Discover and read the best of Twitter Threads about #bettermedicare
Most recents (3)
Proponents of private pay health care often claim that countries with multi-payer health care systems (aka private pay + public pay) out-perform Canada 🇨🇦, but keep costs low and still cover everybody equitably. Sounds amazing. Is it true? Not quite. A #BetterMedicare 🧵/1
Like health care systems everywhere right now, Canada’s is struggling. No country is emerging from the pandemic unscathed - whether they have single- or multi- payer health care systems. /2
But we need to be cautious about drawing conclusions from health care systems in other countries. Each country must take into account the legacy of its history, its culture, its politics, and the values of its people. What works in one country may not work in another. /3
How do we fix healthcare?
A @CBCnewsbc spoiler 🧵
1/
❤️🩹🩺⬆️⬆️ FED & PROV 💰💰 in PRIMARY CARE
=Directly fund buildings + operations + non-MD staff
= "global funding" to CHC's-no more grant hustling to pay for community health needs
=transparent evaluation & QI
#bcpoli
A @CBCnewsbc spoiler 🧵
1/
❤️🩹🩺⬆️⬆️ FED & PROV 💰💰 in PRIMARY CARE
=Directly fund buildings + operations + non-MD staff
= "global funding" to CHC's-no more grant hustling to pay for community health needs
=transparent evaluation & QI
#bcpoli
2/
❤️🩹🩺 SHIFT MD PAYMENT TO MODELS THAT INCENTIVIZE HIGH-QUALITY, LONGITUDINAL CARE
= e.g. capitation (lump sum pay based on # and complexity of patients in a practice)
≠ fee for service - it incentivizes VOLUME
❤️🩹🩺 SHIFT MD PAYMENT TO MODELS THAT INCENTIVIZE HIGH-QUALITY, LONGITUDINAL CARE
= e.g. capitation (lump sum pay based on # and complexity of patients in a practice)
≠ fee for service - it incentivizes VOLUME
3/
❤️🩹🩺 INTEGRATE PRIMARY CARE w MENTAL HEALTH & SOCIAL SERVICES
💥income disparity, racism, colonialism, etc have serious deleterious effects on health
💥addressing these "social" determinants of health in primary care is essential (ref: @BCACHC)
canada.ca/en/public-heal…
❤️🩹🩺 INTEGRATE PRIMARY CARE w MENTAL HEALTH & SOCIAL SERVICES
💥income disparity, racism, colonialism, etc have serious deleterious effects on health
💥addressing these "social" determinants of health in primary care is essential (ref: @BCACHC)
canada.ca/en/public-heal…
On this day, 60 years ago, #Medicare was born in Saskatchewan under the leadership of Premier Tommy Douglas, making it the first universal, comprehensive, single-payer insurance system in North America. A🧵
The decision was met with fierce opposition from the media, doctors, and medical organizations, including the CPSS, CMA, and AMA. It also led to the infamous doctor's strike that lasted 23 days.
thecanadianencyclopedia.ca/en/article/sas…
thecanadianencyclopedia.ca/en/article/sas…
The federal government followed Saskatchewan’s example and passed the Medical Care Act in 1966. Within 6 years, all provinces and territories had universal health care.
