detail

Risk management education programmes

https://policybase.cma.ca/en/permalink/policy513
Last Reviewed
2020-02-29
Date
1989-10-14
Topics
Population health/ health equity/ public health
Resolution
BD90-02-34
That the Canadian Medical Association actively pursue the development of education programs in risk management in cooperation with its divisions, affiliates, and other appropriate organizations.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1989-10-14
Topics
Population health/ health equity/ public health
Resolution
BD90-02-34
That the Canadian Medical Association actively pursue the development of education programs in risk management in cooperation with its divisions, affiliates, and other appropriate organizations.
Text
That the Canadian Medical Association actively pursue the development of education programs in risk management in cooperation with its divisions, affiliates, and other appropriate organizations.
Less detail

Industry support for university research programs

https://policybase.cma.ca/en/permalink/policy515
Last Reviewed
2020-02-29
Date
1990-05-26
Topics
Population health/ health equity/ public health
Resolution
BD90-05-215
That the Canadian Medical Association encourage industries to make significant commitments to basic research programs in Canadian universities.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1990-05-26
Topics
Population health/ health equity/ public health
Resolution
BD90-05-215
That the Canadian Medical Association encourage industries to make significant commitments to basic research programs in Canadian universities.
Text
That the Canadian Medical Association encourage industries to make significant commitments to basic research programs in Canadian universities.
Less detail

Heart disease and cardiopulmonary resuscitation skills

https://policybase.cma.ca/en/permalink/policy723
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Population health/ health equity/ public health
Resolution
GC90-101
That the Canadian Medical Association and its members support and encourage public education programs that promote healthy lifestyles, the recognition of warning symptoms and signs of heart disease, and the acquisition of manual cardiopulmonary resuscitation skills, recognizing that these skills are most effective when combined with a pre-hospital advanced life support system.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Population health/ health equity/ public health
Resolution
GC90-101
That the Canadian Medical Association and its members support and encourage public education programs that promote healthy lifestyles, the recognition of warning symptoms and signs of heart disease, and the acquisition of manual cardiopulmonary resuscitation skills, recognizing that these skills are most effective when combined with a pre-hospital advanced life support system.
Text
That the Canadian Medical Association and its members support and encourage public education programs that promote healthy lifestyles, the recognition of warning symptoms and signs of heart disease, and the acquisition of manual cardiopulmonary resuscitation skills, recognizing that these skills are most effective when combined with a pre-hospital advanced life support system.
Less detail

Quality Daily Physical Education Program

https://policybase.cma.ca/en/permalink/policy725
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Population health/ health equity/ public health
Resolution
GC90-122
That the Canadian Medical Association support the Quality Daily Physical Education Program as defined by the Canadian Association for Health, Physical Education and Recreation.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Population health/ health equity/ public health
Resolution
GC90-122
That the Canadian Medical Association support the Quality Daily Physical Education Program as defined by the Canadian Association for Health, Physical Education and Recreation.
Text
That the Canadian Medical Association support the Quality Daily Physical Education Program as defined by the Canadian Association for Health, Physical Education and Recreation.
Less detail

Code of environmental health

https://policybase.cma.ca/en/permalink/policy731
Last Reviewed
2020-02-29
Date
1990-05-26
Topics
Population health/ health equity/ public health
Resolution
BD90-05-177
That the Canadian Medical Association develop a code of environmental health that would serve as a benchmark to judge all Canadian Medical Association activities, both internal and external.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1990-05-26
Topics
Population health/ health equity/ public health
Resolution
BD90-05-177
That the Canadian Medical Association develop a code of environmental health that would serve as a benchmark to judge all Canadian Medical Association activities, both internal and external.
Text
That the Canadian Medical Association develop a code of environmental health that would serve as a benchmark to judge all Canadian Medical Association activities, both internal and external.
Less detail

Aboriginal health care

https://policybase.cma.ca/en/permalink/policy809
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC90-93
That the Canadian Medical Association encourage physicians to expand contacts with their local aboriginal communities, on both a community and professional level, in order to address aboriginal health care issues.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC90-93
That the Canadian Medical Association encourage physicians to expand contacts with their local aboriginal communities, on both a community and professional level, in order to address aboriginal health care issues.
Text
That the Canadian Medical Association encourage physicians to expand contacts with their local aboriginal communities, on both a community and professional level, in order to address aboriginal health care issues.
Less detail

Aboriginal health

https://policybase.cma.ca/en/permalink/policy811
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Population health/ health equity/ public health
Resolution
GC90-95
That the Canadian Medical Association take action to support aboriginal peoples in those areas of social, political and economic life that would improve the health of their communities.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1990-08-23
Topics
Population health/ health equity/ public health
Resolution
GC90-95
That the Canadian Medical Association take action to support aboriginal peoples in those areas of social, political and economic life that would improve the health of their communities.
Text
That the Canadian Medical Association take action to support aboriginal peoples in those areas of social, political and economic life that would improve the health of their communities.
Less detail

Non-Insured Health Benefits Plan and fees

https://policybase.cma.ca/en/permalink/policy1543
Last Reviewed
2020-02-29
Date
1998-12-05
Topics
Population health/ health equity/ public health
Resolution
BD99-05-89
That the Canadian Medical Association examine the Health Canada's Non-Insured Health Benefits Plan's refusal to remunerate physicians for completing pre-authorization request forms.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
1998-12-05
Topics
Population health/ health equity/ public health
Resolution
BD99-05-89
That the Canadian Medical Association examine the Health Canada's Non-Insured Health Benefits Plan's refusal to remunerate physicians for completing pre-authorization request forms.
Text
That the Canadian Medical Association examine the Health Canada's Non-Insured Health Benefits Plan's refusal to remunerate physicians for completing pre-authorization request forms.
Less detail

Default setting for water heaters

https://policybase.cma.ca/en/permalink/policy1583
Last Reviewed
2020-02-29
Date
2000-12-09
Topics
Population health/ health equity/ public health
Resolution
BD01-07-78
That the Canadian Medical Association urges provincial and territorial governments to amend existing building/plumbing codes, to require the default setting of newly installed residential hot water heating devices be set at a maximum of 49 degrees Celsius (120 Fahrenheit).
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
2000-12-09
Topics
Population health/ health equity/ public health
Resolution
BD01-07-78
That the Canadian Medical Association urges provincial and territorial governments to amend existing building/plumbing codes, to require the default setting of newly installed residential hot water heating devices be set at a maximum of 49 degrees Celsius (120 Fahrenheit).
Text
That the Canadian Medical Association urges provincial and territorial governments to amend existing building/plumbing codes, to require the default setting of newly installed residential hot water heating devices be set at a maximum of 49 degrees Celsius (120 Fahrenheit).
Less detail

Maskwachees Declaration on aboriginal/indigenous health

https://policybase.cma.ca/en/permalink/policy1584
Last Reviewed
2020-02-29
Date
2000-12-09
Topics
Population health/ health equity/ public health
Resolution
BD01-07-79
The Canadian Medical Association supports the Maskwachees Declaration in principle and requests federal and provincial/territorial governments to act in accordance with its recommendations for the promotion of physical activity, physical education, sport and recreation among Aboriginal peoples.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
2000-12-09
Topics
Population health/ health equity/ public health
Resolution
BD01-07-79
The Canadian Medical Association supports the Maskwachees Declaration in principle and requests federal and provincial/territorial governments to act in accordance with its recommendations for the promotion of physical activity, physical education, sport and recreation among Aboriginal peoples.
Text
The Canadian Medical Association supports the Maskwachees Declaration in principle and requests federal and provincial/territorial governments to act in accordance with its recommendations for the promotion of physical activity, physical education, sport and recreation among Aboriginal peoples.
Less detail

Sexual and reproductive health

https://policybase.cma.ca/en/permalink/policy1585
Last Reviewed
2020-02-29
Date
2000-12-09
Topics
Population health/ health equity/ public health
Resolution
BD01-07-81
That the Canadian Medical Association encourage Health Canada to develop and implement a national strategy on sexual and reproductive health.
Policy Type
Policy resolution
Last Reviewed
2020-02-29
Date
2000-12-09
Topics
Population health/ health equity/ public health
Resolution
BD01-07-81
That the Canadian Medical Association encourage Health Canada to develop and implement a national strategy on sexual and reproductive health.
Text
That the Canadian Medical Association encourage Health Canada to develop and implement a national strategy on sexual and reproductive health.
Less detail

476 records – page 1 of 24.