Class Notes (835,426)
Canada (509,186)
Health Studies (1,192)
HLTC43H3 (51)
Lecture 8


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Health Studies
Toba Bryant

LECTURE 8 Key aspect of Public Interest o Individual vs collective interests o Impact of market and polis on health care reformHealth care reforms we are looking at the impact of the markets on health care systemsMyth parallel system reduces waiting times o Where do private systems doctors come from o Who benefits o Who supports it o Why do they support it o Are these issues adequately covered in public discussionsThree major reports on health care reform o Mazankowski reporto Kirby report He looked at health care decided to do this out of his own interest o Romanow report Premier of Saskatawan To hold a dialogue with Canadians and what it means to them and what they want changedThree major reports o What are their main recommendations o What are the bases of these recommendations o What role do ideology and values play o What are the implications of carrying out these policy options Mazankowski report 1 o Fundamental changes in how we should organize and deliver health care servicesand in how we pay for health services o Public spending is not enough o Direct payments by citizens Each year funding was increasing so his aim was to get a handle on it They wanted to control it o Funding mechanismsUser feesPremiums deductibles copaymentsTaxing people for useMedical savings accounts o Privately funded and delivered health services o Supplementary or private insuranceo Expand to include role of private sector unregulated monopoly o Competition and choice o Reduce coverage o Delisted services paid for privately o Experimental but is it really o Private innovators could do wonders for our health care system o Commercialization and privatizationWanted to marketize health care o UK experiment with privatized rail services
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