How Hockey Can Save Healthcare A Principle Based Approach To Reforming The Canadian Healthcare System

"Canadians are passionate about their healthcare system--and their hockey. While the Canadian medical system is a source of pride―based on ideals of universal coverage, public funding, and high-quality medical care--this treasured healthcare system is failing due to soaring costs, the challenge of an aging population, and poor care delivery. It needs a reality check ... Dr. Stephen Pinney pulls the curtain back on the existing Canadian healthcare system and exposes its fundamental flaws--flaws that are the inevitable result of the system's history and evolution. Hockey, Canada's game, offers a potential principle-based solution to this national dilemma. The book proposes a path forward that would allow Canadians to redesign their healthcare system in a way that matches their ideals. That redesign, Dr. Pinney proposes, should reflect ideas most Canadians know and accept: the principles inherent in a Stanley Cup--winning hockey team."--Provided by publisher.

"Canadians are passionate about their healthcare system--and their hockey. While the Canadian medical system is a source of pride―based on ideals of universal coverage, public funding, and high-quality medical care--this treasured healthcare system is failing due to soaring costs, the challenge of an aging population, and poor care delivery. It needs a reality check ... Dr. Stephen Pinney pulls the curtain back on the existing Canadian healthcare system and exposes its fundamental flaws--flaws that are the inevitable result of the system's history and evolution. Hockey, Canada's game, offers a potential principle-based solution to this national dilemma. The book proposes a path forward that would allow Canadians to redesign their healthcare system in a way that matches their ideals. That redesign, Dr. Pinney proposes, should reflect ideas most Canadians know and accept: the principles inherent in a Stanley Cup--winning hockey team."--Provided by publisher.

While Canadians are proud of their healthcare system, the reality is that it is fragmented and disorganized. Instead of a pan-Canadian system, it is a "system of systems" - thirteen provincial and territorial systems and a federal system. As a result, Canadian healthcare has not only become one of the costliest in the world, but is falling well behind many developed countries in terms of quality. Canadians increasingly realize that their healthcare system is no longer fiscally sustainable, yet change remains elusive. The standard claim is that Canada's multijurisdictional approach makes system-wide reform nearly impossible. Toward a Healthcare Strategy for Canadians disputes this reasoning, making the case for a comprehensive, system-wide, made-in-Canada healthcare strategy. It looks at the mechanics of change and suggests ways in which the various participants in the system - governments, healthcare professionals, the private sector, and patients - can work collaboratively to transform a second-rate system. Addressing critical issues of health human resources, electronic health records, integrated care, and pharmacare, Toward a Healthcare Strategy for Canadians shows how a system-wide strategic approach to this crucial policy area can make a difference in Canada’s healthcare system in the future.

Nursing Leadership and Management, Third Canadian Edition, is designed to help students and beginning nurses develop the knowledge and skills to lead and manage nursing care delivery in the 21st century. The nursing shortage and fiscal realities are pressuring health care organizations to require nurses to do more with less and to adapt quickly to change. Recommendations for the health care profession highlight the need for nurses to be educated in a broader way, including education in the areas of interprofessional teamwork, integration, population-based health care, evidence-based practice, informatics, ethics, quality improvement, culture, spirituality, and change, to name just a few. This text addresses many of these topics, along with others, to prepare the beginning nurse leader and manager to successfully function in the modern health care system.

Canadians are deeply worried about wait times for health care. Entrepreneurial doctors and private clinics are bringing Charter challenges to existing laws restrictive of a two-tier system. They argue that Canada is an outlier among developed countries in limiting options to jump the queue. This book explores whether a two-tier model is a solution. In Is Two-Tier Health Care the Future?, leading researchers explore the public and private mix in Canada, Australia, Germany, France, and Ireland. They explain the history and complexity of interactions between public and private funding of health care and the many regulations and policies found in different countries used to both inhibit and sometimes to encourage two-tier care, such as tax breaks. This edited collection provides critical evidence on the different approaches to regulating two-tier care across different countries and what could work in Canada. This book is published in English.

We are surrounded by medical miracles: polio has been eradicated; childhood leukemia is now treatable; death by cardiovascular disease has declined by two-thirds in the last fifty years. Yet while American medicine has never been better, angst over American health care has never been greater. Why is American health care such a mess? In this path-breaking book--Nobel laureate Milton Friedman calls it "fascinating and thorough"--Dr. David Gratzer goes to the heart of the problem, showing that the crisis in American health care stems largely from its addiction to outmoded and discredited economic ideas. What needs to be done? Dr. Gratzer mounts a bold and provocative argument, rejecting the conventional wisdom that socialized health care is compassionate and that top-down government agencies like the FDA actually save lives. Instead, he prescribes a strong dose of capitalism. The Cure offers a detailed overview of American health care, from economics and politics to medical science. Weighing in on the most controversial topics in health care, Dr. Gratzer makes the case that it's possible to reduce health expenses, insure millions more, and improve quality of care while not growing government or raising taxes. An award-winning author and essayist, he is a master storyteller, enlivening his book with anecdotes, interviews, and stories drawn from his own extensive clinical experience. He details the cardiac woes of Robert E. Lee and Dick Cheney, describes a chat over coffee with Canada's foremost private medical entrepreneur (an acquaintance of Fidel Castro, as it happens), and explains the evolution of his own thinking, from advocating HillaryCare as a medical student to promoting individual choice and competition today. The patient is in critical condition; Dr. Gratzer diagnoses the disease and prescribes the cure.

This is the Final Report of Canada's Truth and Reconciliation Commission and its six-year investigation of the residential school system for Aboriginal youth and the legacy of these schools. This report, the summary volume, includes the history of residential schools, the legacy of that school system, and the full text of the Commission's 94 recommendations for action to address that legacy. This report lays bare a part of Canada's history that until recently was little-known to most non-Aboriginal Canadians. The Commission discusses the logic of the colonization of Canada's territories, and why and how policy and practice developed to end the existence of distinct societies of Aboriginal peoples. Using brief excerpts from the powerful testimony heard from Survivors, this report documents the residential school system which forced children into institutions where they were forbidden to speak their language, required to discard their clothing in favour of institutional wear, given inadequate food, housed in inferior and fire-prone buildings, required to work when they should have been studying, and subjected to emotional, psychological and often physical abuse. In this setting, cruel punishments were all too common, as was sexual abuse. More than 30,000 Survivors have been compensated financially by the Government of Canada for their experiences in residential schools, but the legacy of this experience is ongoing today. This report explains the links to high rates of Aboriginal children being taken from their families, abuse of drugs and alcohol, and high rates of suicide. The report documents the drastic decline in the presence of Aboriginal languages, even as Survivors and others work to maintain their distinctive cultures, traditions, and governance. The report offers 94 calls to action on the part of governments, churches, public institutions and non-Aboriginal Canadians as a path to meaningful reconciliation of Canada today with Aboriginal citizens. Even though the historical experience of residential schools constituted an act of cultural genocide by Canadian government authorities, the United Nation's declaration of the rights of aboriginal peoples and the specific recommendations of the Commission offer a path to move from apology for these events to true reconciliation that can be embraced by all Canadians.

Comparison comprising an economic analysis of private sector health insurance vs. Public sector health service in Canada, Sweden, the UK and the USA - discusses rising health costs, supply and demand, medical ethics, the role of interest groups, etc., compares hospital and physician services and resource allocation in the different countries, and makes proposals for reform. Bibliography pp. 183 to 185.