Health care - thread. 1/18
#Elxn44: our health care system is vulnerable as #COVID19 has exposed its limits and significantly so in some provinces due to decisions made or not made by provinces to reduce spread. #cdnpoli #healthcare
#Elxn44: our health care system is vulnerable as #COVID19 has exposed its limits and significantly so in some provinces due to decisions made or not made by provinces to reduce spread. #cdnpoli #healthcare
2. I am no expert but I have worked for 10 years in senior leadership in outsourcing in the public sector and I know how things work that the public does not see. There are reasons in privacy legislation the public is denied access to failures of outsourcing and escalating costs
3. First, the Canada Health Act sets the national policy. Execution and delivery is Provincial. Provincial political leaders will blame the CHA and feds for the weaknesses in health care to avoid scrutiny of their own competence and budgetary decisions with COVID. 
4. Expect at least Kenney, Ford, Moe, their health ministers will be aligned w the O’Toole campaign on health care. They claim the ONLY solution will be for-profit privatization. This will be supported by the Sun, Post Media, the Globe and other media outlets across Canada.
5. I’m not opposed to some privatization that is strictly limited and I’ll explain here. I want to say that privatization is only one approach and don’t let Conservatives tell you it’s the only way. They will bamboozle us w cherry-picked foreign examples that hide negatives.
6. Canadians need to understand that for-profit companies exist solely for profit. Stakeholders demand maximization of profits and growth of margins. This is always prioritized over patients. Decisions concerning patients w be made thru a profitability lens incl risk to profit.
7. For-profit HC commodifies patients, centers profit-making tasks over the patients. It cares about efficiencies in removing your gall bladder in the shortest amount of time. It prioritizes quantity and speed over patient outcomes.
8. You’re just a body. Your body is a risk to profits. The opportunity for profit is in the task of removing your gallbladder, not saving the thing or other complications. For-profit wants easy. The public system will fix their mistakes.
9. Doctors are private. I’m ok w that bc they are paid on a fee schedule negotiated w the province for all docs. Extra billing is not allowed per the Canada Health Act. Contracts w private companies would not be the same where each contract is negotiated independently w gov.
10. Private HC is problematic from the standpoint of privacy acts in provinces and federally. Private companies are protected on privacy grounds from having their contract failures and pricing exposed. Contracts are unFOIPable. We can’t get the proof to hold gov to account.
11. We can not get information that shows how many procedures are botched and how much that costs the public system to fix. We cannot see how patients are harmed by a private HC provider.
12. This legislative privacy protection covers up cost escalations, margin growth, quality & performance standards and contract failures of private companies. Easy for politicians to place 100% blame on costs on HC workers, unions, administrators.
13. The solution to these problems for Conservative politicians is privatize even more. They will convince millions of us to agree because Canadians cannot get access to the facts and data because of built-in protection of private company contracts and financial agreements.
14. Non-profit private Heath care services are still problematic per privacy legislation but at least they are not chasing a profit motive so patient outcomes would be their priority.
15. Many ways to improve health care and it’s an area that needs it continuously. Choosing the one way that increases costs to pay profits, commodifies patients and decreases transparency because such contracts are unFOIPable is probably not the best choice. #cdnpoli #Elxn44
18. O’Toole and conservative premiers think the only way to innovate is privatization. Yet the US is a spectacular failure of that in fixing its HC system. hbr.org/2006/05/why-in…
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