Proposal for Pilot Scale Modifications to the Ontario Healthcare System
Executive Summary
The Ontario healthcare system is in need of an overhaul. Not only are costs skyrocketing, but also the public perceives that the treatment of patients is critically ill with unacceptable waiting times. Real and needed procedures are being cut while the administrative costs of the system continue to escalate unabated.
The last two statements are keys to the puzzle. In the Brantford health catchments basin, The recent removal of beds from the Willett Hospital in Paris is a prime example. These beds have allowed the Brantford General Hospital an additional $10 million without doing anything to reduce waiting times or improve patient care. A full-fledged hospital is turned into a glorified office building. The LHIN has consequently approved a new CHC building to reduce waiting times after 2 local care facilities have been decommissioned. These are indications that the system has been bureaucratized; with internal patient delivery standards compromised and that a total collapse of the system could be imminent. The present system is financially unsustainable, the golden age of health has become tarnished with limited service, that is very expensive and that is not user friendly.
Healthcare is too critical a service to be allowed to collapse. The system needs major corrective surgery to survive. To date, successive governments appear to be "tinkering" with solutions that have little apparent positive impact to the patient or caregiver. What this means is more of same with large infusions of cash and absolutely no real improvement. The Supreme Court has deemed that Healthcare is a Section 7 Charter of Rights issue. This means that an "out of the box solution is required – sooner rather than later.
The Ontario Government is now in a bind. If delays in service provision cause damage or death, the Supreme Court's decision could put the government in the crosshairs of litigation. This proposal can form the basis of a "due diligence" defense. The government can also legitimately claim that they are trying something new and different in Ontario – something that has worked in Europe and which has a good chance of working here. It is a no-lose option.
What follows is an out of the box solution. This is somewhat similar to what the Swedish public health used to be, before it was radically reformed and competitively re-invented. Add to that some innovative revenue streams, and we may have options for the government to allow them to extricate themselves from a situation that has been brewing for 15 to 20 years.
There must be radical surgery for the business of providing healthcare systems. We can no longer afford to have unimaginative and ill-conceived tinkering. We need full blown, out of the box solutions for the system to avoid implosion and collapse.
Let us consider healthcare as a business for a moment. If a business is alienating and not delivering services to its customers, and its costs are soaring, there are really two solutions - let it die, which is not an option, or restructure and re-invent it to deliver better service. What are the reality pill options?
We propose to expand the customer and revenue base to allow the system to breathe again. To date, expanding the system revenue base has meant that the government has to cough up more public "taxpayer" money. This solution means that the people have to pay and that the administrative bureaucracy expands to "take care of" the investment, particularly at the provincial level. The spending priorities are obviously misaligned.
Our proposed solution involves a reduction in the bureaucracy. It also involves a reduction in government involvement. What would happen if healthcare became a profit centre instead of a cost centre, or an increasing sinkhole for public money? "Private Healthcare", screams the bureaucrat. No, it is just an opportunity to make money by providing service for non-Ontarians in the worldwide market place. Medical tourism is a proven and accepted practise
Executive Summary
The Ontario healthcare system is in need of an overhaul. Not only are costs skyrocketing, but also the public perceives that the treatment of patients is critically ill with unacceptable waiting times. Real and needed procedures are being cut while the administrative costs of the system continue to escalate unabated.
The last two statements are keys to the puzzle. In the Brantford health catchments basin, The recent removal of beds from the Willett Hospital in Paris is a prime example. These beds have allowed the Brantford General Hospital an additional $10 million without doing anything to reduce waiting times or improve patient care. A full-fledged hospital is turned into a glorified office building. The LHIN has consequently approved a new CHC building to reduce waiting times after 2 local care facilities have been decommissioned. These are indications that the system has been bureaucratized; with internal patient delivery standards compromised and that a total collapse of the system could be imminent. The present system is financially unsustainable, the golden age of health has become tarnished with limited service, that is very expensive and that is not user friendly.
Healthcare is too critical a service to be allowed to collapse. The system needs major corrective surgery to survive. To date, successive governments appear to be "tinkering" with solutions that have little apparent positive impact to the patient or caregiver. What this means is more of same with large infusions of cash and absolutely no real improvement. The Supreme Court has deemed that Healthcare is a Section 7 Charter of Rights issue. This means that an "out of the box solution is required – sooner rather than later.
The Ontario Government is now in a bind. If delays in service provision cause damage or death, the Supreme Court's decision could put the government in the crosshairs of litigation. This proposal can form the basis of a "due diligence" defense. The government can also legitimately claim that they are trying something new and different in Ontario – something that has worked in Europe and which has a good chance of working here. It is a no-lose option.
What follows is an out of the box solution. This is somewhat similar to what the Swedish public health used to be, before it was radically reformed and competitively re-invented. Add to that some innovative revenue streams, and we may have options for the government to allow them to extricate themselves from a situation that has been brewing for 15 to 20 years.
There must be radical surgery for the business of providing healthcare systems. We can no longer afford to have unimaginative and ill-conceived tinkering. We need full blown, out of the box solutions for the system to avoid implosion and collapse.
Let us consider healthcare as a business for a moment. If a business is alienating and not delivering services to its customers, and its costs are soaring, there are really two solutions - let it die, which is not an option, or restructure and re-invent it to deliver better service. What are the reality pill options?
We propose to expand the customer and revenue base to allow the system to breathe again. To date, expanding the system revenue base has meant that the government has to cough up more public "taxpayer" money. This solution means that the people have to pay and that the administrative bureaucracy expands to "take care of" the investment, particularly at the provincial level. The spending priorities are obviously misaligned.
Our proposed solution involves a reduction in the bureaucracy. It also involves a reduction in government involvement. What would happen if healthcare became a profit centre instead of a cost centre, or an increasing sinkhole for public money? "Private Healthcare", screams the bureaucrat. No, it is just an opportunity to make money by providing service for non-Ontarians in the worldwide market place. Medical tourism is a proven and accepted practise
"Last year Canadians spent $172 billion a year up from $79 billi0n in 1997. What accounts for these increases and how can Canadians receive better value for money? This proposal could be part of the solution." QJ
S. Holle BS MBA
backtoeden.ontario@gmail.com
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1 comment:
what is the real oost of health ?
It is difficult to get this information- do you have a source of information? .
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