National security advisor, former Mulroney cabinet minister among LHIN appointees

Who is running our Local Health Integration Networks (LHINs)? With Commissioner Don Drummond’s calls to beef up the power of the regional health organizations, the make-up of the LHIN boards may become increasingly important.

For six years the McGuinty government has been making appointments to these boards. Most appointments are for three-year terms, meaning many LHINs are just now filling the third generation of their boards.

Who they are is very much a reflection of the government in power, many coming from the education and business sectors. Forty-eight claim some connection to the public and post-secondary education system, including teachers, professors, lecturers, principals, school board trustees and those who have served on the boards of colleges and universities. On the business side there almost the same number again of chartered accountants, consultants, IT professionals, human resources managers and bankers. About one in four business people on the LHIN boards are from the financial services industry.

Twenty-three LHIN board members state they are retired from their active careers, although many more fail to list a current position, suggesting they too may also be retired.

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Wealth, age and geography should be significant factors in “ranking” LHIN performance

According to the Hamilton Spectator, the three wealthiest regions of the province have the best health results despite the lowest per capita health funding, a blatant reminder of the link between income and health.

These three LHINs also happen to be adjacent to Toronto, where many patients cross LHIN boundaries to seek care.

It also tells us that tackling poverty could have a substantial impact on public health care costs.

Does that make these three regions the best run LHINs? Not necessarily.

Unfortunately, the newspaper’s ranking of the 14 Local Health Integration Networks may not be entirely fair given the emphasis on population health in those standings.

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Health and education vs. sports executive boxes

It’s no surprise that the root cause of the recent recession would be eventually reinterpreted to blame the public sector.

Now that the bankers and the auto industry have now renounced their brief flirtation with socialism, it seems we are told our problems stem from us little people having it too good when it comes to health, education and other public services.

Even the ever apoplectic Rex Murphy blames Premier Dalton McGuinty for the sudden state of the province’s finances, and not the bankers who crashed the economy and suddenly put a big hole in Ontario’s gross domestic product (GDP).

Federal Finance Minister Jim Flaherty, blowing harder than usual these days, says Ontario has fundamental budget problems – “major spending problems that they’ve built up over the course of eight years.”

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Hudak flip flops on health care issues

Have the Ontario Tories ditched some of their long-standing health care issues in the wake of the Drummond report?

On the one hand, Hudak likes Drummond’s idea for even larger Local Health Integration Networks, on the other hand, he remains silent on Drummond’s call to hold the line on new long-term care beds. During the election Hudak called for the elimination of the LHINs and pledged to create 5,000 new long-term care beds and renovate 35,000 more.

While PC Leader Tim Hudak has accused Premier Dalton McGuinty of cherry picking the report, he himself has been all over the map, one day insisting the Premier implement it, the next day carving out his own exceptions from the 362 recommendations.

“If the Premier takes a single one of them off the table he must specify an alternative approach,” Hudak said. And then Hudak himself began taking them off one by one, starting with his call to protect $340 million in revenue from slot machines shared with the horse racing industry.

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Guyatt and Yalnizyan speak at free one-day conference March 31st

Internationally respected health researcher Dr. Gordon Guyatt and Economist Armine Yalnizyan are the featured speakers at this year’s Students For Medicare conference taking place March 31st at the Cecil St. Steelworkers Hall in Toronto.

Guyatt will be speaking about the public-private debate and what it means in today’s economic climate. Guyatt was recently appointed an Officer of the Order of Canada for his work on evidence-based medicine and its teaching. A professor at the department of clinical epidemiology and biostatistics at McMaster University, he is also an active spokesperson for the Medical Reform Group and sits as a board member of the Ontario Health Coalition.

Yalnizyan will be looking at the climate of fiscal restraint and its impact on health care. Yalnizyan joined the Canadian Centre for Policy Alternatives in 2008 and is a regular panelist on CBC’s Lang and O’Leary Exchange. She is also one of the most read contributors to the Globe and Mail’s Economy Lab and is a founding member of the Progressive Economics Forum.

Participants can also take their choice of several small group sessions on emerging issues in Canada’s health care.

The conference runs from 10 am to 2:30 pm and includes lunch.

Registration begins at 9:30 am.

While the conference is free, you should register in advance by clicking here.

Women being asked to disproportionately pay for the deficit

There’s a study beckoning to be done: the impact of the Drummond Commission report on women.

On this International Women’s Day we face an unprecedented attack on the public sector – a sector in which employment belongs 60 per cent to women.

In health care, that number is even higher – 82 per cent.

While there is much talk about sharing the pain from the last recession, the reality is those who rely the most upon public services and those who deliver them are really being asked to shoulder the cost. More often that not, these are women.

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Windsor hospital CEO defends women’s wages – we think…

Our friend David Musyj is mellowing.

The CEO of Windsor Regional Hospital, once a vocal advocate for wage freezes, now says either freeze all wages or none at all.

Musyj told the Windsor Star that it’s a morale breaker when the government freezes wages for just one group.

He says the impact of extending the freeze will be negative because further penalizing this group for “political gain” is grossly unfair.

We agree. As public sector workers, it is a morale breaker to see calls for more austerity when our wage increases are already well below the private sector.

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Drug crisis: Where is Leona Aglukkaq?

Canadian hospitals are scrambling to find sufficient quantities of certain generic drugs after the manufacturer recently slowed down production at its three Sandoz North American plants, including one in Boucherville, Quebec. The company is doing so to address issues raised by the U.S. Food and Drug Administration.

Last November the U.S. FDA issued a warning letter to Novartis International stating the Canadian plant failed to follow appropriate written procedures designed to prevent microbiological contamination of drug products purporting to be sterile.

In the November 18, 2011 letter, the FDA stated specifically of the Boucherville plant “your failure to implement corrective actions and prevent future recurrence is indicative of an ineffective quality system.”

So where is Health Canada on this? Health Canada also inspected the plant AFTER the U.S. FDA and said they found no issues.

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New funding formula abandons patient-centered care for payer-centered care

In Ontario, when a health policy fails, it appears you expand it.

For four years Ontario has been attempting to use payment-for-results (P4R) funding to improve ER wait times. As we reported recently, only about a fifth of the P4R money allocated to hospitals in the Central East region was distributed this quarter, the rest – more than $4 million – was returned to the Ministry of Health. The hospitals couldn’t reach the targets set for them.

Sending more than $4 million back to the Ministry of Health will not help them reach those targets any faster.

Queen’s Park is fixated with the idea that only competition for cash can lead to improved wait times. On the other hand, they expect the system to integrate with more cooperation between providers.

These are not compatible ideas.

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Health care hasn’t squeezed out funding for higher education – prof

There’s no question that there has been a concerted effort to portray health care as eating everyone else’s lunch when it comes to funding.

While health policy experts have repeatedly pointed out that this is not true, few outsiders have acknowledged this reality.

In today’s Toronto Star, York University professor George Fallis notes that funding for higher education has kept pace with health care over the last decade.

He writes: “Contrary to what many believe, the growth in health spending over this period has not squeezed out spending on higher education. Ontario has one of the best systems of higher education in the world, highlighted by its achievements in providing access to higher education.”

Fallis notes that over the last 10 years university enrolments have grown by 50 per cent and college enrolments by 23 per cent.

The professor argues the baby boom “echo” has reached its peak, and changing demographics will likely reduce demand for higher education.