Who decides what's in the public interest?
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Biomedical subjects
Publications and source records attributed to S Vail.
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Are the cuts to health care over in Canada? A number of provincial governments appear to have called a ceasefire over further cuts, while others have announced a "reinvestment" in health care. Even the federal government seems interested in playing a more visible role in health. Faced with this new scenario, governments and policy makers will need to consider reinvestment strategies that best improve the health of Canadians.
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Health care reform has increased efforts by researchers and policy makers to search for more conclusive evidence on what works and what doesn't in health care. Considerable attention is being given to reducing inefficiencies in the system and ensuring that only cost-effective programs are funded.
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The issue of user fees for health care generates a highly charged and emotional response from most Canadians. Access to health care services based on need rather than income is a feature of our system, of which we are extremely proud. Yet, there is increasing pressure on provinces to consider user fees. Are user fees the best method to cope with these financial pressures? Nurses can play a decisive role in ensuring that governments and the public are continuously well informed on this issue.
Something has caught the eye of health care funders in Canada--soaring drug costs. In fact, the rise in drug spending in Canada has been faster than in any other health sector. As a result, drugs have overtaken physician fees to become--at 17 per cent--the second largest source of total health spending in Canada. Hospitals remain the biggest source of health care spending at 40 per cent.
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Who is responsible for ensuring that Canadians' health needs are met? Who is responsible for ensuring that Canadians receive high quality health care? Unfortunately, the answers to these questions are unclear. But with broad restructuring in health care delivery systems, total system accountability for health outcomes is needed more than ever. Nurses can play a crucial role in this regard.
The concept of a two-tier health care system is an emotionally charged subject that will be the focus of much discussion over the next year. In August, the Canadian Medical Association's Annual General Council discussed the issue at length and approved a resolution to lead a national debate on the role of regulated private insurance for medical services. A number of physicians, politicians and other decision makers argue that two-tier health care already exists and that greater privatization is required. Is this really the case? Nurses can have a major impact on the level of discussion in this debate by helping to inform the public and others on the real issues involved.