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Transforming the System with One Small Change? An Idea for Debate
1Director for the Centre of Applied Health Research, Memorial University, St. John's, NL.
Healthcarepapers
|July 19, 2015
Summary
Gardner, Levy and Fierlbeck propose transforming Canada's fiscal federalism for healthcare reform. However, the plan
Area of Science:
- Health policy
- Public finance
- Canadian healthcare system
Background:
- Canada's fiscal federalism model is currently unproductive for healthcare.
- There is a need for substantive change to improve healthcare system efficiency and cost-effectiveness.
Purpose of the Study:
- To evaluate a proposed plan for reforming fiscal federalism to enhance Canadian healthcare.
- To assess the feasibility of implementing the proposed transformations.
Main Methods:
- Analysis of a proposed plan for fiscal federalism reform in Canadian healthcare.
- Critical commentary on the plan's requirements and political/resource implications.
Main Results:
- The proposed plan requires complex and demanding interlocking transformations.
- Significant new resources and a realistic political timeframe are necessary for implementation.
Conclusions:
- The author questions the political and resource feasibility of the proposed healthcare reform within a realistic timeframe.
- The plan's complexity may hinder its successful implementation for improving healthcare delivery and cost.
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