Canadian Health Policy in the News: Why Evidence Matters

454 Pages Posted: 12 Feb 2013 Last revised: 19 Aug 2015

See all articles by Noralou Roos

Noralou Roos

University of Manitoba - Department of Community Health Sciences (CHS)

Sharon Manson Singer

Simon Fraser University (SFU) - School of Public Policy

Kathleen O'Grady

Simone de Beauvoir Institute, Concordia University

Shannon Turczak

EvidenceNetwork.ca

Camilla Tapp

EvidenceNetwork.ca

Nicholas Hirst

Original Pictures, Inc.

Alan Cassels

University of Victoria

Robert L. Brown

EvidenceNetwork.ca

Neena Chappell

University of Victoria - Centre on Aging and the Department of Sociology

Marcus Hollander

EvidenceNetwork.ca

Michael C. Wolfson

EvidenceNetwork.ca; University of Ottawa

Varena Menec

University of Manitoba - Department of Community Health Sciences (CHS)

Kimberlyn McGrail

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Jason Sutherland

University of British Columbia - Centre for Health Services and Policy Research

R. Crump

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Livio Di Matteo

Lakehead University

Eric Bohm

University of Manitoba

Nadya Repin

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Gina Browne

McMaster University - Faculty of Health Sciences

Marc-André Gagnon

Carleton University - School of Public Policy and Administration

Steve Morgan

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Jamie Daw

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Gregory P. Marchildon

University of Regina

Sergio Sismondo

Queen's University

Colleen M. Flood

University of Ottawa - Faculty of Law

Allan M. Maslove

Carleton University - School of Public Policy and Administration

Irfan Dhalla

Independent

Damien Contandriopoulos

Faculty of Nursing - University of Montreal

Ann Silversides

EvidenceNetwork.ca

Cornelia Baines

University of Toronto - Dalla Lana School of Public Health

Charles Wright

EvidenceNetwork.ca

Alan Katz

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Therese Stukel

Institute for Clinical Evaluative Sciences; Dartmouth College - Dartmouth Institute for Health Policy and Clinical Practice; University of Toronto - Department of Health Policy, Management and Evaluation

James McCormack

University of British Columbia - Faculty of Pharmaceutical Sciences

Lee Ford-Jones

University of Toronto - Department of Pediatrics

Marni D. Brownell

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Rick Linden

University of Manitoba

Ben Levin

University of Toronto

Mark Stabile

INSEAD; National Bureau of Economic Research (NBER)

Vass Bednar

Independent

Paul Kershaw

University of British Columbia (UBC)

Cy Frank

University of Calgary

Ron Zernicke

University of Michigan at Ann Arbor - School of Kinesiology

Gary Bloch

EvidenceNetwork.ca

Theodore R. Marmor

Yale School of Management

Raisa B Deber

University of Toronto - Institute of Health Policy, Management and Evaluation

Michael R. Law

University of British Columbia (UBC)

Rivian Weinerman

Independent

Michael Rachlis

University of Toronto

Ivy Bourgeault

University of Ottawa

Morris L. Barer

University of British Columbia (UBC) - Centre for Health Services and Policy Research

John Millar

University of British Columbia (UBC)

Francois Beland

University of Montreal

Philippe Couillard

Independent

Garey Mazowita

Independent

Linda Silas

Independent

Date Written: December 1, 2012

Abstract

Canadian Health Policy in the News is a compendium of the commentaries (or OpEds) published by the Evidence Network of Canadian Health Policy (or EvidenceNetwork.ca) in major newspapers across the country since the birth of EvidenceNetwork.ca in April 2011 up to October 2012. It is a timely, balanced and non-partisan snapshot of what’s new and controversial concerning our healthcare system and related social programs that affect health and well-being in our country – with evidence at the forefront.

For the first time, we’ve collected this Creative Commons content together in an e-book format to make the information ever more widely available and accessible. The essays you’ll find here, in both English and French, are organized by date published and according to eight loosely overlapping categories: Aging Population and Its Potential Impact addresses concerns over healthcare strains associated with our graying population. Is there a silver tsunami about to bankrupt our healthcare system? Would reforms in chronic healthcare delivery better accommodate this population? Will changes to pension benefits mean more of our seniors will live in poverty? Authors tackle these issues with evidence, and the answers may surprise many readers.

Healthcare Costs and Spending addresses the increased costs for both out-of-pocket and public spending on health services in Canada. How are the numbers calculated (and spun by vested interests)? What’s going on to cause these increases? And what can we do about it? Authors follow the money and give us the goods in accessible language. Private, For-Profit Solutions to Funding and Delivery deals with the public vs. private debate: loaded words in the Canadian context. There can (and already exists) public and private roles in both the funding and delivery of healthcare. What is the best balance for Canadians? Who pays and who should pay for healthcare? Who should deliver healthcare? Authors explore models and evidence from both inside the country and internationally to help forge the path forward.

In More Care Is Not Always Better, authors tackle the question: ‘What is the right amount of healthcare?’ It’s easy to assume that the real problem with the healthcare system is ‘not enough,’ but what does the evidence say? A growing number of studies show that more healthcare is not always better and the more expensive solutions are not always the best. In Health is More Than Healthcare, the authors sketch the relationship between various ‘social determinants’ of health, such as education, poverty and homelessness, and indicate that some of the most fruitful policy levers for improving public health lie outside of the domain of health services.

In Patient Financing of Healthcare, the essays address direct patient financing of healthcare delivery. Would this result in a more efficient and cost-effective healthcare system? Would user fees, for example, prevent overuse and bring in needed revenue? Or would they negatively impact those who may need the health system the most? Sustainability includes OpEds which address whether Canadians can afford the level of healthcare we expect at a cost which is acceptable to the public; and whether we are at risk of losing our publicly funded health system from a financial perspective. Finally, in Waiting for Care, the authors assess wait times and access to care. How bad are wait times, really? And what will it cost to improve the situation?

This book is available free-of-charge so that you can share it widely, in your classrooms, amongst your friends and colleagues, on your websites and via social media.

Canadian health policy will always be emerging and unfolding, responding to changing environmental and economic factors, new technologies, publicly held values and differing political landscapes. Canadian Health Policy in the News captures a moment in time and presents the issues that concern Canadians most, grounding our national discourse and debate on healthcare in the best evidence.

Keywords: health, health care, Canadian, Canada, health policy, knowledge translation, knowledge transfer, media, news, headlines, public policy

Suggested Citation

Roos, Noralou and Manson Singer, Sharon and O'Grady, Kathleen and Turczak, Shannon and Tapp, Camilla and Hirst, Nicholas and Cassels, Alan and Brown, Robert L. and Chappell, Neena and Hollander, Marcus and Wolfson, Michael C. and Menec, Varena and McGrail, Kimberlyn and Sutherland, Jason and Crump, R. and Di Matteo, Livio and Bohm, Eric and Repin, Nadya and Browne, Gina and Gagnon, Marc-André and Morgan, Steve and Daw, Jamie and Marchildon, Gregory P. and Sismondo, Sergio and Flood, Colleen M. and Maslove, Allan M. and Dhalla, Irfan and Contandriopoulos, Damien and Silversides, Ann and Baines, Cornelia and Wright, Charles and Katz, Alan and Stukel, Therese and McCormack, James and Ford-Jones, Elizabeth and Brownell, Marni D. and Linden, Rick and Levin, Ben and Stabile, Mark and Bednar, Vass and Kershaw, Paul and Frank, Cy and Zernicke, Ron and Bloch, Gary and Marmor, Theodore Richard and Deber, Raisa B and Law, Michael R. and Weinerman, Rivian and Rachlis, Michael and Bourgeault, Ivy and Barer, Morris L. and Millar, John and Beland, Francois and Couillard, Philippe and Mazowita, Garey and Silas, Linda, Canadian Health Policy in the News: Why Evidence Matters (December 1, 2012). EvidenceNetwork.ca, Canadian Health Policy in the News: Why Evidence Matters, Eds. Noralou Roos, Sharon Manson Singer, Kathleen O'Grady, Camilla Tapp, and Shannon Turczak, 2012. Available at SSRN: https://ssrn.com/abstract=2204747

Noralou Roos (Contact Author)

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

Sharon Manson Singer

Simon Fraser University (SFU) - School of Public Policy ( email )

United States

Kathleen O'Grady

Simone de Beauvoir Institute, Concordia University ( email )

1455 de Maisonneuve Blvd. West
Montreal, Quebec H3G 1M8
Canada

HOME PAGE: http://www.kathleenogrady.com

Shannon Turczak

EvidenceNetwork.ca ( email )

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Camilla Tapp

EvidenceNetwork.ca ( email )

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Nicholas Hirst

Original Pictures, Inc.

602-191 Lombard Avenue
Winnipeg, Manitoba R3B 0X1
Canada

Alan Cassels

University of Victoria

3800 Finnerty Rd
Victoria, British Columbia V8P 5C2
Canada

Robert L. Brown

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Neena Chappell

University of Victoria - Centre on Aging and the Department of Sociology

3800 Finnerty Rd
Victoria, British Columbia V8P 5C2
Canada

Marcus Hollander

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Michael C. Wolfson

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

University of Ottawa

65 Louise Pasteur Pvte
Ottawa, ON
Canada

Varena Menec

University of Manitoba - Department of Community Health Sciences (CHS)

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

Kimberlyn McGrail

University of British Columbia (UBC) - Centre for Health Services and Policy Research ( email )

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Jason Sutherland

University of British Columbia - Centre for Health Services and Policy Research

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

R. Crump

University of British Columbia (UBC) - Centre for Health Services and Policy Research

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Livio Di Matteo

Lakehead University ( email )

955 Oliver Road
Thunder Bay, Ontario P7B 5E1
Canada

Eric Bohm

University of Manitoba

501 F.A. Bldg
Winnipeg R3T 5V4, Manitoba R3T 5V5
Canada

Nadya Repin

University of British Columbia (UBC) - Centre for Health Services and Policy Research

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Gina Browne

McMaster University - Faculty of Health Sciences

Canada

Marc-André Gagnon

Carleton University - School of Public Policy and Administration

Ottawa, Ontario
Canada

Steve Morgan

University of British Columbia (UBC) - Centre for Health Services and Policy Research ( email )

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Jamie Daw

University of British Columbia (UBC) - Centre for Health Services and Policy Research

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Gregory P. Marchildon

University of Regina ( email )

3737 Wascana Parkway
Regina, Saskatchewan S4S OA2 S4S 0A1
Canada

Sergio Sismondo

Queen's University ( email )

Kingston, Ontario K7L 3N6
Canada
613-533-2182 (Phone)

HOME PAGE: http://www.sismondo.ca

Colleen M. Flood

University of Ottawa - Faculty of Law ( email )

57 Louis Pasteur Street
Ottawa, K1N 6N5
Canada
416-697-4594 (Phone)

Allan M. Maslove

Carleton University - School of Public Policy and Administration ( email )

Ottawa, Ontario
Canada

Irfan Dhalla

Independent ( email )

No Address Available

Damien Contandriopoulos

Faculty of Nursing - University of Montreal ( email )

C.P. 6128 succursale Centre-ville
Montreal, Quebec H3C 3J7
Canada

Ann Silversides

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Cornelia Baines

University of Toronto - Dalla Lana School of Public Health

Toronto, Ontario
Canada

Charles Wright

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Alan Katz

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Therese Stukel

Institute for Clinical Evaluative Sciences ( email )

Toronto, Ontario M4N M5
Canada

Dartmouth College - Dartmouth Institute for Health Policy and Clinical Practice ( email )

United States

University of Toronto - Department of Health Policy, Management and Evaluation ( email )

Toronto
Canada

James McCormack

University of British Columbia - Faculty of Pharmaceutical Sciences

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

Elizabeth Ford-Jones

University of Toronto - Department of Pediatrics

Toronto, Ontario M5S 3G8
Canada

Marni D. Brownell

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Rick Linden

University of Manitoba ( email )

501 F.A. Bldg
Winnipeg R3T 5V4, Manitoba R3T 5V5
Canada

Ben Levin

University of Toronto ( email )

Toronto, Ontario M5S 3G8
Canada

Mark Stabile

INSEAD ( email )

Boulevard de Constance
F-77305 Fontainebleau Cedex
France

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

Vass Bednar

Independent

No Address Available

Paul Kershaw

University of British Columbia (UBC) ( email )

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

Cy Frank

University of Calgary

University Drive
Calgary, Alberta T2N 1N4
Canada

Ron Zernicke

University of Michigan at Ann Arbor - School of Kinesiology

Ann Arbor, MI
United States

Gary Bloch

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Theodore Richard Marmor

Yale School of Management ( email )

135 Prospect Street
P.O. Box 208200
New Haven, CT 06520-8200
United States
203-432-3238 (Phone)

Raisa B Deber

University of Toronto - Institute of Health Policy, Management and Evaluation ( email )

Toronto
Canada

Michael R. Law

University of British Columbia (UBC) ( email )

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

Rivian Weinerman

Independent

No Address Available

Michael Rachlis

University of Toronto

Toronto, Ontario M5S 3G8
Canada

Ivy Bourgeault

University of Ottawa ( email )

2292 Edwin Crescent
Ottawa, Ontario K2C 1H7
Canada

Morris L. Barer

University of British Columbia (UBC) - Centre for Health Services and Policy Research ( email )

#201-2206 Health Sciences Mall
Vancouver, V6T 1Z3
Canada
604-822-5690 (Fax)

John Millar

University of British Columbia (UBC)

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

Francois Beland

University of Montreal

C.P. 6128 succursale Centre-ville
Montreal, Quebec H3C 3J7
Canada

Philippe Couillard

Independent

No Address Available

Garey Mazowita

Independent

No Address Available

Linda Silas

Independent

No Address Available

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