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RE: I'd rather see how well you float
Posted on: August 31, 2018 at 11:44:49 CT
90Tiger STL
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More than anything else though, what Canada needs to fix its systemic health-care woes is to create a semblance of a system.
What distinguishes the countries that have markedly better results than Canada – like the Netherlands and the Nordic countries – is the cohesiveness of the system, and the emphasis on primary care.
Every Dutch citizen must register with a general practitioner, who acts as navigator and gatekeeper for the system. Furthermore, the roles and responsibilities of all the key players in the system – practitioners, insurers and government – are clearly defined, and complementary. Better still, politicians do very little micromanaging of the health system because that is not tolerated. In the Nordic countries, in addition, there is a particular emphasis on the socio-economic determinants of health, in tackling inequality, but spending more on education and social welfare, and less on health, with impressive results.
In Canada, by contrast, we have very much a sickness-care system, with many silos, and very little co-ordination. There is far more crisis management than planning and political interference is commonplace. And, as the data in the new CIHI study highlight, patients are often left to navigate the complex system on their own, and too often fall between the cracks.
What distinguishes the countries that have markedly better results than Canada – like the Netherlands and the Nordic countries – is the cohesiveness of the system, and the emphasis on primary care.
Every Dutch citizen must register with a general practitioner, who acts as navigator and gatekeeper for the system. Furthermore, the roles and responsibilities of all the key players in the system – practitioners, insurers and government – are clearly defined, and complementary. Better still, politicians do very little micromanaging of the health system because that is not tolerated. In the Nordic countries, in addition, there is a particular emphasis on the socio-economic determinants of health, in tackling inequality, but spending more on education and social welfare, and less on health, with impressive results.
In Canada, by contrast, we have very much a sickness-care system, with many silos, and very little co-ordination. There is far more crisis management than planning and political interference is commonplace. And, as the data in the new CIHI study highlight, patients are often left to navigate the complex system on their own, and too often fall between the cracks.
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RE: I'd rather see how well you float - 90Tiger MU - 8/31 11:44:49