1. Doris Grinspun RN, MSN, PhD, LLD(hon), O.ONT. Chief Executive Officer Registered Nurses’ Association of Ontario (RNAO) NURSING: A SOCIAL FORCE Delivery System Reform Nov. 3, 2015: Canada-US Health Summit 2015

2. Total Health Expenditure as a Share of GDP (2013 OECD)

3. Per Capita Health Expenditures: Public and Private (OECD 2013, US$ at PPP)

4. Public Social Expenditure as a Share of GDP (2014 OECD)

5. Life Expectancy at Birth

6. Infant Mortality

7. MEDICARE’s PERFORMANCE: Before Medicare (1960s) the US & Canada spent about 7% of each country’s GDP in health care. In 2013... Canada 10.2% of GDP All Canadians insured Important health indicators, such as infant mortality, are better in Canada than the U.S. U.S. 16.4% of GDP 33 million uninsured in America (uninsured rate dropped by 2.9 percentage points in 2014 after Patient Protection and Affordable Care Act introduced)

8. HOW CAN WE REDESIGN OUR HEALTH SYSTEM TO BE PERSON-CENTRED & PRODUCE THE BEST RESULTS?

9. RNAO ECCO: Enhancing Community Care

10. Public Trust

11. For More Information Doris Grinspun, CEO, RNAO dgrinspun@RNAO.ca CC: Tim Lenartowych, Director, RNAO tlenartowych@RNAO.ca Josephine Mo, Executive Assistant jmo@RNAO.ca