Lorian Hardcastle Profile picture
Sep 30, 2020 12 tweets 2 min read Read on X
Contact your MLAs and people you know who are UCP members and encourage them to vote against this nonsense at the annual general meeting. The following (flawed) rationale is offered for the resolution to embrace private finance...
First, a reminder to the government that healthcare isn't merely an "expense". It is an investment in a healthy and productive workforce.
Second, to suggest that drs are "upset" because there is "no more money" is inaccurate and disrespectful. I have yet to talk to a dr who doesn't acknowledge AB's fiscal issues. Anyone I've talked to is most "upset" about the government's heavy-handed and disrespectful treatment.
It is interesting to see someone acknowledge that "Patients are limited to treatment options as doctors threaten to leave" when the gov has denied that drs are leaving. The gov only has itself to blame for drs leaving.
This rationale neglects to consider the fact that other countries have struggled with a so-called "hybrid system" and regulating how drs spend their time in order to ensure adequate human resources in the public system.
Private insurance will not result in patients "divert[ing] themselves from public waitlist to the benefit of all patients." This statement suggests an ample supply of drs to treat private patients. How can this be reconciled with the acknowledgement that drs are leaving?
This statement sounds like a child wrote it: "People using Private Tier System...would effectively pay a user tax (fee for service) shifting some burden from the public tax revenue
to private payments."
If patients are merely paying a user fee and not the full cost of the service, the public system would still be paying the same amount. The patient would merely be paying on top of that.
Also, extra-billing/user fees are contrary to the Canada Health Act and would thus actually cost the province money in federal transfer payments. Just as BC, who lost over $32 million for allowing private clinics to extra bill.
"This could help the economy recover more efficiently by creating choices, for both physicians and patients, in time
and public costs to the Public Health System." Unclear what "choice" has to do with the economy. Evidence suggests this would not save the public system any $.
*ask

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Lorian Hardcastle

Lorian Hardcastle Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @Lorian_H

Nov 15, 2023
Manning report on covid has dropped. Notably, the panel's mandate wasn't to look broadly into the management of covid, but more narrowly to look at governance in a public health emergency. /1
I'm not going to disparage any specific person, but it is fair to say that the panel's composition seems designed to reach particular conclusions on the issues. /2
Report immediately mischaracterizes who makes decisions in a pub health emergency by putting Cabinet at the top of the list and saying cmoh is merely "highly relevant". Although that's what happened during covid, the law is quite different (for now...see bill 6). /3
Read 30 tweets
Nov 8, 2023
Watching the presser on changes to the health system...

Smith highlights challenges with staffing and surgical wait times, but unclear how their proposed reforms will fix any of this. Says that current system lacks accountability and falls short on putting patients 1st /1
Delivery system will now focus on 4 areas, each with their own organization: primary care, acute care, continuing care, mental health & addiction. Calls current AHS structure "scattered" and "rigid". Will apply province-wide to avoid pre-AHS regional fragmentation. /2
Smith says this new model will be more responsive to issues, better able to mange performance, more accountable, more adaptable to innovation, and responsive to make space for local input. Unclear how the new model will facilitate these goals. /3
Read 20 tweets
Nov 2, 2023
Gov announced forthcoming changes to the Public Health Act today that will give cabinet greater power over decisions during a public health emergency. Some thoughts... /1
First, clarity over the role of the CMOH was much needed. This should have been fixed much, much sooner when it became clear that what was happening during covid (i.e. cabinet making decisions) was out of step with the law (i.e. CMOH making decisions). /2
Two questions required attention. First, who ought to make decisions during a health emergency (CMOH, cabinet, combo)? And second, how much independence should the CMOH have (e.g. a bureaucrat reporting to the Minister of Health or able to disclose recommendations publicly)? /3
Read 10 tweets
Aug 1, 2023
Much anticipated decision in Ingram v Alberta (CMOH) is out! This case addresses the legality of covid public health orders. A summary and some thoughts... /1
As discussed ad nauseam during covid, this decision clarifies that the authority to issue public health orders is that of the CMOH and not cabinet. Despite this, Hinshaw repeatedly said that she was merely an advisor, thereby improperly delegating her power to cabinet. /2
Specifically, the Act "requires that decisions with respect to public health orders must be made by the CMOH" or her delegate. Instead, decisions here "were made by cabinet" or its committees. This delegation was "not permitted" by the Act. /3
Read 19 tweets
Nov 17, 2022
Catching up on the Smith/Copping presser...
Smith commends front line staff and scapegoats AHS. Appoints administrator to replace AHS board. 4 priorities: EMS response times, ER waits, surgery waits, develop long-term reforms through consultation with health professionals. /1
Copping also commends front line staff and talks about the need for more capacity (doesn't address preventing people from needing hospital services in the first place). Claims a temporary administrator is preferable to board because they can work on these issues full time. /2
Administrator will work with CEO and will report to Minister of Health/Premier.
EMS: fast track transfers, use other modes of transport for non-urgent cases, empower EMS to step down calls from 911, empower paramedic to triage and determine need for ER transfer by ambulance. /3
Read 13 tweets
Oct 27, 2022
Hot off the press! The Court of KB releases its decision in the school masking case. Some thoughts to follow... /1
The applicants challenged the chief medical officer's order rescinding masking in schools and the Minister of Ed's direction that schools not impose their own masking requirements. /2
Notably, and as @UbakaOgbogu and I have said many times, the Court finds that the authority to make public health orders rests with the CMOH, not cabinet. Because the masking decision came from cabinet and not her, it was unreasonable. /3 Image
Read 9 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(