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CHA’s ADVOCACY WATCH

CHA’s ADVOCACY WATCH. Presented by: Keith Denny, Director, Policy & Communications. Cycle of Activities – Advocating for Equitable Health Care for Canadians. The typical advocacy year for CHA begins in July and continues until recess of Parliament in June of the following year.

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CHA’s ADVOCACY WATCH

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  1. CHA’s ADVOCACY WATCH Presented by: Keith Denny, Director, Policy & Communications

  2. Cycle of Activities – Advocating for Equitable Health Care for Canadians The typical advocacy year for CHA begins in July and continues until recess of Parliament in June of the following year. July/August – Preparation of CHA’s pre-budget Brief to the Finance Committee August – Submission of pre-budget Brief September/October – Response to the Speech from the Throne (if required) September-November – Presentation of Pre-Budget Brief to the Finance Committee February/March – Response to the Federal Budget All year - Presentations to House of Commons and Senate Committees - Monitoring the work of the House and Senate - Meetings with senior politicians and departmental officials

  3. “Today’s” Watch Federal Funding and Aftermath Provincial/Pan-Canadian Response Federal Politics What Are Canadians Saying? Canadian Healthcare: A Brief Profile Canadian Challenges Ontario Update International Perspectives So What – Now What?

  4. 1. Federal Funding and Aftermath Federal funding announcement From 2017-18, CHT will grow with nominal GDP, expected to be approx 4% a year. Although it could be higher, it will not be allowed to drop below 3%. - Dec, 2012

  5. 1. Federal Funding and Aftermath Parliamentary Budget Officer Report – The loss in revenue (from the new CHT escalator) will add to the financial burden of the provinces and territories. - Jan, 2012 P/T will need to institute measures amounting to 2.4 per cent of GDP to raise revenue, reduce program spending, or both, in order to create sustainable financial conditions.

  6. 1. Federal Funding and Aftermath Health Minister’s follow-up “I will continue to work with my provincial and territorial colleagues to make sure that Canada's health system is more sustainable, and to improve accountability and deliver better services to Canadians.” - Feb 2012

  7. 1. Federal Funding and Aftermath Ongoing Federal Engagement: Internationally Educated Health Professionals Initiative ($2.6M) Personalized health care ($67.5M) National Diabetes Strategy ($6M) Home care planning and evaluation tool ($150K)

  8. 2. Provincial/Pan-Canadian Response Ministers of Health – “… agreed that continued stable, predictable funding is crucial to supporting better care and outcomes...” - Nov, 2012 Council of the Federation – Health Care Innovation Working Group & Working Group on Fiscal Arrangements. - Jan, 2012

  9. 3. Federal Politics Senate – Committee on Social Affairs, Science and Technology: Examining the progress in implementing the 2004 10-Year Plan to Strengthen Health Care HESA – Study: Health Promotion and Disease Prevention

  10. 3. Federal Politics Finance – Pre-budget consultations, 2011 Report: Staying focused on Canadian Jobs and Growth – Dec, 2011 Expectations: - Budget likely end of March - $4-8 billion in cuts

  11. 3. Federal Politics NDP Health Critic, Libby Davies (meeting requested): “the federal government has a key role to play in providing proper leadership.” – Feb, 2012 NDP leadership a key issue… Liberal Health Critic, Hon. Hedy Fry (meeting requested): “Evidence tells us that there’s the need for transformative change in the system.” – Jan, 2012

  12. 4. What are Canadians saying? Ipsos: Feds have strong role to play in healthcare Obesity biggest health issue for children & youth Environics: Feds should be an equal partner in HC discussions Strong attachment to public funding Efficiency more critical than funds

  13. 5. Canada’s Health System: A Brief Profile

  14. Health Expenditure Continues to Rise Source National Health Expenditure Database, CIHI.

  15. What Are We Spending On? Note 2009 actual data. Source National Health Expenditure Database, CIHI.

  16. 2011 Health Spending Forecasts • Spending on health care by governments and Canadians is projected to be • $200.5 billion, a 4.0% increase • 11.6% of GDP (versus 11.9% in 2010) • $5,811 per person • 0.6% above inflation and population growth in 2011 (lowest rate in 15 years)

  17. Health Care Spending Outpacing Inflation and Population Growth NoteAAG = average annual growth. Sources National Health Expenditure Database, CIHI; Statistics Canada.

  18. More Health Professionals

  19. 6. Canadian Challenges… Aboriginal Health and its determinants First Nations face “cardiovascular crisis” Diabetes prevalence 1.5 to 3 times Canadian rate Housing crises (Attawapiskat) Boil water advisories in I in 5 First Nations Suicide rates for Inuit = 11 times Canadian avg

  20. 6. Canadian challenges… Canada’s aging population: 2011 census: 14.4 of Canadians over 65 Seniors = 40% of hospital services use 45% of all P/T government health spending BUT… More than age, multiple chronic conditions are associated with high use of the health care system Prevention, PHC, community care = fewer admissions

  21. Rates of Hospitalization for Ambulatory Care Sensitive Conditions, Canada, 2009–2010

  22. 7. Ontario update Excellent Care for All, 2010 Drummond Report 105 recommendations specific to health Action Plan for Health Care CEO pay & OHA OMA negotiations OMA and salt

  23. 8. International Perspectives Standard & Poor’s warning to G20 nations Healthcare related credit downgrades within 3 years OECD: Canada doing well… Some cancer survival rates Avoidable hospitalization for asthma OECD: Canada doing less well… Wait times (highest of 11 countries) Certain in-hospital adverse events Income inequality (rising since mid-90s)

  24. 9. So what? Now what? Federal leadership? Meeting with Minister of Health requested Council of the Federation: New player NDP and Liberal leadership Meetings with health critics held fall, 2011 Follow up meetings requested Senate Report due “soon” Budget CHA’s strategic plan

  25. 17 York Street Ottawa, Ontario K1N 9J6 Tel: (613) 241-8005 Fax: (613) 241-5055 www.cha.ca Presenter’s info: Keith Denny Tel: (613) 241-8005 E-mail: kdenny@cha.ca www.cha.ca

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