health care

Five challenges for bending the health care cost curve in Canada

Canadian economists received a pleasant surprise this year: expenditure growth on public health care in Canada finally appears to be slowing down. However, it is unclear if this slowdown is the result of explicit success in sustainably bending the cost-curve or more short-term cost-cutting in response to slower economic growth or future federal health transfers.

So is it a blip on the health care horizon or the beginning of a trend?

With the continued aging of the Canadian population, the diffusion of new health care technologies, and increased pressure for other public...

The problem with patient-pay private health clinics

This past week, Saskatchewan Premier Brad Wall took to Twitter to ask the question: “Is it time to allow people to pay for their own private MRIs in Saskatchewan like they can do in Alberta?” This came after a radio show in which he’d received a call from a patient who’s been waiting three months for an MRI  one of many Saskatchewan patients who are,...

Refugee decision a victory for compassion and common sense in Canadian health care

On June 18, 2012, I joined dozens of health care providers and concerned citizens in Saskatoon for the 1st National Day of Action against the cuts to the Interim Federal Health (IFH) program, which then offered health coverage to refugees in Canada.

Health providers in scrubs and lab coats, sporting stethoscopes and placards with slogans, marched in similar demonstrations across the country. I remember being struck then by the fact that 50 years earlier in Saskatoon, doctors had gone on strike in opposition to the...

Upstream: talking differently about health

Social factors play a significant role in determining whether we will be healthy or ill. Our health care is but one element of what makes the biggest difference in health outcomes. This has been understood for centuries, and empirically validated in recent decades with study after study demonstrating health inequalities between wealthy and disadvantaged populations. 

Yet political conversations about health still tend to fall into familiar traps. When we talk about health we return by reflex to doctors and nurses, hospitals and pharmacies. And when we talk about politics ...

Confronting what makes us sick

I attended the annual meeting of the Canadian Medical Association (CMA) as a representative of Canadian Doctors for Medicare last year. The meeting was not at all what I'd expected. 

The CMA, as a professional association representing doctors, has often been seen  fairly or unfairly ­...

The deteriorating health of the working poor

Last year the Metcalf Foundation released a report on working poverty in Toronto. It found that 113,000 people were living in working poverty in the Toronto region in 2005, a 42% increase from 2000. The report's findings indicate that people living in working poverty most commonly work in sales and service occupations; work comparable hours and weeks as the rest of the working population; are over-represented by immigrants; and are only slightly less-educated than the rest of the working age population.

That report raised questions for us on the impact that working and living...

Colleen Davison: Adding Nuance to our Discussions of Inequalities in Canada: Urban-Rural Health Differences

If you woke up this morning and put your feet on the floor in Moosenee, Iona, Bella Coola or Longlac, then the chances are that your health is poorer than if you were greeting the day in any major Canadian city. Overall, rural folk have lower life expectancy, more injury, chronic disease and mental health concerns, higher rates of smoking, alcoholism and drug misuse and poorer perceptions of their own mental and physical health than Canadian urban dwellers. There are inequalities in health outcomes between rural and urban residents, as well as among other subpopulation groups in Canada. I argue for a more nuanced look at the unfairness of inequalities and what we can do collectively to find ways to address them.

Christensen, Davison & Levac: Chronic housing needs in the Canadian North: Inequality of opportunity in northern communities

The Canadian North, which includes the Yukon, Northwest Territories, Nunavut, Nunavik, Labrador, and Nunatsiavut, is a vast region rich in Indigenous cultures, pristine landscapes and waterways, natural resources, and increasingly diverse communities. It is also a region known for having the highest rates of chronic housing need in Canada. Across the North, where more than half the population is Inuit (including Inuvialuit), First Nations (including Innu), or Métis, there is chronic housing need (lack of affordability, inadequacy, unsuitability, unavailability) and lower rates of home...

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