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KINE 3350 (112)
Lecture

kine 3350 - dec 1st.docx

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Department
Kinesiology & Health Science
Course
KINE 3350
Professor
Kathy Broderick
Semester
Fall

Description
Political Football: Examples of Privatization:  USA o We have offices in Canada for people that go to the states for treatment o I.e. they get cancer drugs approved 3 years before we do  In Canada o Montreal – spend a weekend and have a hip replacement o Vancouver – pay for a hip replacement  In Ontario o You can for MRIS, Colonoscopy if you have the money o Provice – cancer clinic that if you go to the US with cancer drugs you can go to province and they will administer it o So we definitely have them in Ontario  Media o In Ontario OHIP has made it very clear that they will reimburse the patient if the doctors make it clear that this person needs the treatment or else it will have irreversible effects o They will not fund treatments in the experimental stage o In order to get reimbursed you have to be approved by OHIP and then the media gets involved  Canadian MedicalAssociation and Privatization Primary Health Care Reform in Ontario  Designed by a doctor and has been implement across the province for many years  Operate 24/7 1. Large Practices – community health centers 2. 24/7 – will avoid people going to walk in clinics = biggest rip off 3. Rostering – mandatory to sign up with 1 doctor 4. Capitation – paid by a salary 5. Nurse Practitioners – help family doctors and deal with a lot of their work 6. Close hospital – too much expense, and they are making centres the specialize in different areas 7. Homecare 8. Build Nursing Home – for care 9. Electronic medical records – they need to sort it out so all you doctors and specialists know everything – your condition, drugs your on etc Ontario medicalAssociation  31,000 doctors  Agrees on reform  They want to enhance the service fee (i.e. people who take complex cases, house calls now get paid by OHIP, going into remote areas in Ontario etc) Care for the elderly in Ontario  Medical model vs. social model See handout – Medical vs. Social Model of an aging population Homecare What is home care?  Is the social model (not medical) where you have home and community services that look after you in the home  Could be medical and support services (i.e. social interactions, housekeeping etc) Cost of Home care?  It is a political issue  Ontario does not put a lot of money into it – only 4% of budget  They allow you to leave you job for 8 weeks and look after someone at home and you get 55% of you original wage Homecare in Ontario  Run by Community care access centers (CCAC) o Phone them for home care and they send out someone to asses you situation – and provide services you need  Issues o Government does not spend a lot of money and they have budget cuts a lot of time o Waiting list is huge for homecare o They put you on a continuum of care – where they start you off with 10 hours and then they cut down to 2 hours and OHIP only covers 2 hours per day so it does cost the family money o So it is under funded = main problem  Home care worker o Get below minimum wage o They can make more money on welfare o Max – 13/hours o Get no overtime or sick leave o Work in horrible environment usually o Physically demanding o They are discriminated against – the come from all kinds of different ethnic backg
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