1. Key message is that Romanow discredits private for-profit healthcare
He states that Canadians reject two tier health care, user fees, out-of-pocket payments, health premiums and other forms of the privatization of the payment for Medicare
He states that for-profit healthcare is not supported by the evidence
He rejects for profit diagnostic clinics (MRIs) and P3 hospitals
This is a critical boost to our fight to stop the provincial government in its latest forays into the creation of private for-profit healthcare in Ontario.
2. Romanow calls for an extension of the Canada Health Act
to cover post acute homecare & palliative care
to cover diagnostics (this is a bid to prevent the for profit clinics)
3. Romanow calls for an incremental creation of a pharmacare program
starts with catastrophic drug costs then to be expanded
significantly calls for price control mechanism and a new governing body re. drugs
significantly calls for a review of the patent protection for brand name pharmaceuticals
4. Romanow calls for new federal funding
a cash (no tax points) federal transfer that will be at 25% by 2005/6
interim directed funding for the creation of the national homecare strategy, rural and remote access, primary health care, catastrophic drug coverage
after the 25% is reached he calls for a built-in escalator
We are very pleased with these recommendations - the extension of Medicare, the discrediting of for-profit health care and out-of-pocket payment for health care, new and improved federal funding and the beginning of a national pharmacare program. But we need to go further.
- seniors and people with disabilities who are not considered “post acute” but require homecare support to live independently need to have assured access to these services.
- Romanow does not reject privatization of support services in hospitals. He is wrong in this.
- we need a stronger enforcement mechanism to ensure provinces don’t continue to privatize the health system