The solution to fix health care is not to spend more, but to spend smarter, in part by implementing reforms analysts have been recommending since the 1990s
All of this was true before COVID-19 arrived. “We didn’t have an excess of care providers prior to the pandemic,” says Rosalie Wyonch, a senior policy analyst at the C.D. Howe Institute, a think tank. But because of the stress of the past two years, and the resulting burnout, “the labour shortages are worse.”
Politicians would rather cut ribbons on new long-term care institutions than increase funding for home care, because that funding gets less attention. Privacy watchdogs resist the digitization of patient records. But “it’s also fair to say Canada has lagged behind its peer nations.” She cites, as one example, the difficulty that provincial medical associations have in representing all specialties and family physicians, leading to a lowest-common-denominator approach to bargaining with governments, which stifles reform.
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