2. 17 YORK ST. PERSPECTIVE Presented by: Keith Denny, Director, Policy & Communications

3. Cycle of Activities – Advocating for Equitable Health Care for Canadians The typical advocacy year for CHA begins in July and continues until recess of Parliament in June of the following year.  July/August – Preparation of CHA’s pre-budget Brief to the Finance Committee  August – Submission of pre-budget Brief  September/October – Response to the Speech from the Throne (if required)  September-November – Presentation of Pre-Budget Brief to the Finance Committee  February/March – Response to the Federal Budget  All year - Presentations to House of Commons and Senate Committees - Monitoring the work of the House and Senate - Meetings with senior politicians and departmental officials

4. “Today’s” Perspective 1.Canada: Federal & Provincial Politics 2.Canada: Population, Society & Economy 3.Canada’s Health System 4.Ontario 5.International Perspectives 6.So What – Now What?

5. 1. Canada: Federal and Provincial Politics

6. 1. 1 Federal Policy Interim Federal Health Program New Classes of Practitioners Regulations An Act to implement certain provisions of the budget tabled in Parliament on March 29, 2012 and other measures (Bill C38)

7. 1. 1 Federal Policy Funding AnnouncementsCuts $400,000 over two years for nursing services in rural and remote Canada Health Canada $200.6m over 3 years $4 million multi-year Healthy Eating Awareness and Education Initiative PHAC $68.0m over 3 years $309,800 over two years to the National Case Management Network Canada Food Inspection Agency $56.1m over 3 years $100 million over six years for the Canada Brain Research Fund Health funding to Aboriginal organizations Women’s Health Contribution Program Tobacco Strategy $15m

8. 1. Federal Finances

9. 1. Federal Finances Canada Health Transfer is the single largest expense item on the federal government books $26b: 10 cents of each tax dollar spent 2010-11

10. 1.2 Federal Committees Standing Committee on Health (HESA) Standing Committee on Finance (FINA) Senate Committee on Social Affairs, Science and Technology

11. 1.3 Provincial/Pan-Canadian Council of the Federation –Innovation Working Group Clinical practice guidelines Scope of practice HHR –Final report: July 27, 2012

12. 1.4 Public Opinion: Federal April, 2012

13. 1.4 Public Opinion: Federal

14. 1.4 Public Opinion: Federal Harris Decima May, 2012

15. 1.4 Public Opinion: Federal Forum May, 2012 F35Mulcair Bill 38/ Bev Oda

16. 1.4 Public Opinion: Federal Angus Reid

17. 1.4 Public Opinion: Federal

18. 1.5 Public Opinion: Provincial

19. 2. Canada: Population, Society and Economy

20. 2.1 Population Growth: Canada/G8

21. 2.1 Population Growth: Provinces

22. 2.1 Population over 65: Provinces

23. 2. 2 Society

24. 2.2 Society

25. 2.3 Economy

26. 2.3 Economy

27. 2.3 Economy

28. 2. 3 Economy

29. 3. Canada’s Health System

30. 3. Canada’s Health System Mental Health Commission releases Mental Health Strategy for Canada Dr. David Goldbloom replaces Hon. Michael Kirby as Chair

31. 3. Canada’s Health System

32. 3. Canada’s Health System

33. 3. Canada’s Health System

34. 3. Canada’s Health System

35. 3. Canada’s Health System Drug expenditures, % Total Health Expenditure: 1985-2011

36. 3. Canada’s Health System Drug expenditures, 1985-2011 Drug expenditures by source of finance

37. 3.1 Health System Surveys Ipsos Reid AB

38. 3.1 Health System Surveys 36% reported that they were vaccinated against the flu. BC had the highest rate at 52% and among the lowest flu incidence rate at 10% Quebec had the lowest rate at 27% and the highest flu incidence rate at 25% 20% of Canadians missed work or school because of the flu 14% of Canadians took time off from work or school to take care of someone with the flu. 48% of Canadians would be more likely to get the flu shot if the process was faster and easier. Ipsos Reid May, 2012

39. 3.1 Health System Changes Manitoba –RHAs reduced to 5 from 11 Saskatchewan –3sHealth created PEI –Health Association of PEI wound up Ontario –Retains 14 LHINs Ipsos Reid

40. 4. Ontario

41. 4. Ontario update

42. 4. Ontario Update Angus Reid Soon to be premiers-in-law: McGuinty’s son and Ghiz’s sister to wed

43. 5. International Perspectives

44. 5. International Perspectives

45. 5. International Perspectives

46. 6. So what? Now what? Council of the Federation Follow up with Minister of Health and critics Policy and advocacy platform Partnerships: ACAHO, CCPH21, HEAL

47. 17 York Street Ottawa, Ontario K1N 9J6 Tel: (613) 241-8005 Fax: (613) 241-5055 www.cha.ca Presenter’s info: Keith Denny Tel: (613) 241-8005 E-mail: kdenny@cha.ca www.cha.ca