Canada’s health-care crisis: Problems, solutions and privatization
Summary
TLDRThe video script discusses the urgent need for improvements in healthcare systems, emphasizing the importance of recognizing and supporting caregivers. Participants, including a nursing school representative, a nurse who transitioned to the private sector, a patient, and a doctor, highlight the necessity for long-term solutions, reinvestment in healthcare professionals, and the prevention of health issues. They critique the reliance on private clinics, the lack of universal coverage for services like pharmacare and mental health, and the inefficiencies in data sharing and administration. The conversation underscores the need for a functional public system and the value of every healthcare worker.
Takeaways
- 💰 The healthcare system is receiving more funding than ever, yet it is still insufficient to meet the growing needs.
- 🏫 Enrollment in nursing schools is increasing, but there is a shortage of caregivers and healthcare professionals.
- 👀 Caregivers need to be more visible, heard, respected, and included as vital parts of the healthcare team.
- 🔄 There is a call to reinvest in nursing and healthcare professionals, including better pay and collaboration within healthcare teams.
- 🚑 The solution to healthcare crises requires long-term planning that may not align with short-term election goals.
- 🏥 There is a strong emphasis on the need for more focus on preventive care to reduce hospital admissions.
- 🤯 The lack of free and fair distribution of services, especially mental health services, is a concern post-pandemic.
- 🌐 Canada's reliance on the private sector for healthcare is unusual among advanced countries and contributes to inefficiencies.
- 🏥 The public healthcare system is deteriorating due to underfunding and lack of support for healthcare providers.
- 💉 There is a proposal to leverage the skills of personal support workers to alleviate the workload of nurses and improve patient care.
- 💼 The undervaluation of healthcare workers' work, especially in the public system, is leading to labor shortages and burnout.
- 📈 There is a need for better data sharing, standardized waiting lists, and efficient healthcare administration to improve the system.
Q & A
What is the main concern expressed by Sarah about the current healthcare system?
-Sarah emphasizes the need for caregivers to be seen, heard, respected, and included as a vital part of the healthcare team.
Why did Lynn Tran leave the public healthcare system to work in the private sector?
-Lynn Tran left the public system due to a lack of opportunities for training and growth, and she seeks a career that values flexibility, work-life balance, and fair compensation.
What decision did Max Johnson make that was influenced by the healthcare system's shortcomings?
-Max Johnson decided to travel to Lithuania for a knee replacement surgery because of a two-year waiting list in Winnipeg, highlighting the issue of long wait times in the public system.
What does Dr. Germantang suggest as a solution to the healthcare crisis?
-Dr. Germantang suggests putting more emphasis on prevention and investing in areas that will have higher needs in the future, such as mental health services.
What is the issue with mental health services according to the transcript?
-The issue is that mental health services are not universally covered and people are still required to pay out of pocket, which is not a fair distribution of services.
What is the problem with the current reliance on the private sector in healthcare as discussed in the transcript?
-The reliance on the private sector is problematic because it leads to underfunding of public services like pharmacare, dental care, and mental health care, and it neglects the caregivers who are essential to the system.
Why does the Ontario government's approach to offering more money to private clinics for certain procedures raise concerns?
-The approach is concerning because it costs the public system more money, as private clinics are for-profit and receive a 30% incentive, which could be better spent improving the public system.
What is the impact of individuals paying for private healthcare on the public system?
-When individuals pay for private healthcare, it drains resources from the public system, leading to a decline in the quality of care for those who cannot afford private options.
What does Lynn suggest as a way to improve the healthcare system?
-Lynn suggests leveraging the expertise and knowledge of all healthcare professionals, including personal support workers, to operate at their highest capacity and improve patient care.
What inefficiencies in the healthcare system are highlighted in the transcript?
-Inefficiencies highlighted include excessive administration costs, lack of collaboration between health authorities, and absence of standardized waiting lists or data sharing.
What is the role of a medical scribe as discussed in the transcript?
-The role of a medical scribe is not explicitly defined in the transcript, but it is implied that they could be part of the solution to support healthcare professionals by handling some of the administrative tasks.
Outlines
🚑 Health Care System's Challenges and Solutions
The first paragraph discusses the pressing issues within the health care system, highlighting the increased spending yet insufficient resources. It emphasizes the need for caregivers to be recognized and included as vital members of the health care team. The conversation includes various perspectives from a nursing school, a nurse who transitioned to the private sector, a patient affected by policy decisions, and an ICU doctor advocating for preventive measures. The discussion points to the lack of universal coverage for services like pharmacare and mental health care, as well as the reliance on private sector solutions that may exacerbate public system deficiencies.
🤔 The Impact of Undervaluing Health Care Professionals
The second paragraph delves into the consequences of undervaluing health care professionals, particularly nurses, and the loss of talent to the private sector. It explores the idea of leveraging the skills of various health care workers to improve efficiency and patient care. The narrative includes personal accounts from a nurse who left the public system due to lack of opportunities and growth, and the challenges faced by caregivers in the public system. The discussion also touches on the inefficiencies in administration and the need for a more collaborative approach between health authorities.
📊 Inefficiencies and the Need for Data-Driven Health Care
The third paragraph focuses on the inefficiencies in the health care system, such as the lack of standardized waiting lists and data sharing between jurisdictions. It underscores the importance of having accessible patient data for efficient care and the absence of a centralized system to manage surgical backlogs. The conversation also highlights the need for investment in preventive measures and support at home to reduce the strain on emergency rooms. The participants express their concerns about the future of health care and the importance of a robust public system that can adapt to an aging population.
Mindmap
Keywords
💡Health care
💡Nursing school enrollment
💡Caregivers
💡Private system
💡Prevention
💡Mental health services
💡Primary care
💡For-profit clinics
💡Universal Health Care
💡Staffing agencies
💡Medical scribes
💡Health authorities
Highlights
The need for more visibility and recognition for caregivers in the healthcare system.
The increasing enrollment in nursing schools, yet still facing a shortage of healthcare professionals.
The call for reinvestment in nursing and healthcare professionals to improve patient care.
The importance of including healthcare professionals in decision-making processes as key stakeholders.
The long-term solution to healthcare crises, which may not align with short-term election benefits.
The lack of a free and fair distribution of services in mental health post-pandemic.
The issue of patients paying out of pocket for mental health services not covered by universal healthcare.
The need to emphasize prevention and predict areas of higher healthcare needs in the future.
The reliance on the private sector for healthcare in Canada, which is unusual among advanced countries.
The absence of coverage for pharmacare, dental care, and mental health care in the public system.
The impact of not having access to primary care and the subsequent strain on hospitals.
The proposal to improve primary care to reduce hospital admissions and focus on community care.
The inefficiency of paying more for-profit clinics for services that could be provided in the public system.
The patient's perspective on the challenges of accessing timely healthcare and the decision to seek treatment abroad.
The negative impact of individuals seeking private healthcare on the public system's quality.
The undervaluing of healthcare professionals' work in the public system, leading to staff shortages.
The need for better leveraging of healthcare professionals' expertise and knowledge within the system.
The potential of training personal support workers to assist with tasks and reduce nurses' workload.
The desire for a reinvigorated nursing profession with opportunities for training and growth.
The importance of work-life balance and fair compensation for healthcare professionals.
The inefficiencies in healthcare administration and the high costs of maintaining multiple health authorities.
The lack of collaboration and data sharing between health ministries leading to inefficiencies.
The absence of standardized waiting lists and the need for a centralized system to improve patient care.
The call for a focus on prevention and investment in services to reduce the strain on emergency rooms.
Transcripts
so this is a moment to talk about health
care more money is being spent on health
care than ever before it's not enough
we're in a nursing school right now
where enrollment is up it's still not
enough if you had one thing that you
wanted the politicians to understand
about what has to happen in health care
right now what would it be Sarah well
Adrian I would say this I need to have a
visibility cloak caregivers need to be
seen they need to be heard they need to
be respected and they need to be a vital
part of the health care team included
Lynn Tran you're a nurse who left to go
into the private system Adrian I think
we really need to reinvest in our
nursing and our Healthcare professionals
bring back all those benefits of pay
patient care collaboration with our
health care teams we need them at the
table because they are key stakeholders
and we need the government to listen to
what their needs and wants are Max
Johnson you are a patient who made a
very difficult decision that's very
simple leaving tens of thousands of
people in pain is not a very sound
Health policy I think from our
perspective we need politicians to
realize that the solution to these
crises is going to be long-term and not
necessarily beneficial in the next
election
Dr germantang you're an ICU doctor
honestly I think we need to put more
emphasis on prevention we can predict
areas that are going to be of higher
needs over the next few years or and
what would what would that look like if
we started to put more resources into
areas that are going to be concerned
mental health like this the fact that
Mental Health Services
especially exiting the pandemic the
people are still paying out of pocket to
me baffles me it's not free and fair
distribution of services the way
Universal Health Care we think it is
yeah and by definition it's not and and
from my perspective as a nice u-doc we
see the repercussions of not having that
access I mean can you can you start off
helping us understand though we talk
about this as if this is Canada's
problem but it's not unique to this
country it's absolutely not unique to
this country but we are we have a very
strange profile in the advanced World in
terms of how much we rely on the private
sector to begin with we don't cover
pharmacare which is very unusual we
don't cover the things that keep people
out of Hospital like Dental Care Mental
Health Care all the rehab and we don't
pay attention to the people that are
actually providing the care and I
couldn't agree more with Dr tremontan
which is to say we need to keep people
out of the hospital we're turning to the
hospital because we don't have primary
care we're turning to hospitals because
people are don't have the care they need
at home with people like Sarah we need
to get people out of the hospital into
the community with good primary care so
the conversation that we need Solutions
here's a province Ontario that's
offering it we have problems with sort
of hernia and cataracts you know what if
you need them you can go to this private
Clinic you're still not out of pocket
and it will take you away from the
public system on paper it seems like it
might ease some of the pressure well
they're not out of the public system
we're paying 30 more for those Services
because they happen to be for-profit
clinics we could be running more of
these cataract factories in the public
system off-site of hospitals or even
underutilized spaces in hospitals so how
so how does it cost more money to make
that happen to do those cataract
surgeries in private club because this
province in Ontario has offered
for-profit clinics 30 percent more to
incentivize them opening up
talk about baffling it's interesting
listening to to the conversation because
as a patient we get very worried you
know we hear all sorts of people talking
about all sorts of problems all sorts of
solutions but they don't seem to appear
anywhere
and
the the principle of a funded Universal
Health Care Program I think is one that
almost everybody in the country would
agree with but let me tell you that
abject pain trumps ideology every day of
the week I ended up going to Lithuania
to have a knee replacement and
I did it because it was a two-year
waiting list in Winnipeg it was painful
to walk painful to sit I couldn't work
six weeks later I'm back from Lithuania
nine weeks later I'm economically active
again I probably paid more in income
taxes in the two years that I otherwise
would have been sitting in a wheelchair
I fully understand why for an individual
the idea that there is a
a solution I can pay for is extremely
attractive the problem is they pay for
this care with the people that are
leaving the public system the public
system keeps getting worse so the people
that don't have the money are getting
continually inferior care and it's like
so many things in the economy what's
good for the individual is suicide for
the system we know that there is no
country in the world that has relied
heavily on a for-profit system that
delivers faster better cheaper care so
we need to make the public system work
better as we're talking about
you know different clinics and private
clinics they're not just buildings
they're staffed with people they're
staffed with people like Lynn because
you you left the public system
absolutely that is a huge loss yeah I'm
thinking you're not that long out of a
nursing school just like this one you
know trained here went to school here
started in the public system absolutely
like this all looks so familiar it's
like it was yesterday that I was back in
school
um it was a tough decision and don't get
me wrong I I love being a nurse I just
don't think it was the career that I
expected it to be and I absolutely agree
with this discussion like I'm a prime
example like I feel as though there were
lacking opportunities for training and
growth and we need to leverage
everyone's expertise and knowledge
within the healthcare system and have
them operating at their highest capacity
that's one of the main Solutions is
leveraging
like personal support workers you could
train personal support workers within a
year and they have abilities to put in
Foley catheters to put in IVs to do ECGs
offload a lot of the work that our
nurses are having to tackle yeah and why
aren't we leveraging that what would
make you go back I
it's hard to say Adrian
um I think we really need to re
reinvigorate what it means to be a nurse
and I think that's something that I lost
passion for and do you feel that now in
the private system I do I think there
are things that I really value in a
career and I value that flexibility that
work life balance and actually being
compensated for the work that I'm doing
that doesn't seem like an unreasonable
ask it's completely reasonable and it is
insane that we have undervalued the work
of people like Lynn in the public system
by holding their wages in a province
like Ontario at a one percent increase
in the middle of a pandemic in the
middle of a massive labor shortage
preventing these people from taking
vacations when they're burnt out and
then wondering why do we need to turn to
staffing agencies and pay 30 40 50 more
but you know you can have a for-profit
system for the people that can afford to
pay if it's on top of a functional
public system
we already have that Executives don't go
to public hospitals unless they're
really sick and if they're really sick
where do they go they go to emerge they
go and get care in an ICU which is
publicly funded and we are letting the
public system Decline and you need to
support
these doctors and these nurses with
nursing assistants medical scribes all
the things that these people that have
got the most public training to do their
job properly we're not doing any of it
and and honestly the
I I'll speak personally I could see way
more patience if it wasn't for some of
the
some the paperwork I can see wait I
would honestly subscribe
I love the idea of a medical script add
the caregiver in that Circle 100 because
we are of equal value we're treated like
we're an inconvenience I come to say oh
my God my husband's you know he's he's
having a seizure I think and and they're
like unless it's a doctor who sees it or
a nurse who sees it it's like it didn't
happen and your story is is a double
whammy of a story because you left the
public system as a social worker to
become a caregiver
it was unbearable I couldn't do it I'm
very lucky I have three hours of care
right now and I do the rest and is the
three hours care public or do you have
to pay for that yourself I do not have
to pay for it there are supports that I
would love to have and I actually would
even pay for some of them because I'm so
desperate to have them but they don't
even exist
so this is a great example of where
investment in prevention could have so
much impact
you can think of several examples of
things happening at home where you're
going to need a support that can't be
offered at home and now you get into a
merge and if you're admitted you're in
you're in the emergency room for two or
three days potentially like the this is
where it falls apart I don't think
people fully
comprehend what kind of level of cost
we're we're talking about I look at
what's a fundamentally and apparently
astonishing amounts of money spent on
the administration
I look at the four Atlantic provinces
Manitoba Saskatchewan and the three
territories we maintain nine Health
authorities for under five million
people
one out of every 500 000 people is a
health Minister it's absolutely
astonishing there seems to be virtually
no collaboration no cooperation between
various health ministries the amount of
inefficiencies in their Healthcare
System is yeah is it because of the
staffing issues you I don't get me
started so like patients coming from a
different jurisdiction that doesn't have
we don't have access to their chart or
their Diagnostic Imaging we don't have
that CT let's just order another one
like you want to provide the most
efficient most reliable care to a
patient you want to have that data in
front of you not only that we don't even
do some of the most basic system design
issues like standardized waiting lists
right so you've got actually a
Clearinghouse of where the surgeries are
where the backlogs are that you as a
patient can choose to travel a little
bit further and get that that that
surgery in a place that is not quite as
busy are you talking about a centralized
waiting list within a province or across
provinces anywhere thank you we don't
have it in Ontario we don't have it
across we don't even we don't even
measure how many nurses are working in
hospitals across the country we don't do
the basic data sharing that we need to
do it I wish the health ministers were
sitting in this room right now I think
we'd have to lock the doors actually
but they aren't but they are listening I
mean it's not so much about private and
public it's about
sitting there and thinking in 10 years
time when I will be 10 years older and
presumably disintegrate a little bit
will there be a health system to a point
I don't really care who delivers it I
mean Max Lynn Dr Turman tank Sarah thank
you very very much we appreciate your
time everybody
thank you thank you
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