Skip to main content

Harper promises on health funding fall short -- But how about those Liberals?

Premier McGuinty has called for a ten year deal on federal health care funding.


Right now, the federal government provides more than $10 billion through the Canada Health Transfer (CHT) for public health care in Ontario.  That is a lot of cash, almost a quarter of total provincial government health care spending.


Under the existing ten year agreement with the provinces, originally negotiated in 2004, federal government increases added over $800 million in new health care funding for the province of Ontario this year alone.  But the accord runs out in 2014 and the Harper Conservatives  failed to make any solid commitment to continue to increase the CHT prior to the election call.  In fact., they did not even mention the CHT in their party program.


The end of the current CHT "escalator" would be a devastating blow to public health care.


Thankfully, the election campaign has forced the Conservatives to change this line and promise to increase federal health care funding at the same rate -- sort of.


As it stands, the outgoing Conservative Finance Minister Jim Flaherty only promised two more years of increased funding.  But what happens after that  is anyone's guess.  So McGuinty's call for a ten-year deal is very much to the point.


Notably, however, the increases in health care spending the McGuinty government has delivered over the last two years fall far short of the increases in federal health care funding.  And the increases the McGuinty government projects for the future fall shorter still.


I might add that the federal Liberals also failed to put CHT increases into their election program.  That's a pretty major omission.


And even Michael Ignatieff's new letter on health care (that attacks Harper for falling short on the the CHT) only promises to maintain the CHT escalator "beyond 2014".


That's about as vague as Flaherty's commitment.  And it falls far short of a promise of a ten-year deal, as called for by McGuinty on April 15th.


For more on Stephen Harper's long standing attacks on public health care see Murray Dobbin's new article on Rabble.ca or Tom Walkom's piece in today's Star.  


Comments

Popular posts from this blog

More spending on new hospitals and new beds? Nope

Hospital funding:  There is something off about the provincial government's Budget claims on hospital capital funding (funding to build and renovate hospital beds and facilities).    For what it is worth (which is not that much, given the long time frame the government cites), the province claims it will increase hospital capital spending over the next 10 years from $11 billion to $20 billion – or on average to about $2 billion per year.   But, this is just a notional increase from the previous announcement of future hospital capital spending.  Moreover, even if we did take this as a serious promise and not just a wisp of smoke, the government's own reports shows they have actually funded hospital infrastructure about $3 billion a year over the 2011/12-2015/16 period. So this “increase” is really a decrease from past actual spending. Even last year's (2016-17) hospital capital funding increase was reported in this Budget at $2.3 billion - i.e. about 15% more th

Ford government fails to respond to 72% increase in COVID inpatient days, deepening the capacity crisis

COVID infections continue to drive up hospital costs and inpatient hospitalizations in Ontario. For the most recent fiscal year (April 1, 2022- March 31, 2023) hospital stays related to COVID cost $1.221 billion, according to new CIHI data.   This is about 4% of total hospital spending, creating a very significant new cost pressure beyond the usual pressures of population growth, aging, inflation, and rising utilization.   Costs for COVID related hospitalizations increased 22.2% in Ontario in 2022/23 from the previous fiscal year, rising from $999 million to $1.221 billion.  That rise is particularly notable as the OMICRON spike of late 2021 and early 2022 had passed by the the 2022/23 fiscal year.   The $222 million increase in COVID hospitalization costs came in the same year as the Ford government cut special COVID funding and, in fact, cut total hospital funding by $156 million.     In total, there were 60,653 COVID hospitalizations in Ontario in 2022/3, up from 47,543 in 2021/2. 

Paramedic Services in Canada: Structure, Privatization, Unionization and other issues

Governance and Funding :  While police and fire services are usually municipal services, Emergency Medical Services (EMS) are typically controlled by provincial governments.  In Ontario, regional municipal governments have responsibility for delivering and funding EMS.  But even in Ontario the province plays a key role, strictly regulating EMS, providing funding for 50% of the approved land ambulance costs, and paying 100% of the approved costs for air ambulance, dispatch, base hospitals, First Nation EMS, and for territories without municipal government. Delivery :  Like police and fire services, EMS is predominantly a publicly provided service in Canada.   But businesses have now made some significant in-roads into EMS, primarily  Medavie,  a private corporation based in the Maritimes that describes itself as not-for-profit.  Medavie goes back over 70 years, with its roots in health insurance.  It still operates Medavie Blue Cross with 1,900 employees.  It now a