There are three stakeholders in the universal health care system in Canada. In the interest of the Canadian public all three groups must work together to deliver health care services.
These three groups are:
1. The government - the Canadian health care system is funded federally but administered by the each of the thirteen provinces and territories. All funds flow from the federal government, to the provincial government,and then to the employer. All provincial and territorial governments must maintain accountability to the federal government for the way that funds are dispersed and annual reports are necessary to ensure compliance with the Canada Health act.
2. The employer -Regional health boards administer local health care services. They employ people to deliver services to clients and customers who are the members of the community they serve. In smaller provinces and territories the provincial or territorial government may be the employer.
3. The workers - These are the people who provide patient care and services as well as the workers who support those services such as the cleaning staff, food services workers, carpenters, electronic data specialists and others.
Each of the stakeholder groups also has a self interest which could be described as:
1. The government - self interest is often directed only toward fiscal accountability and balancing the budget. Sometimes this means increasing taxes or even decreasing services if funds are limited. In most provinces in Canada governments have passed labor laws that put restrictions on a labor union strike in health care in order to protect the public they serve.
2. The employer - the employer's self interest is to maintain the flow of funds so that services to its customers can be maintained. The employer also has a self interest in maintaining the skills and education of its workforce so it can continue to provide services and meet present and future challenges.
3. The workers - people work in their own self interest. They have families to feed and mortgages to pay. People do not want to work for nothing. They want to feel valued and know that they are making a contribution to their organization and their own community.
All three of these stakeholder groups work in their own interest, but in order to provide health care in Canada they must all work together in the public interest. Therefore there has to be a strong public accountability framework that supports the Canadian health care system, because self interest and public interest are not always compatible.
It is only when the parties work together in the public interest that health care can be delivered in the way that the Canada Health Act requires.
Labor Union in Universal Health Care in Canada
The labor union provides a necessary foundation for the public accountability required within the Canadian health care system and this becomes especially important when the interests of the stakeholder parties are in conflict.
It is quite reasonable for an employer to direct an employee in their work and this is accepted within the labor union movement in Canada. However, it is not accepted that an employer can direct an employee to perform their work below an acceptable standard. In other words an employer cannot direct an employee to be a bad employee and do poor quality work.
Employers in the public sector in Canada know that labor unions must work to protect the social and economic welfare of members and therefore, they are aware that the public interest can only be served when employees and employers work together in a common interest. In universal health care in Canada that common interest is the public interest.
With labor unions protecting jobs, workers know they can work in the public interest and still fulfill their own self interests because they have confidence that there are mechanisms in place to resolve conflict and that employers cannot arbitrarily change the nature of their working conditions.
The core of the new health care system is based on clinical laboratory science (CLS) data. CLS and its critical relationship to the biochemical makeup of the human body and the great advantages that entails, providing an ideal mechanism on which to base a health care information system. Details of CLS and the bio-chemical makeup of the human body were discussed in the article titled "Your Health Care System: Critical Technology Sidetracked". For more information directly from the professionals of this valuable relationship click on the (18) link at the end of this article.
So when one decided that a large scale health care information system based on CLS is ideal, design-wise where do you go from there? Just how could such a system be designed to fully harness all of that vital health data. How do you convert that health information into improved human health--more specifically improved levels of wellness, and decreased levels of disease? Obviously it would require the use of the computer with some form of special data processing. The system would need the capacity to evaluate human health levels in general, relate those health levels in turn to an individual's health condition, to one's personal environment, and in turn relate that data to millions of other individual's results. This would be massive amounts of data requiring supercomputers.
The system that has been designed uses a powerful national research center that works in conjunction with 50 state diagnostic computer systems which you as an individual or a patient, would have access to. You could tap into the state diagnostic system with the use of a large profile pattern of clinical laboratory test results (likely 100 separate tests from one blood sample). It would provide you an extremely extensive health analysis as well as a means of intervention at levels almost unbelievable compared to today's limitations. In fact it would be so outstanding that at first it would likely seem more like science fiction than reality.
This is a highly sophisticated medical information system intentionally designed around the sole interests of the public and the individual, not the medical industry. Because of its effectiveness in the radical reduction in disease levels and its related reduction in health care costs, it would very unlikely ever receive any support from the medical industry. In fact, for the sake of both its effectiveness and integrity, the new system would need to be legislated in existence and controlled by the public through a public commission.
Believe it or not, America boasts some of the world's best doctors, the most advanced health care system, and the most technically superior resources in the world, bar none. Those who travel globally and have gotten sick know that their first choice for treatment would be in the U.S. Though health care in America is, more expensive than any other country, many of the worlds wealthiest come to the U.S for surgical procedures and complex care, because it holds a worldwide reputation for the gold standard in health care.
To examine the complex health care issue, a small research study was conducted from randomly selected doctors in a best doctors database. We ask 50 top doctors, located in different states and who practice different specialty fields, " Is a universal health care plan good for America?" Forty-eight of these doctors essentially responded that it was a "bad idea" that would have negative impacts on the quality of our nation's health care.
Social Engineering Medicine
One of the greatest mis-conceptions some people have relied on with regard to the health care debate is that, given a universal health care system, every person in the U.S. would receive the highest quality health care - the kind our nation is renowned for and that we currently receive. However, unlike some public amenities, health care is not a collective public service like police and fire protection services, therefore the Government cannot provide the same quality of health care to everyone, because not all physicians are equally good orthopedic surgeons, internists, neurosurgeons, etc, in the same way that not all individuals in need of health care are equally good patients.
As an analogy - stay with me - when you design a software program, there are many elements that are coded on the back-end, and used to manipulate certain aspects of the software program, that your average "John Doe" who uses the software (the end user) does not understand or utilize, nor do they care about these elements. Certain aspects of the program are coded, so that when one uses that portion of the program, other elements of the program are manipulated and automatically follow the present or next command.
Likewise, once a universal care plan is implemented in America and its massive infrastructure is shaped, private insurance companies will slowly disappear, and as a result, eventually patients will automatically be forced to utilize the government's universal health care plan. As part of such a system, patients will be known as numbers rather than patients, because such a massive government program would provide compensation incentive based on care provided, patients would become "numbers," rather than "patients." In addition, for cost savings reasons, every bit of health information, including your own, will be analyzed, and stored by the Government. What are the consequences? If you're a senior citizen and need a knee replacement at the age of 70, the government may determine that you're to old and it's not worth the investment cost, therefore instead of surgery, you may be given medication for the rest of your life at a substantial cost savings to the government, and at a high quality of life price to you.
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