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CMA PolicyBase

Policies that advocate for the medical profession and Canadians


51 records – page 1 of 6.

Presentation to the New Democratic Party on Bill C-38

https://policybase.cma.ca/en/permalink/policy10439
Date
2012-05-17
Topics
Population health/ health equity/ public health
  1 document  
Policy Type
Parliamentary submission
Date
2012-05-17
Topics
Population health/ health equity/ public health
Text
Bill C-38 covers a lot of ground and we welcome the occasion to discuss it. Right at the outset, let me remind you that the Canadian Medical Association has a long tradition of staunch non-partisanship. Our mandate is to be the national advocate for the highest standards in health and health care. In a bill as wide-ranging as this one, there is a great deal I could talk about. In the time allotted, however, I am going to frame my brief remarks around three themes... namely: First, what is very clearly in the bill; Second, what is lacking in the bill, and Third, what I would characterize as a general lack of clarity and consultation on certain aspects of the federal government's actions on health care. First, I will comment on one of the key measures contained in the budget bill. We are greatly concerned about the move to raise the age of eligibility for Old Age Security. Many seniors have low incomes and delaying this relatively modest payment by two years is certain to have a negative impact. For many older Canadians, who tend to have more complex health problems, medication is a life line. We know that, already, many cannot afford their meds. Gnawing away at Canada's social safety net will no doubt force hard choices on some of tomorrow's seniors... the choice between whether to buy groceries or to buy their medicine. I think it is safe to say it would not hold up to a cost-benefit analysis. People who skip their meds, or lack a nutritious diet or enough heat in their homes, will be sicker. In the end, this will put a greater burden on our health care system. Let me now turn to a couple of things we were hoping to see in the budget but that are not there. As we all know, the Finance Minister announced the government's plans for the Canada Health Transfer in December. The CMA was encouraged when the Minister of Health subsequently spoke about collaborating with the provinces and territories on developing accountability measures for this funding. We look forward to this accountability plan for the minimum of $446 billion that will flow to the provinces and territories in federal transfers for health over the next twelve years. In both 2008 and 2009, the Euro-Canada Health Consumer Index ranked Canada last out of 30 countries in terms of value for money spent on health care. We believe that federal government should lever its spending on health care to bring change to the system. It could introduce incentives, measurable goals, pan-Canadian metrics and measurement that would link health care spending to comparable health outcomes. This would recognize, too, that the federal government is itself the fifth-largest jurisdiction in health care delivery. We believe the federal government has a role to play in leading this change and that transferring billions of federal dollars in the absence of this leadership shortchanges Canadians. This budget thus represents an opportunity lost to find ways to transform the health care system and help Canadians get better value and better patient care for the money they spend on health care. The other major piece missing from this budget is any move to establish a national pharmaceutical strategy. A pharmaceutical strategy that would ensure consistent coverage and secure supply across the country remains unfinished business from eight years ago. Access to pharmaceutical treatments remains the most glaring example of inequity of our health care system. I should point out that the Senate Social Affairs Committee in its recent report on the 2004 Health Accord also recommended the implementation of a national pharmaceutical strategy. Now I come to the third part of my remarks, which is about a general lack of clarity in regard to certain aspects of the federal government's responsibilities vis-a- vis health care. Since the budget was tabled, the federal government has announced $100 million in cuts to the Interim Federal Health Program and eliminated the National Aboriginal Health Organization. As far as we know, no one was consulted on these changes, and since they are not in the budget bill, there is no opportunity for debate on the potential implications on the health of Canadians. We are also uncertain about the impact of changes in service delivery at Veterans Affairs Canada, changes in the mental health programs at the Department of National Defence, and plans to consolidate some of the functions of the Health Canada and the Canadian Public Health Agency. There are many unknowns and these are serious matters that warrant serious consideration. The government committed that it would not balance the books on the backs of the provinces, yet there appears to be a trend toward the downloading of health care costs to federal client groups or the provinces and territories or individuals. As we have seen in the past, cost downloading is not the same as cost saving. In fact, when health is impacted, the costs will be inevitably higher, both in dollars and in human suffering. Thank you.
Documents
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Patient-focused Funding

https://policybase.cma.ca/en/permalink/policy8729
Last Reviewed
2014-03-01
Date
2007-02-24
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
BD07-04-143
The Canadian Medical Association will study the implications and potential for the introduction of “Patient-focused Funding” on a priority basis.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-02-24
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
BD07-04-143
The Canadian Medical Association will study the implications and potential for the introduction of “Patient-focused Funding” on a priority basis.
Text
The Canadian Medical Association will study the implications and potential for the introduction of “Patient-focused Funding” on a priority basis.
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Canada Extended Health Services Act

https://policybase.cma.ca/en/permalink/policy8840
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC07-10
The Canadian Medical Association will develop a policy framework and design principles for access to publicly funded medically necessary services in the home and community setting that can become the basis for urging governments to develop a Canada Extended Health Services Act.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC07-10
The Canadian Medical Association will develop a policy framework and design principles for access to publicly funded medically necessary services in the home and community setting that can become the basis for urging governments to develop a Canada Extended Health Services Act.
Text
The Canadian Medical Association will develop a policy framework and design principles for access to publicly funded medically necessary services in the home and community setting that can become the basis for urging governments to develop a Canada Extended Health Services Act.
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Continuum of care

https://policybase.cma.ca/en/permalink/policy8844
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Health care and patient safety
Resolution
GC07-14
The Canadian Medical Association believes that the issue of the continuum of care must go beyond the question of financing and tackle questions related to the organisation of medicine and to the shared and joint responsibilities of individuals, communities and governments in matters of health care and promotion, prevention and rehabilitation.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Health care and patient safety
Resolution
GC07-14
The Canadian Medical Association believes that the issue of the continuum of care must go beyond the question of financing and tackle questions related to the organisation of medicine and to the shared and joint responsibilities of individuals, communities and governments in matters of health care and promotion, prevention and rehabilitation.
Text
The Canadian Medical Association believes that the issue of the continuum of care must go beyond the question of financing and tackle questions related to the organisation of medicine and to the shared and joint responsibilities of individuals, communities and governments in matters of health care and promotion, prevention and rehabilitation.
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Informal caregivers

https://policybase.cma.ca/en/permalink/policy8846
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Health care and patient safety
Resolution
GC07-16
The Canadian Medical Association and its provincial/territorial medical associations and affiliates recommend that governments undertake pilot studies to support informal caregivers and long-term care patients, including those that: a. explore tax credits and/or direct compensation to compensate informal caregivers for their work; b. expand relief programs for informal caregivers that provide guaranteed access to respite services in emergency situations; c. expand income and asset testing for residents requiring assisted living and long-term care; and d. promote information on advanced directives and representation agreements for patients.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Health care and patient safety
Resolution
GC07-16
The Canadian Medical Association and its provincial/territorial medical associations and affiliates recommend that governments undertake pilot studies to support informal caregivers and long-term care patients, including those that: a. explore tax credits and/or direct compensation to compensate informal caregivers for their work; b. expand relief programs for informal caregivers that provide guaranteed access to respite services in emergency situations; c. expand income and asset testing for residents requiring assisted living and long-term care; and d. promote information on advanced directives and representation agreements for patients.
Text
The Canadian Medical Association and its provincial/territorial medical associations and affiliates recommend that governments undertake pilot studies to support informal caregivers and long-term care patients, including those that: a. explore tax credits and/or direct compensation to compensate informal caregivers for their work; b. expand relief programs for informal caregivers that provide guaranteed access to respite services in emergency situations; c. expand income and asset testing for residents requiring assisted living and long-term care; and d. promote information on advanced directives and representation agreements for patients.
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Mental health resources

https://policybase.cma.ca/en/permalink/policy8847
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC07-17
The Canadian Medical Association, provincial/territorial medical associations and affiliates urge governments to ensure adequate mental health resources are available to the military personnel and their families.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC07-17
The Canadian Medical Association, provincial/territorial medical associations and affiliates urge governments to ensure adequate mental health resources are available to the military personnel and their families.
Text
The Canadian Medical Association, provincial/territorial medical associations and affiliates urge governments to ensure adequate mental health resources are available to the military personnel and their families.
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Long-term health care

https://policybase.cma.ca/en/permalink/policy8851
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC07-21
The Canadian Medical Association urges governments to study the creation of a compulsory contributions-based social insurance plan to cover long-term health care needs.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC07-21
The Canadian Medical Association urges governments to study the creation of a compulsory contributions-based social insurance plan to cover long-term health care needs.
Text
The Canadian Medical Association urges governments to study the creation of a compulsory contributions-based social insurance plan to cover long-term health care needs.
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Canada Health Act

https://policybase.cma.ca/en/permalink/policy8856
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC07-26
The Canadian Medical Association and its provincial/territorial medical associations will advocate for a discussion on opening the Canada Health Act because it limits the ability to fund "the continuum of care".
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC07-26
The Canadian Medical Association and its provincial/territorial medical associations will advocate for a discussion on opening the Canada Health Act because it limits the ability to fund "the continuum of care".
Text
The Canadian Medical Association and its provincial/territorial medical associations will advocate for a discussion on opening the Canada Health Act because it limits the ability to fund "the continuum of care".
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Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper

https://policybase.cma.ca/en/permalink/policy8863
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Population health/ health equity/ public health
Resolution
GC07-34
The Canadian Medical Association endorses the strategic policy directions outlined in the CMA document Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper as necessary elements of any collaborative care team.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Population health/ health equity/ public health
Resolution
GC07-34
The Canadian Medical Association endorses the strategic policy directions outlined in the CMA document Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper as necessary elements of any collaborative care team.
Text
The Canadian Medical Association endorses the strategic policy directions outlined in the CMA document Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper as necessary elements of any collaborative care team.
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Patients with chronic diseases

https://policybase.cma.ca/en/permalink/policy8869
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC07-57
The Canadian Medical Association calls on governments to implement organizational and financial incentives for better management of patients with chronic diseases.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC07-57
The Canadian Medical Association calls on governments to implement organizational and financial incentives for better management of patients with chronic diseases.
Text
The Canadian Medical Association calls on governments to implement organizational and financial incentives for better management of patients with chronic diseases.
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51 records – page 1 of 6.