Thursday, December 29, 2016

There are a ton of ways to spend less but we aren't going to see these efficiencies because politicians have no interest in containing costs. They would much rather whine about the lack of increases to their budget. Well this time around the federal government is asking the health ministers to go back and think about less money for better work and more services/ supports to the most vulnerable citizens in Canada. I agree with the federal government. Get rid of the bloat, the waste and the mismanagement of public monies. Help those who need the help the most. Absolutely target the folks with the most needs such as the mentally ill. The health ministers should do their jobs and stop whining.


Listening to the first ministers whining about the money that the federal government is providing to them is annoying.
They should take the money and put in the work needed to increase efficiency.
There are plenty of ways that the GOA for example can save money.
Can I list them?

1) Have real oversight of work done in the continuing care system so that residents aren't being shuffled off to emergency and active treatment beds for no damn reason other than the failures of the continuing care system providers.

2) With real oversight in place by the GOA eliminate the two health authorities or have just one. This would ensure that duplication costs for bureaucrats and highly compensated executive staff are eliminated.

3) Prune all levels of managers and administrative staff at AHS and Covenant Health; cut back on the overtime and reduce salaries, benefits and expenses allowed.  Ensure that we are paying for work and not for presence.

4) Prove work by the deliverables of each staff hired and retained. We're tired of paying for bodies without results. Where are the results for every single hire?

Who determines what are results?  Or are we stuck with an old boys' club in the health care system?

5) Eliminate deadwood at Alberta Health and get rid of all the useless so called health advocates, PPIC office workers and such like. We don't need an Ombudsman office. We can't be paying for staff that does nothing for the citizens so dump the entire PC legislation that governs all these entities that do nothing for us but certainly provide information to the GOA for the spin stories. Do we need all these bureaucrats at the AB Health place? My feeling is we do not.

6) How much are we paying for imaging services and how can these costs be limited by a single provider?

7) How much are we paying for laboratory testing and how can these costs be contained?

8) How much are we paying for front line staff? We need to cut salaries.  Sooner or later this will happen and it is best if the GOA is proactive rather than reactive. If we don't cut salaries positions will have to be cut.

9) At this time lets look at the costs of running hospitals. Can the various hospitals that are run by Covenant Health be amalgamated? Can all hospitals be pruned in terms of their services so that costs can be limited?

10) Can we increase staff in terms of essential mental health services and continuing care services where our most vulnerable citizens are at risk? If not why not? Why are we paying for midwives to deliver babies at higher costs when this could be done by doctors? Where are all the cost benefit analysis work done by Alberta Health? And where is the auditor general review of these cost benefit analysis reports that should underpin the policy decisions by the bureaucrats and politicians?

There are a ton of ways to spend less but we aren't going to see these efficiencies because politicians have no interest in containing costs. They would much rather whine about the lack of increases to their budget. Well this time around the federal government is asking the health ministers to go back and think about less money for better work and more services/ supports to the most vulnerable citizens in Canada. I agree with the federal government. Get rid of the bloat, the waste and the mismanagement of public monies. Help those who need the help the most. Absolutely target the folks with the most needs such as the mentally ill. The health ministers should do their jobs and stop whining.


http://panow.com/article/627713/sask-minister-blasts-feds-over-health-funding

Sask. minister blasts feds over health funding



By CKOM News Staff
December 20, 2016 - 5:41pm
Jim Reiter
Jim ReiterFacebook/Jim Reiter
Saskatchewan's health minister is calling for continued negotiations on a new national health funding plan, despite a breakdown in talks this week.

Jim Reiter said Monday's discussions with federal Health Minister Jane Philpott and Finance Minister Bill Morneau felt like a wasted trip.

"I got a phone call Sunday morning from Minister Philpott to discuss it. And I expressed to her, I said: 'I'll gladly come if we're going to have an actual discussion. But if this is going to be a take-it-or-leave-it proposal, we can do that by email," he told 650 CKOM host John Gormley on Tuesday.

But Reiter said 'take-it-or-leave-it' is all the feds seemed to have on offer.

"We wanted to have a discussion. And essentially, the federal finance minister ended the conversation and said: 'the money's off the table now."

The negotiations centre on Ottawa's formula for increasing healthcare transfers each year. The increases were fixed at 6 per cent a year since 2004. Stephen Harper's Conservative government brought in a plan to cut the increases to three per cent, or the rate of GDP growth - whichever number was higher. The change is set to take effect in 2017.

Reiter said health care costs continue to rise faster than than the Consumer Price Index, a measure that tracks increases in the cost of living.

"New drugs come online that are expensive. We buy a lot of our supplies and equipment from the United States so the exchange rate is hurting us - there's a number of reasons for it," he said.

Reiter said the provinces proposed yearly increases in the five per cent range. Morneau countered with an offer of three-and-a-half per cent, plus additional money earmarked for home care and mental health programs.

Reiter said he was shocked when Morneau told the assembled ministers that the extra money was off the table if they didn't take the deal.

"This is very important to Canadians. I found it odd that they were treating it like it was a department store sale on microwave ovens: 'If you don't buy  by 5 o'clock, the offer's over,'" he said.

Reiter said he has two main concerns with the federal offer. First, the deal would have eliminated the tie between funding and GDP growth contained in the Harper plan.

"Three (per cent) was a basement. If the GDP (growth) exceeded three per cent, that's what it would be based on. With the current proposal from the federal government, the three-and-a-half, it isn't the basement - that's it," he said.

Second, Reiter said he wasn't comfortable with the arrangement for targeted money for mental health and home care. He said too often, these types deals aren't stable.

"They provide it for a term. Then the federal money expires and the province is left holding the bag with either back-filling programs or cancelling a good program that the public's come to expect," he said.

Reiter went on to say the federal government gets a sweetheart deal on health: they provide about one-fifth of the money, but have power over some two-thirds of the decisions.

"I don't know of any business where you or I could put 20 per cent of the funding in and call two-thirds of the shots. I don't think that would sell well on Dragon's Den," he said.
Twitter @CKOMNews

Personally I am glad the federal government is in charge of this sorry crew of health ministers all over Canada who aren't able to contain costs of bureaucrats in the ways that are possible. Why don't the first ministers do their jobs and use the money provided to ensure health care is in good shape for citizens? End the whining and make the cuts that are required in the bureaucracy to ensure that patients get essential services such as mental health and emergency services.


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